20-44484459-A-G

Variant summary

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

The NM_001039199.3(TTPAL):ā€‹c.568A>Gā€‹(p.Lys190Glu) variant causes a missense change. The variant allele was found at a frequency of 0.000234 in 1,605,864 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00013 ( 0 hom., cov: 32)
Exomes š‘“: 0.00024 ( 0 hom. )

Consequence

TTPAL
NM_001039199.3 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.27
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=0.13220382).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TTPALNM_001039199.3 linkuse as main transcriptc.568A>G p.Lys190Glu missense_variant 3/5 ENST00000262605.9 NP_001034288.1 Q9BTX7B2RA57

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TTPALENST00000262605.9 linkuse as main transcriptc.568A>G p.Lys190Glu missense_variant 3/51 NM_001039199.3 ENSP00000262605.4 Q9BTX7
TTPALENST00000372904.7 linkuse as main transcriptc.568A>G p.Lys190Glu missense_variant 4/61 ENSP00000361995.3 Q9BTX7
TTPALENST00000456317.1 linkuse as main transcriptc.537+31A>G intron_variant 2 ENSP00000412720.1 Q5QPC2
TTPALENST00000372906.2 linkuse as main transcriptc.445+4015A>G intron_variant 3 ENSP00000361997.2 A6PVK2

Frequencies

GnomAD3 genomes
AF:
0.000131
AC:
20
AN:
152214
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:
0.000279
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000143
AC:
36
AN:
251400
Hom.:
0
AF XY:
0.000184
AC XY:
25
AN XY:
135884
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000264
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000244
AC:
355
AN:
1453532
Hom.:
0
Cov.:
31
AF XY:
0.000259
AC XY:
187
AN XY:
721582
show subpopulations
Gnomad4 AFR exome
AF:
0.0000599
Gnomad4 AMR exome
AF:
0.0000672
Gnomad4 ASJ exome
AF:
0.000154
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.000301
Gnomad4 OTH exome
AF:
0.000183
GnomAD4 genome
AF:
0.000131
AC:
20
AN:
152332
Hom.:
0
Cov.:
32
AF XY:
0.000134
AC XY:
10
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.0000240
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:
0.000279
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000309
Hom.:
0
Bravo
AF:
0.000219
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000157
AC:
19

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 GeneticsJul 25, 2023The c.568A>G (p.K190E) alteration is located in exon 4 (coding exon 2) of the TTPAL gene. This alteration results from a A to G substitution at nucleotide position 568, causing the lysine (K) at amino acid position 190 to be replaced by a glutamic acid (E). 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
0.18
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.22
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.036
T;T
Eigen
Benign
0.12
Eigen_PC
Uncertain
0.31
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.87
.;D
M_CAP
Benign
0.034
D
MetaRNN
Benign
0.13
T;T
MetaSVM
Benign
-0.69
T
MutationAssessor
Benign
-0.39
N;N
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
0.28
N;N
REVEL
Uncertain
0.33
Sift
Benign
0.75
T;T
Sift4G
Benign
0.94
T;T
Polyphen
0.80
P;P
Vest4
0.44
MVP
0.068
MPC
0.87
ClinPred
0.053
T
GERP RS
6.0
Varity_R
0.21
gMVP
0.81

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs140656213; hg19: chr20-43113099; API