9-99105255-TGGCGGCGGCGGCGGCGGC-TGGCGGCGGCGGCGGCGGCGGCGGCGGCGGCGGC

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP3

The NM_004612.4(TGFBR1):​c.64_78dupGCGGCGGCGGCGGCG​(p.Ala22_Ala26dup) variant causes a conservative inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000014 in 142,526 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type INS_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000014 ( 0 hom., cov: 30)
Exomes 𝑓: 0.0000011 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

TGFBR1
NM_004612.4 conservative_inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.987

Publications

24 publications found
Variant links:
Genes affected
TGFBR1 (HGNC:11772): (transforming growth factor beta receptor 1) The protein encoded by this gene forms a heteromeric complex with type II TGF-beta receptors when bound to TGF-beta, transducing the TGF-beta signal from the cell surface to the cytoplasm. The encoded protein is a serine/threonine protein kinase. Mutations in this gene have been associated with Loeys-Dietz aortic aneurysm syndrome (LDAS). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2008]
TGFBR1 Gene-Disease associations (from GenCC):
  • familial thoracic aortic aneurysm and aortic dissection
    Inheritance: AD, Unknown Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • Loeys-Dietz syndrome
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • Loeys-Dietz syndrome 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • multiple self-healing squamous epithelioma
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_004612.4

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004612.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TGFBR1
NM_004612.4
MANE Select
c.64_78dupGCGGCGGCGGCGGCGp.Ala22_Ala26dup
conservative_inframe_insertion
Exon 1 of 9NP_004603.1P36897-1
TGFBR1
NM_001306210.2
c.64_78dupGCGGCGGCGGCGGCGp.Ala22_Ala26dup
conservative_inframe_insertion
Exon 1 of 9NP_001293139.1P36897-2
TGFBR1
NM_001407416.1
c.64_78dupGCGGCGGCGGCGGCGp.Ala22_Ala26dup
conservative_inframe_insertion
Exon 1 of 8NP_001394345.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TGFBR1
ENST00000374994.9
TSL:1 MANE Select
c.64_78dupGCGGCGGCGGCGGCGp.Ala22_Ala26dup
conservative_inframe_insertion
Exon 1 of 9ENSP00000364133.4P36897-1
TGFBR1
ENST00000552516.5
TSL:1
c.64_78dupGCGGCGGCGGCGGCGp.Ala22_Ala26dup
conservative_inframe_insertion
Exon 1 of 9ENSP00000447297.1P36897-2
TGFBR1
ENST00000374990.6
TSL:1
c.64_78dupGCGGCGGCGGCGGCGp.Ala22_Ala26dup
conservative_inframe_insertion
Exon 1 of 8ENSP00000364129.2P36897-3

Frequencies

GnomAD3 genomes
AF:
0.0000140
AC:
2
AN:
142424
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000255
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000688
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000111
AC:
1
AN:
900970
Hom.:
0
Cov.:
7
AF XY:
0.00
AC XY:
0
AN XY:
422764
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
17388
American (AMR)
AF:
0.00
AC:
0
AN:
2804
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
7300
East Asian (EAS)
AF:
0.00
AC:
0
AN:
9216
South Asian (SAS)
AF:
0.0000554
AC:
1
AN:
18064
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5144
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
1952
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
807770
Other (OTH)
AF:
0.00
AC:
0
AN:
31332
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
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

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:
0.0000140
AC:
2
AN:
142526
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
69400
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000254
AC:
1
AN:
39330
American (AMR)
AF:
0.0000687
AC:
1
AN:
14554
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3342
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4824
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4608
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8144
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
266
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
64622
Other (OTH)
AF:
0.00
AC:
0
AN:
1984
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000203476), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
37

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Familial thoracic aortic aneurysm and aortic dissection (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.99
Mutation Taster
=73/27
polymorphism

Splicing

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

Publications

Other links and lift over

dbSNP: rs11466445; hg19: chr9-101867537; API