8-33503800-G-A

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001102401.4(TTI2):​c.1063C>T​(p.Arg355Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00459 in 1,614,010 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R355H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0037 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0047 ( 17 hom. )

Consequence

TTI2
NM_001102401.4 missense

Scores

5
9
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: 4.54

Publications

8 publications found
Variant links:
Genes affected
TTI2 (HGNC:26262): (TELO2 interacting protein 2) This gene encodes a regulator of the DNA damage response. The protein is a component of the Triple T complex (TTT) which also includes telomere length regulation protein and TELO2 interacting protein 1. The TTT complex is involved in cellular resistance to DNA damage stresses and may act as a regulator of phosphoinositide-3-kinase-related protein kinase (PIKK) abundance. [provided by RefSeq, May 2013]
TTI2 Gene-Disease associations (from GenCC):
  • severe intellectual disability-short stature-behavioral abnormalities-facial dysmorphism syndrome
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011873692).
BP6
Variant 8-33503800-G-A is Benign according to our data. Variant chr8-33503800-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 437081.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00371 (565/152230) while in subpopulation NFE AF = 0.00534 (363/68018). AF 95% confidence interval is 0.00488. There are 2 homozygotes in GnomAd4. There are 299 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TTI2NM_001102401.4 linkc.1063C>T p.Arg355Cys missense_variant Exon 5 of 8 ENST00000431156.7 NP_001095871.1 Q6NXR4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TTI2ENST00000431156.7 linkc.1063C>T p.Arg355Cys missense_variant Exon 5 of 8 1 NM_001102401.4 ENSP00000411169.3 Q6NXR4

Frequencies

GnomAD3 genomes
AF:
0.00371
AC:
565
AN:
152112
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000725
Gnomad AMI
AF:
0.0384
Gnomad AMR
AF:
0.000721
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.0114
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00534
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.00308
AC:
773
AN:
251170
AF XY:
0.00296
show subpopulations
Gnomad AFR exome
AF:
0.000492
Gnomad AMR exome
AF:
0.000695
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000652
Gnomad FIN exome
AF:
0.00763
Gnomad NFE exome
AF:
0.00468
Gnomad OTH exome
AF:
0.00180
GnomAD4 exome
AF:
0.00468
AC:
6846
AN:
1461780
Hom.:
17
Cov.:
32
AF XY:
0.00455
AC XY:
3311
AN XY:
727172
show subpopulations
African (AFR)
AF:
0.000538
AC:
18
AN:
33478
American (AMR)
AF:
0.000738
AC:
33
AN:
44710
Ashkenazi Jewish (ASJ)
AF:
0.0000765
AC:
2
AN:
26134
East Asian (EAS)
AF:
0.000202
AC:
8
AN:
39700
South Asian (SAS)
AF:
0.000858
AC:
74
AN:
86246
European-Finnish (FIN)
AF:
0.00743
AC:
397
AN:
53418
Middle Eastern (MID)
AF:
0.000175
AC:
1
AN:
5720
European-Non Finnish (NFE)
AF:
0.00547
AC:
6077
AN:
1111984
Other (OTH)
AF:
0.00391
AC:
236
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
392
784
1177
1569
1961
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
230
460
690
920
1150
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00371
AC:
565
AN:
152230
Hom.:
2
Cov.:
32
AF XY:
0.00402
AC XY:
299
AN XY:
74426
show subpopulations
African (AFR)
AF:
0.000722
AC:
30
AN:
41524
American (AMR)
AF:
0.000720
AC:
11
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5172
South Asian (SAS)
AF:
0.000621
AC:
3
AN:
4828
European-Finnish (FIN)
AF:
0.0114
AC:
121
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00534
AC:
363
AN:
68018
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
34
67
101
134
168
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00416
Hom.:
8
Bravo
AF:
0.00272
TwinsUK
AF:
0.00378
AC:
14
ALSPAC
AF:
0.00441
AC:
17
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00558
AC:
48
ExAC
AF:
0.00308
AC:
374
Asia WGS
AF:
0.00173
AC:
6
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:2
May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

TTI2: BS2 -

Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Uncertain:1
Dec 16, 2016
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Uncertain
0.030
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.20
T;T;T;.
Eigen
Pathogenic
0.76
Eigen_PC
Pathogenic
0.74
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.95
D;.;.;D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.012
T;T;T;T
MetaSVM
Uncertain
0.068
D
MutationAssessor
Uncertain
2.6
M;M;M;.
PhyloP100
4.5
PrimateAI
Uncertain
0.68
T
PROVEAN
Pathogenic
-4.7
.;D;D;D
REVEL
Uncertain
0.52
Sift
Uncertain
0.0010
.;D;D;D
Sift4G
Pathogenic
0.0010
D;D;D;D
Polyphen
1.0
D;D;D;D
Vest4
0.67
MVP
0.83
MPC
0.73
ClinPred
0.055
T
GERP RS
5.5
Varity_R
0.44
gMVP
0.41
Mutation Taster
=99/1
polymorphism

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

Other links and lift over

dbSNP: rs138108276; hg19: chr8-33361318; API