3-149322269-G-A

Variant summary

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

The NM_138786.4(TM4SF18):​c.578C>T​(p.Ser193Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000167 in 1,612,018 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000092 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00017 ( 0 hom. )

Consequence

TM4SF18
NM_138786.4 missense

Scores

8
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.04
Variant links:
Genes affected
TM4SF18 (HGNC:25181): (transmembrane 4 L six family member 18) Predicted to be integral component of 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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TM4SF18NM_138786.4 linkuse as main transcriptc.578C>T p.Ser193Leu missense_variant 5/6 ENST00000296059.7 NP_620141.1 Q96CE8
TM4SF18NM_001184723.2 linkuse as main transcriptc.578C>T p.Ser193Leu missense_variant 4/5 NP_001171652.1 Q96CE8
TM4SF18-AS1NR_186251.1 linkuse as main transcriptn.405-11235G>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TM4SF18ENST00000296059.7 linkuse as main transcriptc.578C>T p.Ser193Leu missense_variant 5/61 NM_138786.4 ENSP00000296059.2 Q96CE8
TM4SF18ENST00000470080.5 linkuse as main transcriptc.578C>T p.Ser193Leu missense_variant 4/52 ENSP00000419278.1 Q96CE8
TM4SF18-AS1ENST00000489011.1 linkuse as main transcriptn.402-11235G>A intron_variant 4

Frequencies

GnomAD3 genomes
AF:
0.0000920
AC:
14
AN:
152176
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.000206
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000441
AC:
11
AN:
249208
Hom.:
0
AF XY:
0.0000668
AC XY:
9
AN XY:
134710
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:
0.0000974
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000175
AC:
255
AN:
1459842
Hom.:
0
Cov.:
31
AF XY:
0.000172
AC XY:
125
AN XY:
726182
show subpopulations
Gnomad4 AFR exome
AF:
0.0000300
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:
0.000208
Gnomad4 OTH exome
AF:
0.000381
GnomAD4 genome
AF:
0.0000920
AC:
14
AN:
152176
Hom.:
0
Cov.:
32
AF XY:
0.000108
AC XY:
8
AN XY:
74340
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.000206
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000149
Hom.:
1
Bravo
AF:
0.000106
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.0000659
AC:
8
EpiCase
AF:
0.000330
EpiControl
AF:
0.0000596

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 GeneticsJan 27, 2022The c.578C>T (p.S193L) alteration is located in exon 5 (coding exon 4) of the TM4SF18 gene. This alteration results from a C to T substitution at nucleotide position 578, causing the serine (S) at amino acid position 193 to be replaced by a leucine (L). 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
0.095
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.33
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.053
T;T
Eigen
Uncertain
0.34
Eigen_PC
Uncertain
0.43
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.85
.;D
M_CAP
Benign
0.011
T
MetaRNN
Uncertain
0.62
D;D
MetaSVM
Benign
-0.97
T
MutationAssessor
Uncertain
2.4
M;M
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-1.6
N;N
REVEL
Benign
0.20
Sift
Uncertain
0.025
D;D
Sift4G
Benign
0.076
T;T
Polyphen
0.91
P;P
Vest4
0.68
MVP
0.31
MPC
0.51
ClinPred
0.44
T
GERP RS
5.5
Varity_R
0.23
gMVP
0.49

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.27
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.27
Position offset: -13

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: rs201899022; hg19: chr3-149040056; COSMIC: COSV56058794; COSMIC: COSV56058794; API