6-52506095-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 2P and 8B. PM2BP4_StrongBS2

The NM_012288.4(TRAM2):​c.668C>T​(p.Ser223Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000342 in 1,461,810 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 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: 0.0000034 ( 0 hom. )

Consequence

TRAM2
NM_012288.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.63
Variant links:
Genes affected
TRAM2 (HGNC:16855): (translocation associated membrane protein 2) TRAM2 is a component of the translocon, a gated macromolecular channel that controls the posttranslational processing of nascent secretory and membrane proteins at the endoplasmic reticulum (ER) membrane.[supplied by OMIM, Jul 2004]
EFHC1 (HGNC:16406): (EF-hand domain containing 1) This gene encodes an EF-hand-containing calcium binding protein. The encoded protein likely plays a role in calcium homeostasis. Mutations in this gene have been associated with susceptibility to juvenile myoclonic epilepsy and juvenile absence epilepsy. Alternatively spliced transcript variants have been described. [provided by RefSeq, Feb 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0654569).
BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TRAM2NM_012288.4 linkuse as main transcriptc.668C>T p.Ser223Leu missense_variant 8/11 ENST00000182527.4 NP_036420.1 Q15035A0A024RD84
TRAM2XM_011515005.3 linkuse as main transcriptc.557C>T p.Ser186Leu missense_variant 7/10 XP_011513307.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TRAM2ENST00000182527.4 linkuse as main transcriptc.668C>T p.Ser223Leu missense_variant 8/111 NM_012288.4 ENSP00000182527.3 Q15035
EFHC1ENST00000637353.1 linkuse as main transcriptc.1851+15745G>A intron_variant 5 ENSP00000490441.1 A0A1B0GVB0
EFHC1ENST00000636343.1 linkuse as main transcriptc.1516-9800G>A intron_variant 5 ENSP00000490193.1 A0A1B0GUP6
EFHC1ENST00000637602.1 linkuse as main transcriptn.*1552+15745G>A intron_variant 2 ENSP00000490074.1 A0A1B0GUE4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000796
AC:
2
AN:
251392
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135860
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461810
Hom.:
0
Cov.:
31
AF XY:
0.00000550
AC XY:
4
AN XY:
727196
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.000101
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
Cov.:
33
Bravo
AF:
0.00000756
ExAC
AF:
0.0000165
AC:
2

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 20, 2024The c.668C>T (p.S223L) alteration is located in exon 8 (coding exon 8) of the TRAM2 gene. This alteration results from a C to T substitution at nucleotide position 668, causing the serine (S) at amino acid position 223 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
0.083
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
18
DANN
Benign
0.87
DEOGEN2
Benign
0.25
T
Eigen
Benign
-0.71
Eigen_PC
Benign
-0.50
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.065
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-1.2
N
PrimateAI
Benign
0.37
T
PROVEAN
Benign
1.9
N
REVEL
Benign
0.18
Sift
Benign
1.0
T
Sift4G
Benign
1.0
T
Polyphen
0.0
B
Vest4
0.36
MutPred
0.52
Loss of sheet (P = 0.0457);
MVP
0.068
MPC
0.46
ClinPred
0.071
T
GERP RS
2.0
Varity_R
0.037
gMVP
0.29

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.12
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: rs748336277; hg19: chr6-52370893; API