20-44484392-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The ENST00000262605.9(TTPAL):​c.501G>T​(p.Leu167Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000138 in 1,451,660 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

TTPAL
ENST00000262605.9 missense

Scores

5
12
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.44
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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TTPALNM_001039199.3 linkuse as main transcriptc.501G>T p.Leu167Phe missense_variant 3/5 ENST00000262605.9 NP_001034288.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TTPALENST00000262605.9 linkuse as main transcriptc.501G>T p.Leu167Phe missense_variant 3/51 NM_001039199.3 ENSP00000262605 P1
TTPALENST00000372904.7 linkuse as main transcriptc.501G>T p.Leu167Phe missense_variant 4/61 ENSP00000361995 P1
TTPALENST00000456317.1 linkuse as main transcriptc.501G>T p.Leu167Phe missense_variant 3/52 ENSP00000412720
TTPALENST00000372906.2 linkuse as main transcriptc.445+3948G>T intron_variant 3 ENSP00000361997

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251358
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135858
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
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:
0.00000138
AC:
2
AN:
1451660
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
720892
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000448
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
ExAC
AF:
0.00000824
AC:
1

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 GeneticsApr 12, 2022The c.501G>T (p.L167F) alteration is located in exon 4 (coding exon 2) of the TTPAL gene. This alteration results from a G to T substitution at nucleotide position 501, causing the leucine (L) at amino acid position 167 to be replaced by a phenylalanine (F). 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
Pathogenic
0.79
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Uncertain
0.030
CADD
Pathogenic
26
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.32
T;T;.
Eigen
Pathogenic
0.70
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.94
.;D;D
M_CAP
Uncertain
0.15
D
MetaRNN
Uncertain
0.70
D;D;D
MetaSVM
Uncertain
0.29
D
MutationAssessor
Uncertain
2.1
M;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.81
D
PROVEAN
Uncertain
-3.2
D;D;D
REVEL
Uncertain
0.57
Sift
Uncertain
0.0080
D;D;D
Sift4G
Uncertain
0.012
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.73
MutPred
0.61
Gain of methylation at K171 (P = 0.0752);Gain of methylation at K171 (P = 0.0752);Gain of methylation at K171 (P = 0.0752);
MVP
0.082
MPC
1.2
ClinPred
0.95
D
GERP RS
4.1
Varity_R
0.37
gMVP
0.90

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: rs763798283; hg19: chr20-43113032; API