9-132896597-G-C

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_000368.5(TSC1):​c.3133C>G​(p.Leu1045Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000452 in 1,613,778 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict 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. L1045F) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000049 ( 0 hom. )

Consequence

TSC1
NM_000368.5 missense

Scores

6
13

Clinical Significance

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

Conservation

PhyloP100: 3.17

Publications

0 publications found
Variant links:
Genes affected
TSC1 (HGNC:12362): (TSC complex subunit 1) This gene is a tumor suppressor gene that encodes the growth inhibitory protein hamartin. The encoded protein interacts with and stabilizes the GTPase activating protein tuberin. This hamartin-tuberin complex negatively regulates mammalian target of rapamycin complex 1 (mTORC1) signaling which is a major regulator of anabolic cell growth. This protein also functions as a co-chaperone for Hsp90 that inhibits its ATPase activity. This protein functions as a facilitator of Hsp90-mediated folding of kinase and non-kinase clients, including TSC2 and thereby preventing their ubiquitination and proteasomal degradation. Mutations in this gene have been associated with tuberous sclerosis and lymphangioleiomyomatosis. [provided by RefSeq, May 2022]
TSC1 Gene-Disease associations (from GenCC):
  • tuberous sclerosis
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • tuberous sclerosis 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, PanelApp Australia, Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae)
  • lung lymphangioleiomyomatosis
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • tuberous sclerosis complex
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.060492635).
BP6
Variant 9-132896597-G-C is Benign according to our data. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-132896597-G-C is described in CliVar as Benign/Likely_benign. Clinvar id is 565417.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAdExome4 at 71 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TSC1NM_000368.5 linkc.3133C>G p.Leu1045Val missense_variant Exon 23 of 23 ENST00000298552.9 NP_000359.1 Q92574-1Q86WV8X5D9D2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TSC1ENST00000298552.9 linkc.3133C>G p.Leu1045Val missense_variant Exon 23 of 23 1 NM_000368.5 ENSP00000298552.3 Q92574-1
TSC1ENST00000490179.4 linkc.3133C>G p.Leu1045Val missense_variant Exon 24 of 24 3 ENSP00000495533.2 A0A2R8Y6S8

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152146
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000798
AC:
20
AN:
250476
AF XY:
0.000103
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.0000486
AC:
71
AN:
1461514
Hom.:
0
Cov.:
31
AF XY:
0.0000798
AC XY:
58
AN XY:
727032
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33472
American (AMR)
AF:
0.00
AC:
0
AN:
44706
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26120
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.000707
AC:
61
AN:
86252
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53358
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000630
AC:
7
AN:
1111762
Other (OTH)
AF:
0.0000497
AC:
3
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
5
10
14
19
24
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000131
AC:
2
AN:
152264
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74460
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41550
American (AMR)
AF:
0.00
AC:
0
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.000415
AC:
2
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68018
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000508
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.000124
AC:
15
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

Tuberous sclerosis 1 Benign:3
Aug 15, 2024
Myriad Genetics, Inc.
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign. This variant has been observed at a population frequency that is significantly greater than expected given the associated disease prevalence and penetrance. -

Nov 07, 2021
Genome-Nilou Lab
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 22, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Jan 16, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

TSC1: BS1 -

Hereditary cancer-predisposing syndrome Benign:2
Jul 27, 2021
Sema4, Sema4
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Apr 11, 2022
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

TSC1-related disorder Benign:1
May 05, 2024
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.35
T;.;T;.;.;T;.;T;.;.;.
Eigen
Benign
-0.077
Eigen_PC
Benign
0.043
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.87
.;D;D;D;D;.;.;.;D;D;.
M_CAP
Benign
0.059
D
MetaRNN
Benign
0.060
T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Uncertain
2.3
M;.;M;.;.;M;.;M;.;.;.
PhyloP100
3.2
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-0.57
N;N;N;.;.;.;.;.;.;.;.
REVEL
Benign
0.26
Sift
Benign
0.13
T;T;T;.;.;.;.;.;.;.;.
Sift4G
Benign
0.29
T;T;T;.;.;.;.;.;.;.;.
Polyphen
0.89
P;.;P;.;.;P;.;P;.;.;.
Vest4
0.17
MutPred
0.16
Gain of glycosylation at S1046 (P = 0.0896);.;Gain of glycosylation at S1046 (P = 0.0896);.;.;Gain of glycosylation at S1046 (P = 0.0896);.;Gain of glycosylation at S1046 (P = 0.0896);.;.;.;
MVP
0.68
MPC
0.52
ClinPred
0.10
T
GERP RS
4.5
Varity_R
0.076
gMVP
0.19
Mutation Taster
=85/15
polymorphism

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

Other links and lift over

dbSNP: rs747162992; hg19: chr9-135771984; API