22-30615623-G-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000355.4(TCN2):​c.776G>C​(p.Arg259Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.562 in 1,613,732 control chromosomes in the GnomAD database, including 258,781 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.62 ( 29857 hom., cov: 32)
Exomes 𝑓: 0.56 ( 228924 hom. )

Consequence

TCN2
NM_000355.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9O:1

Conservation

PhyloP100: 0.373
Variant links:
Genes affected
TCN2 (HGNC:11653): (transcobalamin 2) This gene encodes a member of the vitamin B12-binding protein family. This family of proteins, alternatively referred to as R binders, is expressed in various tissues and secretions. This plasma protein binds cobalamin and mediates the transport of cobalamin into cells. This protein and other mammalian cobalamin-binding proteins, such as transcobalamin I and gastric intrisic factor, may have evolved by duplication of a common ancestral gene. Alternative splicing results in multiple transcript variants.[provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.4999782E-6).
BP6
Variant 22-30615623-G-C is Benign according to our data. Variant chr22-30615623-G-C is described in ClinVar as [Benign]. Clinvar id is 97.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-30615623-G-C is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.752 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TCN2NM_000355.4 linkc.776G>C p.Arg259Pro missense_variant Exon 6 of 9 ENST00000215838.8 NP_000346.2 P20062-1
TCN2NM_001184726.2 linkc.695G>C p.Arg232Pro missense_variant Exon 6 of 9 NP_001171655.1 P20062-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TCN2ENST00000215838.8 linkc.776G>C p.Arg259Pro missense_variant Exon 6 of 9 1 NM_000355.4 ENSP00000215838.3 P20062-1

Frequencies

GnomAD3 genomes
AF:
0.620
AC:
94100
AN:
151870
Hom.:
29826
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.759
Gnomad AMI
AF:
0.576
Gnomad AMR
AF:
0.646
Gnomad ASJ
AF:
0.583
Gnomad EAS
AF:
0.441
Gnomad SAS
AF:
0.408
Gnomad FIN
AF:
0.634
Gnomad MID
AF:
0.538
Gnomad NFE
AF:
0.558
Gnomad OTH
AF:
0.602
GnomAD3 exomes
AF:
0.569
AC:
142938
AN:
251026
Hom.:
42003
AF XY:
0.559
AC XY:
75819
AN XY:
135704
show subpopulations
Gnomad AFR exome
AF:
0.764
Gnomad AMR exome
AF:
0.666
Gnomad ASJ exome
AF:
0.591
Gnomad EAS exome
AF:
0.428
Gnomad SAS exome
AF:
0.414
Gnomad FIN exome
AF:
0.635
Gnomad NFE exome
AF:
0.562
Gnomad OTH exome
AF:
0.578
GnomAD4 exome
AF:
0.556
AC:
812000
AN:
1461744
Hom.:
228924
Cov.:
68
AF XY:
0.551
AC XY:
400881
AN XY:
727162
show subpopulations
Gnomad4 AFR exome
AF:
0.780
Gnomad4 AMR exome
AF:
0.663
Gnomad4 ASJ exome
AF:
0.586
Gnomad4 EAS exome
AF:
0.445
Gnomad4 SAS exome
AF:
0.419
Gnomad4 FIN exome
AF:
0.635
Gnomad4 NFE exome
AF:
0.554
Gnomad4 OTH exome
AF:
0.566
GnomAD4 genome
AF:
0.620
AC:
94182
AN:
151988
Hom.:
29857
Cov.:
32
AF XY:
0.618
AC XY:
45900
AN XY:
74262
show subpopulations
Gnomad4 AFR
AF:
0.759
Gnomad4 AMR
AF:
0.646
Gnomad4 ASJ
AF:
0.583
Gnomad4 EAS
AF:
0.441
Gnomad4 SAS
AF:
0.408
Gnomad4 FIN
AF:
0.634
Gnomad4 NFE
AF:
0.559
Gnomad4 OTH
AF:
0.595
Alfa
AF:
0.535
Hom.:
5859
Bravo
AF:
0.628
TwinsUK
AF:
0.555
AC:
2057
ALSPAC
AF:
0.551
AC:
2125
ESP6500AA
AF:
0.765
AC:
3372
ESP6500EA
AF:
0.566
AC:
4865
ExAC
AF:
0.567
AC:
68821
Asia WGS
AF:
0.467
AC:
1627
AN:
3478
EpiCase
AF:
0.566
EpiControl
AF:
0.574

ClinVar

Significance: Benign
Submissions summary: Benign:9Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Transcobalamin II deficiency Benign:5
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 15, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Nov 21, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

May 28, 2019
Mendelics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:2Other:1
Jul 25, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 12091374, 21975197, 14680986, 19353223, 12107818, 19936946, 22794911, 23099805) -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

-
GenomeConnect, ClinGen
Significance: not provided
Review Status: no classification provided
Collection Method: phenotyping only

Variant interpreted as Benign and reported on 04-27-2020 by Lab or GTR ID 500031. GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. This variant was reported in an individual referred for clinical diagnostic genetic testing. -

not specified Benign:1
Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -

TCN2 POLYMORPHISM Benign:1
Jun 01, 2007
OMIM
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.058
BayesDel_addAF
Benign
-0.72
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
1.5
DANN
Benign
0.25
DEOGEN2
Benign
0.019
T;T;T;.
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.012
N
LIST_S2
Benign
0.29
T;T;T;T
MetaRNN
Benign
0.0000015
T;T;T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
-1.5
N;.;.;.
PrimateAI
Benign
0.28
T
PROVEAN
Benign
1.3
N;.;N;N
REVEL
Benign
0.11
Sift
Benign
1.0
T;.;T;T
Sift4G
Benign
0.59
T;T;T;T
Polyphen
0.0
B;.;B;.
Vest4
0.050
MPC
0.0087
ClinPred
0.0088
T
GERP RS
4.1
Varity_R
0.42
gMVP
0.42

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1801198; hg19: chr22-31011610; COSMIC: COSV53190706; COSMIC: COSV53190706; API