5-134115126-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_003202.5(TCF7):​c.220G>A​(p.Ala74Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000059 in 1,016,468 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000034 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000011 ( 0 hom. )

Consequence

TCF7
NM_003202.5 missense

Scores

2
1
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.103
Variant links:
Genes affected
TCF7 (HGNC:11639): (transcription factor 7) This gene encodes a member of the T-cell factor/lymphoid enhancer-binding factor family of high mobility group (HMG) box transcriptional activators. This gene is expressed predominantly in T-cells and plays a critical role in natural killer cell and innate lymphoid cell development. The encoded protein forms a complex with beta-catenin and activates transcription through a Wnt/beta-catenin signaling pathway. Mice with a knockout of this gene are viable and fertile, but display a block in T-lymphocyte differentiation. Alternative splicing results in multiple transcript variants. Naturally-occurring isoforms lacking the N-terminal beta-catenin interaction domain may act as dominant negative regulators of Wnt signaling. [provided by RefSeq, Oct 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.15889636).
BS2
High AC in GnomAd4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TCF7NM_003202.5 linkc.220G>A p.Ala74Thr missense_variant 1/10 ENST00000342854.10 NP_003193.2 P36402-5B3KQ75

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TCF7ENST00000342854.10 linkc.220G>A p.Ala74Thr missense_variant 1/101 NM_003202.5 ENSP00000340347.5 P36402-5
TCF7ENST00000395029.5 linkc.220G>A p.Ala74Thr missense_variant 1/115 ENSP00000378472.1 B7WNT5

Frequencies

GnomAD3 genomes
AF:
0.0000342
AC:
5
AN:
146186
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000735
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000152
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000115
AC:
1
AN:
870282
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
405042
show subpopulations
Gnomad4 AFR exome
AF:
0.0000609
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000342
AC:
5
AN:
146186
Hom.:
0
Cov.:
31
AF XY:
0.0000563
AC XY:
4
AN XY:
71108
show subpopulations
Gnomad4 AFR
AF:
0.0000735
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000152
Gnomad4 OTH
AF:
0.00

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 GeneticsAug 16, 2022The c.220G>A (p.A74T) alteration is located in exon 1 (coding exon 1) of the TCF7 gene. This alteration results from a G to A substitution at nucleotide position 220, causing the alanine (A) at amino acid position 74 to be replaced by a threonine (T). 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
BayesDel_addAF
Benign
-0.053
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
7.0
DANN
Benign
0.93
DEOGEN2
Benign
0.23
.;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.083
N
LIST_S2
Benign
0.37
T;T
M_CAP
Pathogenic
0.80
D
MetaRNN
Benign
0.16
T;T
MetaSVM
Uncertain
0.38
D
MutationAssessor
Benign
1.0
L;.
PrimateAI
Pathogenic
0.86
D
PROVEAN
Benign
0.71
N;N
REVEL
Benign
0.23
Sift
Benign
0.77
T;T
Sift4G
Benign
0.57
T;T
Polyphen
0.0020
B;.
Vest4
0.072
MutPred
0.33
Gain of glycosylation at A74 (P = 0.0374);Gain of glycosylation at A74 (P = 0.0374);
MVP
0.60
MPC
0.20
ClinPred
0.066
T
gMVP
0.069

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: rs918278819; hg19: chr5-133450817; API