8-63072990-A-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PP3_Moderate

The NM_000370.3(TTPA):​c.303T>A​(p.His101Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)

Consequence

TTPA
NM_000370.3 missense

Scores

2
3
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.0280
Variant links:
Genes affected
TTPA (HGNC:12404): (alpha tocopherol transfer protein) This gene encodes a soluble protein that binds alpha-trocopherol, a form of vitamin E, with high selectivity and affinity. This protein plays an important role in regulating vitamin E levels in the body by transporting vitamin E between membrane vesicles and facilitating the secretion of vitamin E from hepatocytes to circulating lipoproteins. Mutations in this gene cause hereditary vitamin E deficiency (ataxia with vitamin E deficiency, AVED) and retinitis pigmentosa. [provided by RefSeq, Nov 2009]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM1
In a domain CRAL-TRIO (size 165) in uniprot entity TTPA_HUMAN there are 5 pathogenic changes around while only 1 benign (83%) in NM_000370.3
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.93

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TTPANM_000370.3 linkc.303T>A p.His101Gln missense_variant Exon 2 of 5 ENST00000260116.5 NP_000361.1 P49638

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TTPAENST00000260116.5 linkc.303T>A p.His101Gln missense_variant Exon 2 of 5 1 NM_000370.3 ENSP00000260116.4 P49638
TTPAENST00000521138.1 linkn.232+12828T>A intron_variant Intron 1 of 1 5

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.66
BayesDel_addAF
Uncertain
0.071
D
BayesDel_noAF
Benign
-0.14
CADD
Benign
12
DANN
Benign
0.96
DEOGEN2
Uncertain
0.56
D
Eigen
Benign
-0.58
Eigen_PC
Benign
-0.47
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.033
D
MetaRNN
Pathogenic
0.93
D
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
1.9
L
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-2.3
N
REVEL
Uncertain
0.45
Sift
Benign
0.077
T
Sift4G
Benign
0.33
T
Polyphen
0.041
B
Vest4
0.80
MutPred
0.87
Loss of sheet (P = 0.1398);
MVP
0.72
MPC
0.54
ClinPred
0.84
D
GERP RS
0.78
Varity_R
0.35
gMVP
0.65

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr8-63985549; API