NM_018676.4:c.670C>T

Variant summary

Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PVS1PP5

The NM_018676.4(THSD1):​c.670C>T​(p.Arg224*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000991 in 1,613,988 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

THSD1
NM_018676.4 stop_gained

Scores

2
3
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:1

Conservation

PhyloP100: 0.710

Publications

14 publications found
Variant links:
Genes affected
THSD1 (HGNC:17754): (thrombospondin type 1 domain containing 1) The protein encoded by this gene contains a type 1 thrombospondin domain, which is found in a number of proteins involved in the complement pathway, as well as in extracellular matrix proteins. Alternatively spliced transcript variants encoding different isoforms have been observed for this gene. [provided by RefSeq, Jan 2009]
THSD1 Gene-Disease associations (from GenCC):
  • non-immune hydrops fetalis
    Inheritance: AR Classification: DEFINITIVE Submitted by: King Faisal Specialist Hospital and Research Center
  • aneurysm, intracranial berry, 12
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • lymphatic malformation 13
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • intracranial berry aneurysm
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • multiple congenital anomalies/dysmorphic syndrome
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 9 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 13-52397583-G-A is Pathogenic according to our data. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465. Variant chr13-52397583-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 190465.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
THSD1NM_018676.4 linkc.670C>T p.Arg224* stop_gained Exon 3 of 5 ENST00000258613.5 NP_061146.1 Q9NS62-1A0A024R064B3KTY7
THSD1NM_199263.3 linkc.670C>T p.Arg224* stop_gained Exon 3 of 4 NP_954872.1 Q9NS62-2B3KTY7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
THSD1ENST00000258613.5 linkc.670C>T p.Arg224* stop_gained Exon 3 of 5 1 NM_018676.4 ENSP00000258613.4 Q9NS62-1
THSD1ENST00000349258.8 linkc.670C>T p.Arg224* stop_gained Exon 3 of 4 1 ENSP00000340650.4 Q9NS62-2
THSD1ENST00000648254.1 linkc.670C>T p.Arg224* stop_gained Exon 3 of 4 ENSP00000497520.1 Q9NS62-2

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152126
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000199
AC:
5
AN:
251268
AF XY:
0.0000221
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000958
AC:
14
AN:
1461862
Hom.:
0
Cov.:
31
AF XY:
0.0000124
AC XY:
9
AN XY:
727230
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.0000894
AC:
4
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53416
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000809
AC:
9
AN:
1111990
Other (OTH)
AF:
0.00
AC:
0
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.0000131
AC:
2
AN:
152126
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74300
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41408
American (AMR)
AF:
0.0000654
AC:
1
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10604
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68044
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
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

Genome 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
Alfa
AF:
0.00
Hom.:
130
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:2Uncertain:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Non-immune hydrops fetalis Pathogenic:1
Oct 30, 2014
Genomic Medicine Center of Excellence, King Faisal Specialist Hospital and Research Centre
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

- -

Lymphatic malformation 13 Pathogenic:1
Jun 03, 2015
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

not provided Uncertain:1
Jul 23, 2024
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene or region of a gene for which loss of function is not a well-established mechanism of disease; This variant is associated with the following publications: (PMID: 37993095, Abdullah2021[CaseReport], 33569873, 26036949) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.50
D
BayesDel_noAF
Pathogenic
0.27
CADD
Pathogenic
36
DANN
Uncertain
1.0
Eigen
Uncertain
0.44
Eigen_PC
Uncertain
0.22
FATHMM_MKL
Benign
0.43
N
PhyloP100
0.71
Vest4
0.15
GERP RS
2.5
Mutation Taster
=15/185
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.36
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.36
Position offset: -25

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

Publications

Other links and lift over

dbSNP: rs9536062; hg19: chr13-52971718; COSMIC: COSV51629196; COSMIC: COSV51629196; API