19-55383824-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001190764.2(TMEM238):​c.436G>A​(p.Ala146Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000686 in 145,842 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000069 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000024 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

TMEM238
NM_001190764.2 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.63
Variant links:
Genes affected
TMEM238 (HGNC:40042): (transmembrane protein 238) Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.03978759).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMEM238NM_001190764.2 linkuse as main transcriptc.436G>A p.Ala146Thr missense_variant 1/2 ENST00000444469.4 NP_001177693.1 C9JI98

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMEM238ENST00000444469.4 linkuse as main transcriptc.436G>A p.Ala146Thr missense_variant 1/21 NM_001190764.2 ENSP00000416154.2 C9JI98

Frequencies

GnomAD3 genomes
AF:
0.00000686
AC:
1
AN:
145842
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000680
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000235
AC:
1
AN:
425478
Hom.:
0
Cov.:
6
AF XY:
0.00000501
AC XY:
1
AN XY:
199428
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000257
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000686
AC:
1
AN:
145842
Hom.:
0
Cov.:
31
AF XY:
0.0000141
AC XY:
1
AN XY:
70892
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000680
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 07, 2023The c.436G>A (p.A146T) alteration is located in exon 1 (coding exon 1) of the TMEM238 gene. This alteration results from a G to A substitution at nucleotide position 436, causing the alanine (A) at amino acid position 146 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
12
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0057
T
Eigen
Benign
-0.95
Eigen_PC
Benign
-0.96
FATHMM_MKL
Benign
0.0094
N
LIST_S2
Benign
0.38
T
M_CAP
Benign
0.038
D
MetaRNN
Benign
0.040
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-0.41
N
REVEL
Benign
0.011
Sift
Benign
0.35
T
Sift4G
Benign
0.54
T
Polyphen
0.0
B
Vest4
0.050
MutPred
0.18
Gain of phosphorylation at A146 (P = 0.0014);
MVP
0.030
ClinPred
0.23
T
GERP RS
-1.3
Varity_R
0.062
gMVP
0.13

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2089895973; hg19: chr19-55895192; API