2-178729725-A-G
Variant names: 
Variant summary
Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBP6_Very_Strong
The NM_001267550.2(TTN):c.18528T>C(p.Tyr6176Tyr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000347 in 1,613,682 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
 Genomes: 𝑓 0.000033   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.000035   (  0   hom.  ) 
Consequence
 TTN
NM_001267550.2 synonymous
NM_001267550.2 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  -0.770  
Publications
0 publications found 
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] 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -12 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.86). 
BP6
Variant 2-178729725-A-G is Benign according to our data. Variant chr2-178729725-A-G is described in ClinVar as Likely_benign. ClinVar VariationId is 413041.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| TTN | NM_001267550.2 | c.18528T>C | p.Tyr6176Tyr | synonymous_variant | Exon 63 of 363 | ENST00000589042.5 | NP_001254479.2 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| TTN | ENST00000589042.5 | c.18528T>C | p.Tyr6176Tyr | synonymous_variant | Exon 63 of 363 | 5 | NM_001267550.2 | ENSP00000467141.1 | 
Frequencies
GnomAD3 genomes  0.0000329  AC: 5AN: 152162Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
5
AN: 
152162
Hom.: 
Cov.: 
33
Gnomad AFR 
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GnomAD2 exomes  AF:  0.0000121  AC: 3AN: 248516 AF XY:  0.00000742   show subpopulations 
GnomAD2 exomes 
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AC: 
3
AN: 
248516
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GnomAD4 exome  AF:  0.0000349  AC: 51AN: 1461520Hom.:  0  Cov.: 33 AF XY:  0.0000371  AC XY: 27AN XY: 727042 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
51
AN: 
1461520
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
27
AN XY: 
727042
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33460
American (AMR) 
 AF: 
AC: 
0
AN: 
44720
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26124
East Asian (EAS) 
 AF: 
AC: 
4
AN: 
39694
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86252
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53402
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5762
European-Non Finnish (NFE) 
 AF: 
AC: 
42
AN: 
1111744
Other (OTH) 
 AF: 
AC: 
5
AN: 
60362
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.476 
Heterozygous variant carriers
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Allele balance
Age Distribution
Exome Het
Variant carriers
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Age
GnomAD4 genome  0.0000329  AC: 5AN: 152162Hom.:  0  Cov.: 33 AF XY:  0.0000404  AC XY: 3AN XY: 74316 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
5
AN: 
152162
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
3
AN XY: 
74316
show subpopulations 
African (AFR) 
 AF: 
AC: 
4
AN: 
41454
American (AMR) 
 AF: 
AC: 
0
AN: 
15266
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5186
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4832
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10620
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
68012
Other (OTH) 
 AF: 
AC: 
0
AN: 
2094
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.505 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 0.00 
 0.20 
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 0.95 
Allele balance
Alfa 
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Bravo 
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EpiCase 
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EpiControl 
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ClinVar
Significance: Likely benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Autosomal recessive limb-girdle muscular dystrophy type 2J;C1858763:Dilated cardiomyopathy 1G    Benign:1 
Jun 04, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
not provided    Benign:1 
Aug 06, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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