5-171309468-C-A

Variant summary

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

The ENST00000296921.6(TLX3):​c.103C>A​(p.Pro35Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000229 in 1,443,584 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.000023 ( 0 hom. )

Consequence

TLX3
ENST00000296921.6 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.79
Variant links:
Genes affected
TLX3 (HGNC:13532): (T cell leukemia homeobox 3) The protein encoded by this gene is an orphan homeobox protein that encodes a DNA-binding nuclear transcription factor. A translocation [t(5;14)(q35;q32)] involving this gene is associated with T-cell acute lymphoblastic leukemia (T-ALL) in children and young adults. [provided by RefSeq, Nov 2015]

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=0.15871584).
BS2
High AC in GnomAdExome4 at 33 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TLX3NM_021025.4 linkuse as main transcriptc.103C>A p.Pro35Thr missense_variant 1/3 ENST00000296921.6 NP_066305.2 O43711

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TLX3ENST00000296921.6 linkuse as main transcriptc.103C>A p.Pro35Thr missense_variant 1/31 NM_021025.4 ENSP00000296921.5 O43711
ENSG00000275038ENST00000619056.2 linkuse as main transcriptn.244+66G>T intron_variant 6

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000480
AC:
10
AN:
208260
Hom.:
0
AF XY:
0.0000260
AC XY:
3
AN XY:
115386
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:
0.0000535
Gnomad NFE exome
AF:
0.000101
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000229
AC:
33
AN:
1443584
Hom.:
0
Cov.:
37
AF XY:
0.0000195
AC XY:
14
AN XY:
717340
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:
0.0000394
Gnomad4 NFE exome
AF:
0.0000263
Gnomad4 OTH exome
AF:
0.0000336
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.0000680
AC:
8

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 GeneticsMay 13, 2024The c.103C>A (p.P35T) alteration is located in exon 1 (coding exon 1) of the TLX3 gene. This alteration results from a C to A substitution at nucleotide position 103, causing the proline (P) at amino acid position 35 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
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
22
DANN
Benign
0.95
DEOGEN2
Benign
0.19
T
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.054
FATHMM_MKL
Benign
0.75
D
LIST_S2
Benign
0.38
T
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.16
T
MetaSVM
Benign
-0.31
T
MutationAssessor
Benign
1.1
L
MutationTaster
Benign
0.77
N
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-0.37
N
REVEL
Benign
0.19
Sift
Benign
0.40
T
Sift4G
Benign
0.45
T
Polyphen
0.0
B
Vest4
0.30
MutPred
0.22
Gain of phosphorylation at P35 (P = 0.0037);
MVP
0.86
MPC
0.34
ClinPred
0.060
T
GERP RS
4.4
Varity_R
0.14
gMVP
0.44

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: rs759768960; hg19: chr5-170736472; COSMIC: COSV51540880; COSMIC: COSV51540880; API