9-132944861-A-AGATCTTGTGACTCCGCGAAGG
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2
The ENST00000646440.2(TSC1):c.-144+323_-144+324insCCTTCGCGGAGTCACAAGATC variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000101 in 355,280 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00012 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000088 ( 0 hom. )
Consequence
TSC1
ENST00000646440.2 intron
ENST00000646440.2 intron
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 3.02
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]
GFI1B (HGNC:4238): (growth factor independent 1B transcriptional repressor) This gene encodes a zinc-finger containing transcriptional regulator that is primarily expressed in cells of hematopoietic lineage. The encoded protein complexes with numerous other transcriptional regulatory proteins including GATA-1, runt-related transcription factor 1 and histone deacetylases to control expression of genes involved in the development and maturation of erythrocytes and megakaryocytes. Mutations in this gene are the cause of the autosomal dominant platelet disorder, platelet-type bleeding disorder-17. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Aug 2014]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -4 ACMG points.
BS2
High AC in GnomAd4 at 18 AD gene.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
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TSC1 | ENST00000646440.2 | c.-144+323_-144+324insCCTTCGCGGAGTCACAAGATC | intron_variant | ENSP00000495830.2 | ||||||
TSC1 | ENST00000643362.2 | c.-144+1897_-144+1898insCCTTCGCGGAGTCACAAGATC | intron_variant | ENSP00000496398.2 | ||||||
GFI1B | ENST00000443690.3 | n.280+65_280+66insGATCTTGTGACTCCGCGAAGG | intron_variant | 5 | ||||||
TSC1 | ENST00000642249.1 | n.-28_-27insCCTTCGCGGAGTCACAAGATC | upstream_gene_variant |
Frequencies
GnomAD3 genomes AF: 0.000119 AC: 18AN: 151770Hom.: 0 Cov.: 32
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GnomAD4 exome AF: 0.0000884 AC: 18AN: 203510Hom.: 0 Cov.: 0 AF XY: 0.000107 AC XY: 11AN XY: 103206
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GnomAD4 genome AF: 0.000119 AC: 18AN: 151770Hom.: 0 Cov.: 32 AF XY: 0.000121 AC XY: 9AN XY: 74120
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Tuberous sclerosis 1 Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | May 19, 2022 | In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. This variant has not been reported in the literature in individuals affected with TSC1-related conditions. This variant is present in population databases (no rsID available, gnomAD 0.03%). This variant occurs in a non-coding region of the TSC1 gene. It does not change the encoded amino acid sequence of the TSC1 protein. - |
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Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at