20-44480429-G-A

Variant summary

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

The ENST00000262605.9(TTPAL):​c.430G>A​(p.Val144Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000455 in 1,602,646 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000047 ( 0 hom. )

Consequence

TTPAL
ENST00000262605.9 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.77
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=0.122048885).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TTPALNM_001039199.3 linkuse as main transcriptc.430G>A p.Val144Ile 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.430G>A p.Val144Ile missense_variant 2/51 NM_001039199.3 ENSP00000262605 P1
TTPALENST00000372904.7 linkuse as main transcriptc.430G>A p.Val144Ile missense_variant 3/61 ENSP00000361995 P1
TTPALENST00000456317.1 linkuse as main transcriptc.430G>A p.Val144Ile missense_variant 2/52 ENSP00000412720
TTPALENST00000372906.2 linkuse as main transcriptc.430G>A p.Val144Ile missense_variant 2/33 ENSP00000361997

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
AN:
152132
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
GnomAD3 exomes
AF:
0.0000248
AC:
6
AN:
241768
Hom.:
0
AF XY:
0.0000381
AC XY:
5
AN XY:
131086
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000548
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000459
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000469
AC:
68
AN:
1450514
Hom.:
0
Cov.:
31
AF XY:
0.0000514
AC XY:
37
AN XY:
720042
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000253
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000191
Gnomad4 NFE exome
AF:
0.0000570
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
AF:
0.0000329
AC:
5
AN:
152132
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74318
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
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:
0.00
Alfa
AF:
0.0000434
Hom.:
0
Bravo
AF:
0.0000718
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000247
AC:
3

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 GeneticsAug 04, 2023The c.430G>A (p.V144I) alteration is located in exon 3 (coding exon 1) of the TTPAL gene. This alteration results from a G to A substitution at nucleotide position 430, causing the valine (V) at amino acid position 144 to be replaced by an isoleucine (I). 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
0.077
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Benign
0.044
T;T;.;.
Eigen
Benign
-0.70
Eigen_PC
Benign
-0.50
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.82
.;T;T;T
M_CAP
Benign
0.057
D
MetaRNN
Benign
0.12
T;T;T;T
MetaSVM
Benign
-0.54
T
MutationAssessor
Benign
-0.39
N;N;.;.
MutationTaster
Benign
0.83
N;N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
0.27
N;N;N;N
REVEL
Benign
0.20
Sift
Benign
0.91
T;T;T;T
Sift4G
Benign
0.85
T;T;T;T
Polyphen
0.058
B;B;.;.
Vest4
0.15
MVP
0.20
MPC
0.31
ClinPred
0.033
T
GERP RS
1.4
Varity_R
0.028
gMVP
0.32

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: rs374286934; hg19: chr20-43109069; COSMIC: COSV52828384; API