22-30617432-C-T

Variant summary

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

The NM_000355.4(TCN2):​c.1043C>T​(p.Ser348Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.118 in 1,613,938 control chromosomes in the GnomAD database, including 12,033 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S348C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.13 ( 1410 hom., cov: 31)
Exomes 𝑓: 0.12 ( 10623 hom. )

Consequence

TCN2
NM_000355.4 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -1.01
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=0.002291888).
BP6
Variant 22-30617432-C-T is Benign according to our data. Variant chr22-30617432-C-T is described in ClinVar as [Benign]. Clinvar id is 341211.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.156 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TCN2NM_000355.4 linkuse as main transcriptc.1043C>T p.Ser348Phe missense_variant 7/9 ENST00000215838.8
TCN2NM_001184726.2 linkuse as main transcriptc.962C>T p.Ser321Phe missense_variant 7/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TCN2ENST00000215838.8 linkuse as main transcriptc.1043C>T p.Ser348Phe missense_variant 7/91 NM_000355.4 P2P20062-1

Frequencies

GnomAD3 genomes
AF:
0.130
AC:
19728
AN:
151946
Hom.:
1405
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.156
Gnomad AMI
AF:
0.0855
Gnomad AMR
AF:
0.161
Gnomad ASJ
AF:
0.105
Gnomad EAS
AF:
0.00192
Gnomad SAS
AF:
0.0810
Gnomad FIN
AF:
0.157
Gnomad MID
AF:
0.123
Gnomad NFE
AF:
0.118
Gnomad OTH
AF:
0.125
GnomAD3 exomes
AF:
0.114
AC:
28589
AN:
251466
Hom.:
1841
AF XY:
0.112
AC XY:
15217
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.159
Gnomad AMR exome
AF:
0.149
Gnomad ASJ exome
AF:
0.107
Gnomad EAS exome
AF:
0.000326
Gnomad SAS exome
AF:
0.0825
Gnomad FIN exome
AF:
0.153
Gnomad NFE exome
AF:
0.116
Gnomad OTH exome
AF:
0.121
GnomAD4 exome
AF:
0.117
AC:
170354
AN:
1461874
Hom.:
10623
Cov.:
33
AF XY:
0.116
AC XY:
84083
AN XY:
727238
show subpopulations
Gnomad4 AFR exome
AF:
0.163
Gnomad4 AMR exome
AF:
0.155
Gnomad4 ASJ exome
AF:
0.111
Gnomad4 EAS exome
AF:
0.000202
Gnomad4 SAS exome
AF:
0.0830
Gnomad4 FIN exome
AF:
0.156
Gnomad4 NFE exome
AF:
0.119
Gnomad4 OTH exome
AF:
0.117
GnomAD4 genome
AF:
0.130
AC:
19756
AN:
152064
Hom.:
1410
Cov.:
31
AF XY:
0.131
AC XY:
9727
AN XY:
74336
show subpopulations
Gnomad4 AFR
AF:
0.156
Gnomad4 AMR
AF:
0.161
Gnomad4 ASJ
AF:
0.105
Gnomad4 EAS
AF:
0.00193
Gnomad4 SAS
AF:
0.0814
Gnomad4 FIN
AF:
0.157
Gnomad4 NFE
AF:
0.118
Gnomad4 OTH
AF:
0.124
Alfa
AF:
0.112
Hom.:
2410
Bravo
AF:
0.130
TwinsUK
AF:
0.111
AC:
411
ALSPAC
AF:
0.115
AC:
445
ESP6500AA
AF:
0.153
AC:
676
ESP6500EA
AF:
0.114
AC:
978
ExAC
AF:
0.112
AC:
13584
Asia WGS
AF:
0.0500
AC:
174
AN:
3478
EpiCase
AF:
0.115
EpiControl
AF:
0.114

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Transcobalamin II deficiency Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxOct 17, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.73
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
1.0
DANN
Benign
0.68
DEOGEN2
Benign
0.31
T;T;T;.
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.010
N
LIST_S2
Benign
0.55
T;T;T;T
MetaRNN
Benign
0.0023
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.0
L;.;.;.
MutationTaster
Benign
1.0
P;P;P
PrimateAI
Benign
0.30
T
PROVEAN
Uncertain
-2.5
D;.;D;D
REVEL
Benign
0.013
Sift
Benign
0.16
T;.;T;T
Sift4G
Benign
0.12
T;T;T;T
Polyphen
0.0020
B;.;B;.
Vest4
0.15
MPC
0.0092
ClinPred
0.0079
T
GERP RS
-5.3
Varity_R
0.22
gMVP
0.40

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: rs9621049; hg19: chr22-31013419; COSMIC: COSV53191699; API