9-132911064-G-T
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.1079C>A(p.Thr360Asn) variant causes a missense change. The variant allele was found at a frequency of 0.000356 in 1,614,070 control chromosomes in the GnomAD database, including 4 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. T360P) has been classified as Likely benign.
Frequency
Consequence
NM_000368.5 missense
Scores
Clinical Significance
Conservation
Publications
- tuberous sclerosisInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- tuberous sclerosis 1Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, PanelApp Australia, Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae)
- lung lymphangioleiomyomatosisInheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
- tuberous sclerosis complexInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Benign. The variant received -16 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_000368.5. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| TSC1 | NM_000368.5 | MANE Select | c.1079C>A | p.Thr360Asn | missense | Exon 11 of 23 | NP_000359.1 | ||
| TSC1 | NM_001406592.1 | c.1079C>A | p.Thr360Asn | missense | Exon 11 of 23 | NP_001393521.1 | |||
| TSC1 | NM_001406593.1 | c.1079C>A | p.Thr360Asn | missense | Exon 11 of 23 | NP_001393522.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| TSC1 | ENST00000298552.9 | TSL:1 MANE Select | c.1079C>A | p.Thr360Asn | missense | Exon 11 of 23 | ENSP00000298552.3 | ||
| TSC1 | ENST00000490179.4 | TSL:3 | c.1079C>A | p.Thr360Asn | missense | Exon 12 of 24 | ENSP00000495533.2 | ||
| TSC1 | ENST00000493467.6 | TSL:1 | n.353C>A | non_coding_transcript_exon | Exon 3 of 4 |
Frequencies
GnomAD3 genomes AF: 0.000335 AC: 51AN: 152188Hom.: 0 Cov.: 31 show subpopulations
GnomAD2 exomes AF: 0.000760 AC: 191AN: 251326 AF XY: 0.000699 show subpopulations
GnomAD4 exome AF: 0.000358 AC: 523AN: 1461882Hom.: 4 Cov.: 32 AF XY: 0.000349 AC XY: 254AN XY: 727240 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000335 AC: 51AN: 152188Hom.: 0 Cov.: 31 AF XY: 0.000377 AC XY: 28AN XY: 74356 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Tuberous sclerosis 1 Benign:5
This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
This variant is considered benign. This variant has been observed at a population frequency that is significantly greater than expected given the associated disease prevalence and penetrance. Homozygosity has been confirmed in one or more individuals. As homozygosity for pathogenic variants in this gene is generally assumed to result in embryonic lethality, this variant is unlikely to be pathogenic.
not specified Benign:4Other:1
Variant summary: TSC1 c.1079C>A (p.Thr360Asn) results in a non-conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00076 in 251326 control chromosomes in the gnomAD database, including 4 homozygotes. The observed variant frequency is approximately 30 fold of the estimated maximal expected allele frequency for a pathogenic variant in TSC1 causing Tuberous Sclerosis Complex phenotype (2.5e-05), strongly suggesting that the variant is benign. To our knowledge, no occurrence of c.1079C>A in individuals affected with Tuberous Sclerosis Complex and no experimental evidence demonstrating its impact on protein function have been reported. Five clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as benign (n=3)/likely benign(n=2). Based on the evidence outlined above, the variant was classified as benign.
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease.
not provided Uncertain:1Benign:2
TSC1: PP2, BS1
Tuberous sclerosis syndrome Benign:2Other:1
Lymphangiomyomatosis;C1846385:Isolated focal cortical dysplasia type II;C1854465:Tuberous sclerosis 1 Benign:1
Isolated focal cortical dysplasia type II Benign:1
This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Hereditary cancer-predisposing syndrome Benign:1
This alteration is classified as likely 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.
Autism spectrum disorder Other:1
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at