22-50526474-C-G

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5

The NM_001953.5(TYMP):ā€‹c.931G>Cā€‹(p.Gly311Arg) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000224 in 1,339,050 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000022 ( 0 hom. )

Consequence

TYMP
NM_001953.5 missense, splice_region

Scores

10
4
5

Clinical Significance

Pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 0.264
Variant links:
Genes affected
TYMP (HGNC:3148): (thymidine phosphorylase) This gene encodes an angiogenic factor which promotes angiogenesis in vivo and stimulates the in vitro growth of a variety of endothelial cells. It has a highly restricted target cell specificity acting only on endothelial cells. Mutations in this gene have been associated with mitochondrial neurogastrointestinal encephalomyopathy. Multiple alternatively spliced transcript variants have been identified. [provided by RefSeq, Apr 2012]
SCO2 (HGNC:10604): (synthesis of cytochrome C oxidase 2) Cytochrome c oxidase (COX) catalyzes the transfer of electrons from cytochrome c to molecular oxygen, which helps to maintain the proton gradient across the inner mitochondrial membrane that is necessary for aerobic ATP production. Human COX is a multimeric protein complex that requires several assembly factors; this gene encodes one of the COX assembly factors. The encoded protein is a metallochaperone that is involved in the biogenesis of cytochrome c oxidase subunit II. Mutations in this gene are associated with fatal infantile encephalocardiomyopathy and myopia 6. [provided by RefSeq, Oct 2014]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.974
PP5
Variant 22-50526474-C-G is Pathogenic according to our data. Variant chr22-50526474-C-G is described in ClinVar as [Pathogenic]. Clinvar id is 16664.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TYMPNM_001953.5 linkuse as main transcriptc.931G>C p.Gly311Arg missense_variant, splice_region_variant 8/10 ENST00000252029.8 NP_001944.1 P19971-1E5KRG5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TYMPENST00000252029.8 linkuse as main transcriptc.931G>C p.Gly311Arg missense_variant, splice_region_variant 8/101 NM_001953.5 ENSP00000252029.3 P19971-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000120
AC:
1
AN:
83282
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
46384
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.0000317
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000224
AC:
3
AN:
1339050
Hom.:
0
Cov.:
36
AF XY:
0.00000152
AC XY:
1
AN XY:
658756
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.00000283
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.0000438
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Mitochondrial DNA depletion syndrome 1 Pathogenic:2
Pathogenic, no assertion criteria providedliterature onlyGeneReviewsJan 14, 2016- -
Pathogenic, no assertion criteria providedliterature onlyOMIMOct 01, 2005- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.83
BayesDel_addAF
Pathogenic
0.42
D
BayesDel_noAF
Pathogenic
0.46
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.89
D;.;D;D;D
Eigen
Benign
0.12
Eigen_PC
Benign
-0.051
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.84
.;T;.;T;T
M_CAP
Pathogenic
0.84
D
MetaRNN
Pathogenic
0.97
D;D;D;D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Uncertain
2.7
M;M;M;M;.
PrimateAI
Pathogenic
0.84
D
PROVEAN
Pathogenic
-5.2
D;D;D;D;D
REVEL
Pathogenic
0.79
Sift
Uncertain
0.0030
D;D;D;D;D
Sift4G
Benign
0.14
T;T;T;T;T
Polyphen
1.0
D;.;D;D;.
Vest4
0.73
MutPred
0.88
Gain of MoRF binding (P = 0.0219);Gain of MoRF binding (P = 0.0219);Gain of MoRF binding (P = 0.0219);Gain of MoRF binding (P = 0.0219);.;
MVP
0.93
MPC
1.4
ClinPred
0.99
D
GERP RS
2.4
Varity_R
0.97
gMVP
0.96

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: rs121913040; hg19: chr22-50964903; API