9-137200476-AGCCGCGCCCCC-AGCCGCGCCCCCGCCGCGCCCCC

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_001128228.3(TPRN):​c.235_236insGGGGGCGCGGC​(p.Leu79ArgfsTer375) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00005 in 1,118,928 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.000055 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000049 ( 0 hom. )

Consequence

TPRN
NM_001128228.3 frameshift

Scores

Not classified

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: -0.380
Variant links:
Genes affected
TPRN (HGNC:26894): (taperin) This locus encodes a sensory epithelial protein. It was defined by linkage analysis in three Pakistani families to lie between D9S1818 (centromeric) and D9SH6 (telomeric). Mutations at this locus have been associated with autosomal recessive deafness. [provided by RefSeq, Oct 2010]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 9-137200476-A-AGCCGCGCCCCC is Pathogenic according to our data. Variant chr9-137200476-A-AGCCGCGCCCCC is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1180831.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TPRNNM_001128228.3 linkuse as main transcriptc.235_236insGGGGGCGCGGC p.Leu79ArgfsTer375 frameshift_variant 1/4 ENST00000409012.6 NP_001121700.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TPRNENST00000409012.6 linkuse as main transcriptc.235_236insGGGGGCGCGGC p.Leu79ArgfsTer375 frameshift_variant 1/41 NM_001128228.3 ENSP00000387100 P1Q4KMQ1-1
TPRNENST00000541945.1 linkuse as main transcriptn.90+3627_90+3628insGGGGGCGCGGC intron_variant, non_coding_transcript_variant 4

Frequencies

GnomAD3 genomes
AF:
0.0000549
AC:
8
AN:
145768
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000496
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000678
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000761
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000493
AC:
48
AN:
973068
Hom.:
0
Cov.:
32
AF XY:
0.0000513
AC XY:
24
AN XY:
468164
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000161
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000945
Gnomad4 SAS exome
AF:
0.0000354
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000516
Gnomad4 OTH exome
AF:
0.0000288
GnomAD4 genome
AF:
0.0000548
AC:
8
AN:
145860
Hom.:
0
Cov.:
31
AF XY:
0.0000282
AC XY:
2
AN XY:
71040
show subpopulations
Gnomad4 AFR
AF:
0.0000495
Gnomad4 AMR
AF:
0.0000677
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000761
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpMay 02, 2023The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. For these reasons, this variant has been classified as Pathogenic. This variant has not been reported in the literature in individuals affected with TPRN-related conditions. This sequence change creates a premature translational stop signal (p.Leu79Argfs*375) in the TPRN gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in TPRN are known to be pathogenic (PMID: 20170898, 20170899). -
Likely pathogenic, criteria provided, single submitterclinical testingGeneDxJan 18, 2023Frameshift variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; Not observed at significant frequency in large population cohorts (gnomAD); Has not been previously published as pathogenic or benign to our knowledge -
Ear malformation Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingKariminejad - Najmabadi Pathology & Genetics CenterJul 10, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs387906221; hg19: chr9-140094928; API