2-96254974-C-T

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBS1BS2

The NM_017849.4(TMEM127):​c.268G>A​(p.Val90Met) variant causes a missense change. The variant allele was found at a frequency of 0.000428 in 1,614,228 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0024 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00022 ( 1 hom. )

Consequence

TMEM127
NM_017849.4 missense

Scores

11
8

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts P:1B:11

Conservation

PhyloP100: 3.61
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a chain Transmembrane protein 127 (size 237) in uniprot entity TM127_HUMAN there are 6 pathogenic changes around while only 2 benign (75%) in NM_017849.4
BP4
Computational evidence support a benign effect (MetaRNN=0.01115796).
BP6
Variant 2-96254974-C-T is Benign according to our data. Variant chr2-96254974-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 136209.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-96254974-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0024 (365/152354) while in subpopulation AFR AF= 0.00839 (349/41578). AF 95% confidence interval is 0.00767. There are 1 homozygotes in gnomad4. There are 178 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 365 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TMEM127NM_017849.4 linkc.268G>A p.Val90Met missense_variant Exon 3 of 4 ENST00000258439.8 NP_060319.1 O75204
TMEM127NM_001193304.3 linkc.268G>A p.Val90Met missense_variant Exon 3 of 4 NP_001180233.1 O75204
TMEM127NM_001407282.1 linkc.16G>A p.Val6Met missense_variant Exon 2 of 3 NP_001394211.1
TMEM127NM_001407283.1 linkc.16G>A p.Val6Met missense_variant Exon 2 of 3 NP_001394212.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TMEM127ENST00000258439.8 linkc.268G>A p.Val90Met missense_variant Exon 3 of 4 1 NM_017849.4 ENSP00000258439.3 O75204
TMEM127ENST00000432959.1 linkc.268G>A p.Val90Met missense_variant Exon 3 of 4 1 ENSP00000416660.1 O75204
TMEM127ENST00000435268.1 linkc.16G>A p.Val6Met missense_variant Exon 2 of 3 3 ENSP00000411810.1 C9J4H2

Frequencies

GnomAD3 genomes
AF:
0.00237
AC:
361
AN:
152236
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00832
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000523
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:
0.0000588
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.000672
AC:
169
AN:
251378
Hom.:
0
AF XY:
0.000471
AC XY:
64
AN XY:
135876
show subpopulations
Gnomad AFR exome
AF:
0.00929
Gnomad AMR exome
AF:
0.000405
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000223
AC:
326
AN:
1461874
Hom.:
1
Cov.:
32
AF XY:
0.000190
AC XY:
138
AN XY:
727238
show subpopulations
Gnomad4 AFR exome
AF:
0.00780
Gnomad4 AMR exome
AF:
0.000470
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000108
Gnomad4 OTH exome
AF:
0.000431
GnomAD4 genome
AF:
0.00240
AC:
365
AN:
152354
Hom.:
1
Cov.:
32
AF XY:
0.00239
AC XY:
178
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.00839
Gnomad4 AMR
AF:
0.000523
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.000481
Hom.:
0
Bravo
AF:
0.00290
ESP6500AA
AF:
0.00817
AC:
36
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000799
AC:
97

ClinVar

Significance: Benign/Likely benign
Submissions summary: Pathogenic:1Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Mar 27, 2018
Eurofins Ntd Llc (ga)
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 03, 2021
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Oct 31, 2017
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Apr 05, 2022
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Pheochromocytoma Pathogenic:1Benign:2
-
Familial Cancer Clinic, Veneto Institute of Oncology
Significance: Likely pathogenic
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Jun 01, 2014
CSER _CC_NCGL, University of Washington
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: research

- -

Mar 18, 2022
Fulgent Genetics, Fulgent Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:2
Jan 31, 2021
Sema4, Sema4
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: curation

- -

Jan 07, 2019
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

TMEM127-related disorder Benign:1
Jan 31, 2020
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

not provided Benign:1
Nov 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

TMEM127: BS1 -

Hereditary pheochromocytoma-paraganglioma Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.37
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Uncertain
-0.070
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.057
T;T;.
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.95
.;D;D
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.011
T;T;T
MetaSVM
Benign
-0.36
T
MutationAssessor
Benign
1.2
L;L;.
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-1.4
N;N;N
REVEL
Uncertain
0.46
Sift
Uncertain
0.015
D;D;D
Sift4G
Uncertain
0.018
D;D;D
Polyphen
0.74
P;P;.
Vest4
0.90
MVP
0.67
MPC
0.70
ClinPred
0.027
T
GERP RS
5.9
Varity_R
0.15
gMVP
0.83

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: rs121908823; hg19: chr2-96920712; API