NM_001267550.2:c.37705G>A

Variant names:

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBP6_Very_Strong

The NM_001267550.2(TTN):c.37705G>A(p.Val12569Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 11/14 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. V12569V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.033 ( 132 hom., cov: 10)

Exomes 𝑓: 0.0047 ( 231 hom. )

Failed GnomAD Quality Control

Consequence

TTN
NM_001267550.2 missense

Scores

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.143

Publications

0 publications found

Variant links:

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 links:

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]

TTN-AS1 links:

LOC124906100 (HGNC:):

LOC124906100 links:

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4

Computational evidence support a benign effect (MetaRNN=0.004136145).

BP6

Variant 2-178658278-C-T is Benign according to our data. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178658278-C-T is described in CliVar as Benign. Clinvar id is 238760.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
TTN	NM_001267550.2 link	c.37705G>A	p.Val12569Ile	missense_variant	Exon 185 of 363	ENST00000589042.5	NP_001254479.2	A0A0A0MTS7

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
TTN	ENST00000589042.5 link	c.37705G>A	p.Val12569Ile	missense_variant	Exon 185 of 363	5	NM_001267550.2	ENSP00000467141.1		A0A0A0MTS7

Frequencies

GnomAD3 genomes

AF:

0.0325

AC:

2569

AN:

79136

Hom.:

123

Cov.:

show subpopulations

Gnomad AFR

AF:

0.142

Gnomad AMI

AF:

0.00

Gnomad AMR

AF:

0.0132

Gnomad ASJ

AF:

0.000432

Gnomad EAS

AF:

0.00

Gnomad SAS

AF:

0.000549

Gnomad FIN

AF:

0.00

Gnomad MID

AF:

0.0135

Gnomad NFE

AF:

0.000516

Gnomad OTH

AF:

0.0305

GnomAD2 exomes

AF:

0.0174

AC:

872

AN:

50002

AF XY:

0.0146

show subpopulations

Gnomad AFR exome

AF:

0.167

Gnomad AMR exome

AF:

0.00961

Gnomad ASJ exome

AF:

0.00

Gnomad EAS exome

AF:

0.00

Gnomad FIN exome

AF:

0.00

Gnomad NFE exome

AF:

0.000609

Gnomad OTH exome

AF:

0.00673

GnomAD4 exome

Data not reliable, filtered out with message: AS_VQSR

AF:

0.00472

AC:

3814

AN:

807342

Hom.:

231

Cov.:

AF XY:

0.00423

AC XY:

1742

AN XY:

411764

show subpopulations

African (AFR)

AF:

0.164

AC:

2840

AN:

17294

American (AMR)

AF:

0.0101

AC:

209

AN:

20720

Ashkenazi Jewish (ASJ)

AF:

0.00106

AC:

AN:

17986

East Asian (EAS)

AF:

0.00

AC:

AN:

33646

South Asian (SAS)

AF:

0.000514

AC:

AN:

54518

European-Finnish (FIN)

AF:

0.0000320

AC:

AN:

31260

Middle Eastern (MID)

AF:

0.00620

AC:

AN:

2744

European-Non Finnish (NFE)

AF:

0.000391

AC:

231

AN:

591252

Other (OTH)

AF:

0.0124

AC:

469

AN:

37922

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.485

Heterozygous variant carriers

114

227

341

454

568

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Exome Het

Exome Hom

Variant carriers

148

222

296

370

<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

Data not reliable, filtered out with message: AS_VQSR

AF:

0.0328

AC:

2601

AN:

79236

Hom.:

132

Cov.:

AF XY:

0.0331

AC XY:

1216

AN XY:

36750

show subpopulations

African (AFR)

AF:

0.143

AC:

2468

AN:

17282

American (AMR)

AF:

0.0132

AC:

AN:

5906

Ashkenazi Jewish (ASJ)

AF:

0.000432

AC:

AN:

2314

East Asian (EAS)

AF:

0.00

AC:

AN:

3072

South Asian (SAS)

AF:

0.000546

AC:

AN:

1832

European-Finnish (FIN)

AF:

0.00

AC:

AN:

4650

Middle Eastern (MID)

AF:

0.0143

AC:

AN:

210

European-Non Finnish (NFE)

AF:

0.000516

AC:

AN:

42616

Other (OTH)

AF:

0.0296

AC:

AN:

946

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.496

Heterozygous variant carriers

180

270

360

450

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Genome Het

Genome Hom

Variant carriers

112

140

<30

30-35

35-40

40-45

45-50

50-55

55-60

60-65

65-70

70-75

75-80

>80

Age

Alfa

AF:

0.0327

Hom.:

ExAC

AF:

0.00384

AC:

ClinVar

Significance: Benign

Submissions summary: Benign:8

Revision: criteria provided, multiple submitters, no conflicts

LINK: link

Submissions by phenotype

not provided

Benign:2

Breakthrough Genomics, Breakthrough Genomics

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:not provided

- -

Jun 23, 2018

GeneDx

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

not specified

Benign:1

Apr 09, 2025

Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Autosomal recessive limb-girdle muscular dystrophy type 2J

Benign:1

Sep 10, 2021

Genome-Nilou Lab

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Autosomal recessive limb-girdle muscular dystrophy type 2J;C1858763:Dilated cardiomyopathy 1G

Benign:1

Jan 20, 2025

Labcorp Genetics (formerly Invitae), Labcorp

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Early-onset myopathy with fatal cardiomyopathy

Benign:1

Sep 10, 2021

Genome-Nilou Lab

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Tibial muscular dystrophy

Benign:1

Sep 10, 2021

Genome-Nilou Lab

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Myopathy, myofibrillar, 9, with early respiratory failure

Benign:1

Sep 10, 2021

Genome-Nilou Lab

Significance:Benign

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name

Calibrated prediction

Score

Prediction

BayesDel_addAF

Benign

-0.52

BayesDel_noAF

Benign

-0.59

CADD

Benign

3.0

(source)

DANN

Benign

0.77

Eigen

Benign

-0.72

Eigen_PC

Benign

-0.75

FATHMM_MKL

Benign

0.033

LIST_S2

Benign

0.35

MetaRNN

Benign

0.0041

MetaSVM

Benign

-1.0

PhyloP100

0.14

Vest4

0.12

MPC

0.076

ClinPred

0.0025

GERP RS

3.2

Mutation Taster

=92/8

polymorphism (auto)

(source)

Splicing

Name

Calibrated prediction

Score

Prediction

SpliceAI score (max)

0.0

Details are displayed if max score is > 0.2

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

Publications

You must be logged in to view publications. This limit was set because tens of millions (!) of queries from AI bots are generated daily.

Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

Publications

ACMG classification

Transcripts

RefSeq

Ensembl

Frequencies

Age Distribution

Age Distribution

ClinVar

Submissions by phenotype

Computational scores

Splicing

Publications

Other links and lift over