6-41161367-G-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_018965.4(TREM2):​c.287C>A​(p.Thr96Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00728 in 1,614,204 control chromosomes in the GnomAD database, including 623 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T96R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.036 ( 317 hom., cov: 32)
Exomes 𝑓: 0.0043 ( 306 hom. )

Consequence

TREM2
NM_018965.4 missense

Scores

3
8
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 5.77
Variant links:
Genes affected
TREM2 (HGNC:17761): (triggering receptor expressed on myeloid cells 2) This gene encodes a membrane protein that forms a receptor signaling complex with the TYRO protein tyrosine kinase binding protein. The encoded protein functions in immune response and may be involved in chronic inflammation by triggering the production of constitutive inflammatory cytokines. Defects in this gene are a cause of polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy (PLOSL). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Nov 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0032537878).
BP6
Variant 6-41161367-G-T is Benign according to our data. Variant chr6-41161367-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 356678.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-41161367-G-T is described in Lovd as [Benign]. Variant chr6-41161367-G-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.12 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TREM2NM_018965.4 linkuse as main transcriptc.287C>A p.Thr96Lys missense_variant 2/5 ENST00000373113.8 NP_061838.1 Q9NZC2-1Q5TCX1
TREM2NM_001271821.2 linkuse as main transcriptc.287C>A p.Thr96Lys missense_variant 2/4 NP_001258750.1 Q9NZC2-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TREM2ENST00000373113.8 linkuse as main transcriptc.287C>A p.Thr96Lys missense_variant 2/51 NM_018965.4 ENSP00000362205.3 Q9NZC2-1
TREM2ENST00000373122.8 linkuse as main transcriptc.287C>A p.Thr96Lys missense_variant 2/51 ENSP00000362214.4 Q9NZC2-3
TREM2ENST00000338469.3 linkuse as main transcriptc.287C>A p.Thr96Lys missense_variant 2/41 ENSP00000342651.4 Q9NZC2-2
ENSG00000290034ENST00000702590.1 linkuse as main transcriptn.364+5804G>T intron_variant

Frequencies

GnomAD3 genomes
AF:
0.0360
AC:
5477
AN:
152192
Hom.:
320
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.123
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0166
Gnomad ASJ
AF:
0.00231
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.000985
Gnomad OTH
AF:
0.0206
GnomAD3 exomes
AF:
0.00996
AC:
2504
AN:
251476
Hom.:
155
AF XY:
0.00776
AC XY:
1055
AN XY:
135906
show subpopulations
Gnomad AFR exome
AF:
0.128
Gnomad AMR exome
AF:
0.00775
Gnomad ASJ exome
AF:
0.000496
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000327
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00101
Gnomad OTH exome
AF:
0.00326
GnomAD4 exome
AF:
0.00429
AC:
6269
AN:
1461894
Hom.:
306
Cov.:
32
AF XY:
0.00386
AC XY:
2805
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.127
Gnomad4 AMR exome
AF:
0.00890
Gnomad4 ASJ exome
AF:
0.000957
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000475
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.000840
Gnomad4 OTH exome
AF:
0.00881
GnomAD4 genome
AF:
0.0360
AC:
5480
AN:
152310
Hom.:
317
Cov.:
32
AF XY:
0.0346
AC XY:
2574
AN XY:
74474
show subpopulations
Gnomad4 AFR
AF:
0.123
Gnomad4 AMR
AF:
0.0166
Gnomad4 ASJ
AF:
0.00231
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000985
Gnomad4 OTH
AF:
0.0203
Alfa
AF:
0.00456
Hom.:
11
Bravo
AF:
0.0424
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.113
AC:
500
ESP6500EA
AF:
0.00116
AC:
10
ExAC
AF:
0.0120
AC:
1457
EpiCase
AF:
0.000927
EpiControl
AF:
0.00184

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsSep 12, 2016- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 14, 2020This variant is associated with the following publications: (PMID: 25042114, 28430856, 28789839, 29723869) -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 28, 2024- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Nov 22, 2016- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.34
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.18
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.48
.;T;.
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.36
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.77
T;T;T
MetaRNN
Benign
0.0033
T;T;T
MetaSVM
Uncertain
-0.23
T
MutationAssessor
Pathogenic
3.1
M;M;M
PrimateAI
Uncertain
0.56
T
PROVEAN
Pathogenic
-4.5
D;D;D
REVEL
Benign
0.26
Sift
Uncertain
0.0020
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.35
MPC
0.71
ClinPred
0.044
T
GERP RS
5.5
Varity_R
0.83
gMVP
0.59

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs2234253; hg19: chr6-41129105; COSMIC: COSV58294448; API