2-178653276-A-G

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBA1

The NM_001267550.2(TTN):c.38753T>C(p.Leu12918Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0686 in 151,694 control chromosomes in the GnomAD database, including 531 homozygotes. In-silico tool predicts a benign outcome for this variant. 9/11 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.069 ( 531 hom., cov: 29)

Exomes 𝑓: 0.064 ( 4827 hom. )

Failed GnomAD Quality Control

Consequence

TTN
NM_001267550.2 missense

Scores

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -1.21

Variant links:

Genes affected

TTN (HGNC:12403): (titin) This gene encodes a large abundant protein of striated muscle. The product of this gene is divided into two regions, a N-terminal I-band and a C-terminal A-band. The I-band, which is the elastic part of the molecule, contains two regions of tandem immunoglobulin domains on either side of a PEVK region that is rich in proline, glutamate, valine and lysine. The A-band, which is thought to act as a protein-ruler, contains a mixture of immunoglobulin and fibronectin repeats, and possesses kinase activity. An N-terminal Z-disc region and a C-terminal M-line region bind to the Z-line and M-line of the sarcomere, respectively, so that a single titin molecule spans half the length of a sarcomere. Titin also contains binding sites for muscle associated proteins so it serves as an adhesion template for the assembly of contractile machinery in muscle cells. It has also been identified as a structural protein for chromosomes. Alternative splicing of this gene results in multiple transcript variants. Considerable variability exists in the I-band, the M-line and the Z-disc regions of titin. Variability in the I-band region contributes to the differences in elasticity of different titin isoforms and, therefore, to the differences in elasticity of different muscle types. Mutations in this gene are associated with familial hypertrophic cardiomyopathy 9, and autoantibodies to titin are produced in patients with the autoimmune disease scleroderma. [provided by RefSeq, Feb 2012]

TTN links:

TTN-AS1 (HGNC:44124): (TTN antisense RNA 1) This gene encodes a non-coding RNA transcribed from the opposite strand to the titin gene. [provided by RefSeq, Aug 2016]

TTN-AS1 links:

LOC124906100 (HGNC:):

LOC124906100 links:

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP2

Missense variant where missense usually causes diseases, TTN

BP4

Computational evidence support a benign effect (MetaRNN=0.0048615634).

BP6

Variant 2-178653276-A-G is Benign according to our data. Variant chr2-178653276-A-G is described in ClinVar as [Benign]. Clinvar id is 535163.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178653276-A-G is described in Lovd as [Benign].

BA1

GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.178 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
TTN	NM_001267550.2 linkuse as main transcript	c.38753T>C	p.Leu12918Ser	missense_variant	198/363	ENST00000589042.5
LOC124906100	XR_007087318.1 linkuse as main transcript	n.2185+8775A>G		intron_variant, non_coding_transcript_variant

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
TTN	ENST00000589042.5 linkuse as main transcript	c.38753T>C	p.Leu12918Ser	missense_variant	198/363	5	NM_001267550.2	P1
TTN-AS1	ENST00000659121.1 linkuse as main transcript	n.502+55595A>G		intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes

AF:

0.0686

AC:

10391

AN:

151574

Hom.:

525

Cov.:

show subpopulations

Gnomad AFR

AF:

0.0432

Gnomad AMI

AF:

0.0727

Gnomad AMR

AF:

0.160

Gnomad ASJ

AF:

0.0449

Gnomad EAS

AF:

0.119

Gnomad SAS

AF:

0.189

Gnomad FIN

AF:

0.101

Gnomad MID

AF:

0.0484

Gnomad NFE

AF:

0.0478

Gnomad OTH

AF:

0.0567

GnomAD3 exomes

AF:

0.102

AC:

25221

AN:

246724

Hom.:

1991

AF XY:

0.101

AC XY:

13505

AN XY:

134256

show subpopulations

Gnomad AFR exome

AF:

0.0434

Gnomad AMR exome

AF:

0.224

Gnomad ASJ exome

AF:

0.0420

Gnomad EAS exome

AF:

