NM_001267550.2:c.36701-9T>C
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate
The NM_001267550.2(TTN):c.36701-9T>C variant causes a intron change. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: 𝑓 0.0000066   (  0   hom.,  cov: 26) 
 Exomes 𝑓:  6.9e-7   (  0   hom.  ) 
 Failed GnomAD Quality Control 
Consequence
 TTN
NM_001267550.2 intron
NM_001267550.2 intron
Scores
 2
 Splicing: ADA:  0.3065  
 2
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  4.02  
Publications
0 publications found 
Genes affected
 TTN  (HGNC:12403):  (titin) This gene encodes a large abundant protein of striated muscle. The product of this gene is divided into two regions, a N-terminal I-band and a C-terminal A-band. The I-band, which is the elastic part of the molecule, contains two regions of tandem immunoglobulin domains on either side of a PEVK region that is rich in proline, glutamate, valine and lysine. The A-band, which is thought to act as a protein-ruler, contains a mixture of immunoglobulin and fibronectin repeats, and possesses kinase activity. An N-terminal Z-disc region and a C-terminal M-line region bind to the Z-line and M-line of the sarcomere, respectively, so that a single titin molecule spans half the length of a sarcomere. Titin also contains binding sites for muscle associated proteins so it serves as an adhesion template for the assembly of contractile machinery in muscle cells. It has also been identified as a structural protein for chromosomes. Alternative splicing of this gene results in multiple transcript variants. Considerable variability exists in the I-band, the M-line and the Z-disc regions of titin. Variability in the I-band region contributes to the differences in elasticity of different titin isoforms and, therefore, to the differences in elasticity of different muscle types. Mutations in this gene are associated with familial hypertrophic cardiomyopathy 9, and autoantibodies to titin are produced in patients with the autoimmune disease scleroderma. [provided by RefSeq, Feb 2012] 
 TTN-AS1  (HGNC:44124):  (TTN antisense RNA 1) This gene encodes a non-coding RNA transcribed from the opposite strand to the titin gene. [provided by RefSeq, Aug 2016] 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -2 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.4). 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| TTN | NM_001267550.2 | c.36701-9T>C | intron_variant | Intron 173 of 362 | ENST00000589042.5 | NP_001254479.2 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| TTN | ENST00000589042.5 | c.36701-9T>C | intron_variant | Intron 173 of 362 | 5 | NM_001267550.2 | ENSP00000467141.1 | 
Frequencies
GnomAD3 genomes  0.00000663  AC: 1AN: 150900Hom.:  0  Cov.: 26 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
1
AN: 
150900
Hom.: 
Cov.: 
26
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad FIN 
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Gnomad MID 
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Gnomad NFE 
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Gnomad OTH 
 AF: 
GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF:  6.90e-7  AC: 1AN: 1449346Hom.:  0  Cov.: 29 AF XY:  0.00000139  AC XY: 1AN XY: 721172 show subpopulations 
GnomAD4 exome 
Data not reliable, filtered out with message: AS_VQSR
 AF: 
AC: 
1
AN: 
1449346
Hom.: 
Cov.: 
29
 AF XY: 
AC XY: 
1
AN XY: 
721172
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33114
American (AMR) 
 AF: 
AC: 
0
AN: 
43994
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
25916
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39516
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
85678
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53132
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
4102
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
1104144
Other (OTH) 
 AF: 
AC: 
0
AN: 
59750
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.675 
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 
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 8 
 10 
 <30 
 30-35 
 35-40 
 40-45 
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Age
GnomAD4 genome  0.00000663  AC: 1AN: 150900Hom.:  0  Cov.: 26 AF XY:  0.0000136  AC XY: 1AN XY: 73576 show subpopulations 
GnomAD4 genome 
Data not reliable, filtered out with message: AS_VQSR
 AF: 
AC: 
1
AN: 
150900
Hom.: 
Cov.: 
26
 AF XY: 
AC XY: 
1
AN XY: 
73576
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
40970
American (AMR) 
 AF: 
AC: 
0
AN: 
15106
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3462
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5042
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4722
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10522
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
67778
Other (OTH) 
 AF: 
AC: 
0
AN: 
2072
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.625 
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: 
Hom.: 
Bravo 
 AF: 
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 dbscSNV1_ADA 
 Benign 
 dbscSNV1_RF 
 Benign 
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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