2-218738211-A-G

Variant summary

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

The NM_014640.5(TTLL4):ā€‹c.535A>Gā€‹(p.Thr179Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,880 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000021 ( 0 hom. )

Consequence

TTLL4
NM_014640.5 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0630
Variant links:
Genes affected
TTLL4 (HGNC:28976): (tubulin tyrosine ligase like 4) Predicted to enable tubulin binding activity and tubulin-glutamic acid ligase activity. Predicted to be involved in microtubule cytoskeleton organization and protein polyglutamylation. Predicted to act upstream of or within regulation of blastocyst development. Predicted to be located in cytosol. Predicted to be active in cilium. [provided by Alliance of Genome Resources, Apr 2022]

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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=0.034005404).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TTLL4NM_014640.5 linkuse as main transcriptc.535A>G p.Thr179Ala missense_variant 3/20 ENST00000392102.6 NP_055455.3 Q14679A0A024R424

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TTLL4ENST00000392102.6 linkuse as main transcriptc.535A>G p.Thr179Ala missense_variant 3/201 NM_014640.5 ENSP00000375951.1 Q14679

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
250650
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135464
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000868
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461880
Hom.:
0
Cov.:
33
AF XY:
0.00000275
AC XY:
2
AN XY:
727238
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000671
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.0000113

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 GeneticsNov 18, 2024The c.535A>G (p.T179A) alteration is located in exon 3 (coding exon 1) of the TTLL4 gene. This alteration results from a A to G substitution at nucleotide position 535, causing the threonine (T) at amino acid position 179 to be replaced by an alanine (A). 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
0.070
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.77
CADD
Benign
7.5
DANN
Benign
0.94
DEOGEN2
Benign
0.0071
.;T;T;T
Eigen
Benign
-0.82
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.050
N
LIST_S2
Benign
0.54
T;.;T;T
M_CAP
Benign
0.0029
T
MetaRNN
Benign
0.034
T;T;T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
1.2
.;L;.;L
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-0.16
N;N;N;N
REVEL
Benign
0.030
Sift
Benign
0.14
T;T;T;T
Sift4G
Benign
0.50
T;T;T;T
Polyphen
0.0
B;B;B;B
Vest4
0.065
MutPred
0.22
.;Loss of phosphorylation at T179 (P = 0.0218);Loss of phosphorylation at T179 (P = 0.0218);Loss of phosphorylation at T179 (P = 0.0218);
MVP
0.21
MPC
0.18
ClinPred
0.015
T
GERP RS
0.75
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.024
gMVP
0.24

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: rs964899294; hg19: chr2-219602934; API