NM_032635.4:c.137A>C

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PM2PP2PP3_Moderate

The NM_032635.4(TMEM147):​c.137A>C​(p.Gln46Pro) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,376 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 Uncertain significance (★★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

TMEM147
NM_032635.4 missense

Scores

6
11
1

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 8.08

Publications

0 publications found
Variant links:
Genes affected
TMEM147 (HGNC:30414): (transmembrane protein 147) Enables ribosome binding activity. Located in endoplasmic reticulum membrane. Part of protein-containing complex. [provided by Alliance of Genome Resources, Apr 2022]
TMEM147-AS1 (HGNC:51273): (TMEM147 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 2 curated pathogenic missense variants (we use a threshold of 10). The gene has 0 curated benign missense variants. Gene score misZ: 0.48534 (below the threshold of 3.09). Trascript score misZ: 0.93164 (below the threshold of 3.09). GenCC associations: The gene is linked to neurodevelopmental disorder with facial dysmorphism, absent language, and pseudo-pelger-huet anomaly, complex neurodevelopmental disorder.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.938

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_032635.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM147
NM_032635.4
MANE Select
c.137A>Cp.Gln46Pro
missense
Exon 2 of 7NP_116024.1Q9BVK8-1
TMEM147
NM_001242598.2
c.137A>Cp.Gln46Pro
missense
Exon 2 of 5NP_001229527.1
TMEM147
NM_001242597.2
c.-11A>C
5_prime_UTR
Exon 1 of 6NP_001229526.1Q9BVK8-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM147
ENST00000222284.10
TSL:1 MANE Select
c.137A>Cp.Gln46Pro
missense
Exon 2 of 7ENSP00000222284.4Q9BVK8-1
TMEM147-AS1
ENST00000589137.5
TSL:1
n.83T>G
non_coding_transcript_exon
Exon 1 of 4
TMEM147
ENST00000928931.1
c.137A>Cp.Gln46Pro
missense
Exon 2 of 7ENSP00000598990.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.0000120
AC:
3
AN:
249938
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000266
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461376
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727012
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33468
American (AMR)
AF:
0.00
AC:
0
AN:
44698
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26116
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39692
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86234
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53182
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.00000270
AC:
3
AN:
1111842
Other (OTH)
AF:
0.00
AC:
0
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Neurodevelopmental disorder with facial dysmorphism, absent language, and pseudo-pelger-huet anomaly (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.27
D
BayesDel_noAF
Pathogenic
0.22
CADD
Pathogenic
29
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.44
T
Eigen
Uncertain
0.35
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.97
D
M_CAP
Uncertain
0.12
D
MetaRNN
Pathogenic
0.94
D
MetaSVM
Benign
-0.45
T
MutationAssessor
Uncertain
2.5
M
PhyloP100
8.1
PrimateAI
Pathogenic
0.82
D
PROVEAN
Pathogenic
-5.1
D
REVEL
Uncertain
0.58
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.0060
D
Polyphen
0.99
D
Vest4
0.96
MutPred
0.82
Loss of helix (P = 0.079)
MVP
0.26
MPC
1.2
ClinPred
0.99
D
GERP RS
3.9
PromoterAI
0.017
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.94
gMVP
0.99
Mutation Taster
=223/77
polymorphism

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

Other links and lift over

dbSNP: rs746452158; hg19: chr19-36036849; API