0.129

Gnomad SAS exome

AF:

0.194

Gnomad FIN exome

AF:

0.104

Gnomad NFE exome

AF:

0.0492

Gnomad OTH exome

AF:

0.0842

GnomAD4 exome

Data not reliable, filtered out with message: AS_VQSR

AF:

0.0637

AC:

92795

AN:

1457244

Hom.:

4827

Cov.:

AF XY:

0.0666

AC XY:

48253

AN XY:

725010

show subpopulations

Gnomad4 AFR exome

AF:

0.0425

Gnomad4 AMR exome

AF:

0.217

Gnomad4 ASJ exome

AF:

0.0410

Gnomad4 EAS exome

AF:

0.107

Gnomad4 SAS exome

AF:

0.186

Gnomad4 FIN exome

AF:

0.107

Gnomad4 NFE exome

AF:

0.0456

Gnomad4 OTH exome

AF:

0.0668

GnomAD4 genome

AF:

0.0686

AC:

10406

AN:

151694

Hom.:

531

Cov.:

AF XY:

0.0753

AC XY:

5583

AN XY:

74106

show subpopulations

Gnomad4 AFR

AF:

0.0432

Gnomad4 AMR

AF:

0.161

Gnomad4 ASJ

AF:

0.0449

Gnomad4 EAS

AF:

0.120

Gnomad4 SAS

AF:

0.189

Gnomad4 FIN

AF:

0.101

Gnomad4 NFE

AF:

0.0478

Gnomad4 OTH

AF:

0.0561

Alfa

AF:

0.0325

Hom.:

ExAC

AF:

0.0965

AC:

11621

ClinVar

Significance: Benign

Submissions summary: Benign:9

Revision: criteria provided, multiple submitters, no conflicts

LINK: link

Submissions by phenotype

not specified

Benign:2

Benign, no assertion criteria provided	clinical testing	Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+	-	- -
Benign, no assertion criteria provided	clinical testing	Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center	-	- -

not provided

Benign:2

Benign, criteria provided, single submitter	clinical testing	GeneDx	Jun 26, 2018	- -
Benign, criteria provided, single submitter	clinical testing	Athena Diagnostics	Dec 17, 2018	- -

Autosomal recessive limb-girdle muscular dystrophy type 2J

Benign:1

Benign, criteria provided, single submitter

clinical testing

Genome-Nilou Lab

Sep 10, 2021

- -

Autosomal recessive limb-girdle muscular dystrophy type 2J;C1858763:Dilated cardiomyopathy 1G

Benign:1

Benign, criteria provided, single submitter

clinical testing

Invitae

Feb 01, 2024

- -

Early-onset myopathy with fatal cardiomyopathy

Benign:1

Benign, criteria provided, single submitter

clinical testing

Genome-Nilou Lab

Sep 10, 2021

- -

Tibial muscular dystrophy

Benign:1

Benign, criteria provided, single submitter

clinical testing

Genome-Nilou Lab

Sep 10, 2021

- -

Myopathy, myofibrillar, 9, with early respiratory failure

Benign:1

Benign, criteria provided, single submitter

clinical testing

Genome-Nilou Lab

Sep 10, 2021

- -

Computational scores

Source: dbNSFP v4.3

Name

Calibrated prediction

Score

Prediction

BayesDel_addAF

Benign

-0.72

BayesDel_noAF

Benign

-0.67

Cadd

Benign

0.12

Dann

Benign

0.53

FATHMM_MKL

Benign

0.080

LIST_S2

Benign

0.17

MetaRNN

Benign

0.0049

MutationTaster

Benign

1.0

P;P;P;P;P;P

Vest4

0.024

GERP RS

-2.6

Splicing

Name

Calibrated prediction

Score

Prediction

SpliceAI score (max)

0.070

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.

Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

ACMG classification

Transcripts

RefSeq

Ensembl

Frequencies

ClinVar

Submissions by phenotype

Computational scores

Splicing

Publications

LitVar

Other links and lift over