22-19759671-A-G

Variant summary

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

The ENST00000332710.8(TBX1):c.28A>G(p.Met10Val) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★).

• Frequency: Genomes: not found (cov: 33)
• Consequence: TBX1 ENST00000332710.8 missense
• Clinical Significance: Uncertain significance criteria provided, single submitter U:1
• Conservation: PhyloP100: 6.42

Genes affected

TBX1 (HGNC:11592): (T-box transcription factor 1) This gene is a member of a phylogenetically conserved family of genes that share a common DNA-binding domain, the T-box. T-box genes encode transcription factors involved in the regulation of developmental processes. This gene product shares 98% amino acid sequence identity with the mouse ortholog. DiGeorge syndrome (DGS)/velocardiofacial syndrome (VCFS), a common congenital disorder characterized by neural-crest-related developmental defects, has been associated with deletions of chromosome 22q11.2, where this gene has been mapped. Studies using mouse models of DiGeorge syndrome suggest a major role for this gene in the molecular etiology of DGS/VCFS. Several alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]

ACMG classification

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	UniProt
TBX1	NM_080647.1	c.28A>G	p.Met10Val	missense_variant	2/9
TBX1	NM_080646.2	c.28A>G	p.Met10Val	missense_variant	2/9
TBX1	NM_005992.1	c.28A>G	p.Met10Val	missense_variant	2/10

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
TBX1	ENST00000332710.8	c.28A>G	p.Met10Val	missense_variant	2/9	1		P2
TBX1	ENST00000329705.11	c.28A>G	p.Met10Val	missense_variant	2/9	1		A2
TBX1	ENST00000359500.7	c.28A>G	p.Met10Val	missense_variant	2/10	1		A2

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome Cov.: 34

GnomAD4 genome Cov.: 33

ClinVar

Significance: Uncertain significance

Submissions summary: Uncertain:1

Revision: criteria provided, single submitter

Submissions by phenotype

DiGeorge syndrome Uncertain:1

Uncertain significance, criteria provided, single submitter

clinical testing

Invitae

Jul 12, 2020

This sequence change replaces methionine with valine at codon 10 of the TBX1 protein (p.Met10Val). The methionine residue is weakly conserved and there is a small physicochemical difference between methionine and valine. This variant is not present in population databases (ExAC no frequency). This variant has not been reported in the literature in individuals with TBX1-related conditions. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.11
BayesDel_addAF	Pathogenic	0.18	D
BayesDel_noAF	Uncertain	0.030
Cadd	Benign	21
Dann	Benign	0.96
Eigen	Benign	-0.17
Eigen_PC	Benign	0.025
FATHMM_MKL	Pathogenic	0.99	D
LIST_S2	Benign	0.54	T;T;T
M_CAP	Uncertain	0.26	D
MetaRNN	Uncertain	0.46	T;T;T
MetaSVM	Benign	-0.86	T
MutationAssessor	Benign	-0.080	N;N;N
MutationTaster	Benign	0.97	D;D;D
PrimateAI	Pathogenic	0.84	D
PROVEAN	Benign	-0.73	N;N;N
REVEL	Uncertain	0.48
Sift	Benign	0.36	T;T;T
Sift4G	Benign	0.61	T;T;T
Polyphen		0.30	.;B;.
Vest4		0.66
MutPred		0.21		Loss of catalytic residue at V6 (P = 0.0226);Loss of catalytic residue at V6 (P = 0.0226);Loss of catalytic residue at V6 (P = 0.0226);
MVP		0.96
MPC		1.9
ClinPred		0.64	D
GERP RS		4.8
Varity_R		0.21
gMVP		0.50

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

Other links and lift over

dbSNP: rs1936578247; hg19: chr22-19747194;