6-167340552-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 4P and 2B. PM1PM2BP4_Moderate

The NM_031949.5(TTLL2):​c.652C>T​(p.Arg218Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000427 in 1,614,108 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: 𝑓 0.00015 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000031 ( 0 hom. )

Consequence

TTLL2
NM_031949.5 missense

Scores

2
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.339
Variant links:
Genes affected
TTLL2 (HGNC:21211): (tubulin tyrosine ligase like 2) Predicted to enable tubulin binding activity and tubulin-glutamic acid ligase activity. Predicted to be involved in microtubule cytoskeleton organization and protein polyglutamylation. Predicted to be active in cilium. [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.

PM1
In a site Essential for specifying initiation versus elongation step of the polyglutamylase activity (size 0) in uniprot entity TTLL2_HUMAN
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.21574238).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TTLL2NM_031949.5 linkuse as main transcriptc.652C>T p.Arg218Cys missense_variant 3/3 ENST00000239587.10 NP_114155.4
TTLL2NM_001410948.1 linkuse as main transcriptc.433C>T p.Arg145Cys missense_variant 2/2 NP_001397877.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TTLL2ENST00000239587.10 linkuse as main transcriptc.652C>T p.Arg218Cys missense_variant 3/31 NM_031949.5 ENSP00000239587 P2
TTLL2ENST00000515138.1 linkuse as main transcriptc.652C>T p.Arg218Cys missense_variant, NMD_transcript_variant 3/61 ENSP00000424130
TTLL2ENST00000649884.1 linkuse as main transcriptc.433C>T p.Arg145Cys missense_variant 2/2 ENSP00000497040 A2

Frequencies

GnomAD3 genomes
AF:
0.000151
AC:
23
AN:
152112
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00124
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:
0.0000147
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.0000239
AC:
6
AN:
251374
Hom.:
0
AF XY:
0.0000368
AC XY:
5
AN XY:
135840
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000578
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000315
AC:
46
AN:
1461878
Hom.:
0
Cov.:
36
AF XY:
0.0000385
AC XY:
28
AN XY:
727238
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.0000894
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000207
Gnomad4 OTH exome
AF:
0.0000828
GnomAD4 genome
AF:
0.000151
AC:
23
AN:
152230
Hom.:
0
Cov.:
32
AF XY:
0.000228
AC XY:
17
AN XY:
74430
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00124
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.0000658
Hom.:
0
Bravo
AF:
0.000261
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.0000545
EpiControl
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 GeneticsJan 24, 2024The c.652C>T (p.R218C) alteration is located in exon 3 (coding exon 3) of the TTLL2 gene. This alteration results from a C to T substitution at nucleotide position 652, causing the arginine (R) at amino acid position 218 to be replaced by a cysteine (C). 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
0.10
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
15
DANN
Benign
0.97
DEOGEN2
Benign
0.026
.;T
Eigen
Benign
-0.42
Eigen_PC
Benign
-0.59
FATHMM_MKL
Benign
0.032
N
LIST_S2
Uncertain
0.86
D;.
M_CAP
Benign
0.0018
T
MetaRNN
Benign
0.22
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.7
.;L
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.22
T
PROVEAN
Pathogenic
-6.1
.;D
REVEL
Benign
0.053
Sift
Uncertain
0.029
.;D
Sift4G
Pathogenic
0.0010
.;D
Polyphen
0.81
.;P
Vest4
0.24
MVP
0.030
MPC
0.17
ClinPred
0.48
T
GERP RS
2.6
Varity_R
0.24
gMVP
0.68

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: rs201403956; hg19: chr6-167754040; COSMIC: COSV99514314; COSMIC: COSV99514314; API