2-96254107-A-G

Variant summary

Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM1PM2PM5PP3_StrongPP5

The NM_017849.4(TMEM127):​c.418T>C​(p.Cys140Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. C140F) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)

Consequence

TMEM127
NM_017849.4 missense

Scores

9
7
3

Clinical Significance

Likely pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.75
Variant links:
Genes affected
TMEM127 (HGNC:26038): (transmembrane protein 127) This gene encodes a transmembrane protein with four predicted transmembrane domains. The protein is associated with a subpopulation of vesicular organelles corresponding to early endosomal structures, with the Golgi, and with lysosomes, and may participate in protein trafficking between these structures. Mutations in this gene and several other genes cause pheochromocytomas. Alternatively spliced transcript variants encoding the same protein have been identified. [provided by RefSeq, Aug 2022]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 11 ACMG points.

PM1
In a transmembrane_region Helical (size 20) in uniprot entity TM127_HUMAN there are 5 pathogenic changes around while only 1 benign (83%) in NM_017849.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-96254106-C-T is described in Lovd as [Likely_pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.942
PP5
Variant 2-96254107-A-G is Pathogenic according to our data. Variant chr2-96254107-A-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 126970.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-96254107-A-G is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TMEM127NM_017849.4 linkuse as main transcriptc.418T>C p.Cys140Arg missense_variant 4/4 ENST00000258439.8
TMEM127NM_001193304.3 linkuse as main transcriptc.418T>C p.Cys140Arg missense_variant 4/4
TMEM127NM_001407282.1 linkuse as main transcriptc.166T>C p.Cys56Arg missense_variant 3/3
TMEM127NM_001407283.1 linkuse as main transcriptc.166T>C p.Cys56Arg missense_variant 3/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TMEM127ENST00000258439.8 linkuse as main transcriptc.418T>C p.Cys140Arg missense_variant 4/41 NM_017849.4 P1
TMEM127ENST00000432959.1 linkuse as main transcriptc.418T>C p.Cys140Arg missense_variant 4/41 P1
TMEM127ENST00000435268.1 linkuse as main transcriptc.166T>C p.Cys56Arg missense_variant 3/33

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Pheochromocytoma Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyFamilial Cancer Clinic, Veneto Institute of Oncology-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.42
D
BayesDel_noAF
Pathogenic
0.36
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T;T;.
Eigen
Uncertain
0.59
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.85
.;D;D
M_CAP
Uncertain
0.22
D
MetaRNN
Pathogenic
0.94
D;D;D
MetaSVM
Uncertain
0.035
D
MutationAssessor
Uncertain
2.0
M;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.95
D
PROVEAN
Pathogenic
-7.9
D;D;D
REVEL
Pathogenic
0.87
Sift
Uncertain
0.0020
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.96
MutPred
0.80
Gain of MoRF binding (P = 0.0302);Gain of MoRF binding (P = 0.0302);.;
MVP
0.82
MPC
1.7
ClinPred
1.0
D
GERP RS
4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.95
gMVP
0.99

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: rs121908827; hg19: chr2-96919845; API