20-44480320-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The ENST00000262605.9(TTPAL):ā€‹c.321A>Cā€‹(p.Arg107Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000031 in 1,614,150 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000026 ( 0 hom., cov: 32)
Exomes š‘“: 0.000031 ( 0 hom. )

Consequence

TTPAL
ENST00000262605.9 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.323
Variant links:
Genes affected
TTPAL (HGNC:16114): (alpha tocopherol transfer protein like) Predicted to enable phosphatidylinositol bisphosphate binding activity. Located in membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.096705794).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TTPALNM_001039199.3 linkuse as main transcriptc.321A>C p.Arg107Ser missense_variant 2/5 ENST00000262605.9 NP_001034288.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TTPALENST00000262605.9 linkuse as main transcriptc.321A>C p.Arg107Ser missense_variant 2/51 NM_001039199.3 ENSP00000262605 P1
TTPALENST00000372904.7 linkuse as main transcriptc.321A>C p.Arg107Ser missense_variant 3/61 ENSP00000361995 P1
TTPALENST00000456317.1 linkuse as main transcriptc.321A>C p.Arg107Ser missense_variant 2/52 ENSP00000412720
TTPALENST00000372906.2 linkuse as main transcriptc.321A>C p.Arg107Ser missense_variant 2/33 ENSP00000361997

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152142
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000597
AC:
15
AN:
251432
Hom.:
0
AF XY:
0.0000736
AC XY:
10
AN XY:
135908
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000867
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000294
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000315
AC:
46
AN:
1461890
Hom.:
0
Cov.:
31
AF XY:
0.0000413
AC XY:
30
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000313
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000899
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152260
Hom.:
0
Cov.:
32
AF XY:
0.0000403
AC XY:
3
AN XY:
74446
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756
ExAC
AF:
0.0000494
AC:
6
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

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 GeneticsDec 11, 2023The c.321A>C (p.R107S) alteration is located in exon 3 (coding exon 1) of the TTPAL gene. This alteration results from a A to C substitution at nucleotide position 321, causing the arginine (R) at amino acid position 107 to be replaced by a serine (S). 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
Uncertain
0.35
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
7.4
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0099
T;T;.;.
Eigen
Benign
-1.0
Eigen_PC
Benign
-0.96
FATHMM_MKL
Benign
0.58
D
LIST_S2
Uncertain
0.94
.;D;D;D
M_CAP
Benign
0.066
D
MetaRNN
Benign
0.097
T;T;T;T
MetaSVM
Benign
-0.78
T
MutationAssessor
Benign
0.34
N;N;.;.
MutationTaster
Benign
0.97
D;D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-1.6
N;N;N;N
REVEL
Uncertain
0.44
Sift
Benign
0.13
T;T;T;T
Sift4G
Benign
0.68
T;T;T;T
Polyphen
0.26
B;B;.;.
Vest4
0.35
MutPred
0.45
Loss of solvent accessibility (P = 0.1322);Loss of solvent accessibility (P = 0.1322);Loss of solvent accessibility (P = 0.1322);Loss of solvent accessibility (P = 0.1322);
MVP
0.44
MPC
0.70
ClinPred
0.22
T
GERP RS
-4.8
Varity_R
0.19
gMVP
0.63

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: rs568599941; hg19: chr20-43108960; API