X-100630832-C-T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_003270.4(TSPAN6):​c.704G>A​(p.Arg235His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000116 in 1,208,113 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000045 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.0000082 ( 0 hom. 3 hem. )

Consequence

TSPAN6
NM_003270.4 missense

Scores

6
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.69

Publications

1 publications found
Variant links:
Genes affected
TSPAN6 (HGNC:11858): (tetraspanin 6) The protein encoded by this gene is a member of the transmembrane 4 superfamily, also known as the tetraspanin family. Most of these members are cell-surface proteins that are characterized by the presence of four hydrophobic domains. The proteins mediate signal transduction events that play a role in the regulation of cell development, activation, growth and motility. The protein encoded by this gene is a cell surface glycoprotein and is highly similar in sequence to the transmembrane 4 superfamily member 2 protein. It functions as a negative regulator of retinoic acid-inducible gene I-like receptor-mediated immune signaling via its interaction with the mitochondrial antiviral signaling-centered signalosome. This gene uses alternative polyadenylation sites, and multiple transcript variants result from alternative splicing. [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.27651456).
BS2
High Hemizygotes in GnomAdExome4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TSPAN6NM_003270.4 linkc.704G>A p.Arg235His missense_variant Exon 7 of 8 ENST00000373020.9 NP_003261.1 O43657

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TSPAN6ENST00000373020.9 linkc.704G>A p.Arg235His missense_variant Exon 7 of 8 1 NM_003270.4 ENSP00000362111.4 O43657
TSPAN6ENST00000612152.4 linkc.356G>A p.Arg119His missense_variant Exon 6 of 7 5 ENSP00000482130.1 A0A087WYV6

Frequencies

GnomAD3 genomes
AF:
0.0000448
AC:
5
AN:
111701
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000163
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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
GnomAD2 exomes
AF:
0.00000549
AC:
1
AN:
182244
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:
0.0000123
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000821
AC:
9
AN:
1096360
Hom.:
0
Cov.:
28
AF XY:
0.00000829
AC XY:
3
AN XY:
361788
show subpopulations
African (AFR)
AF:
0.000152
AC:
4
AN:
26376
American (AMR)
AF:
0.00
AC:
0
AN:
35190
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19365
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53986
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40511
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4134
European-Non Finnish (NFE)
AF:
0.00000238
AC:
2
AN:
840594
Other (OTH)
AF:
0.0000652
AC:
3
AN:
46024
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.0000447
AC:
5
AN:
111753
Hom.:
0
Cov.:
23
AF XY:
0.0000294
AC XY:
1
AN XY:
33975
show subpopulations
African (AFR)
AF:
0.000162
AC:
5
AN:
30808
American (AMR)
AF:
0.00
AC:
0
AN:
10502
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2647
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3556
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2669
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6002
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53150
Other (OTH)
AF:
0.00
AC:
0
AN:
1518
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.588
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Apr 09, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.704G>A (p.R235H) alteration is located in exon 7 (coding exon 7) of the TSPAN6 gene. This alteration results from a G to A substitution at nucleotide position 704, causing the arginine (R) at amino acid position 235 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.31
.;T
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.82
T;D
M_CAP
Benign
0.054
D
MetaRNN
Benign
0.28
T;T
MetaSVM
Benign
-0.47
T
MutationAssessor
Uncertain
2.7
.;M
PhyloP100
1.7
PrimateAI
Benign
0.39
T
PROVEAN
Uncertain
-2.5
.;N
REVEL
Uncertain
0.30
Sift
Benign
0.074
.;T
Sift4G
Uncertain
0.010
D;D
Polyphen
0.067
.;B
Vest4
0.26
MutPred
0.74
.;Gain of glycosylation at T238 (P = 0.0516);
MVP
0.78
MPC
0.067
ClinPred
0.71
D
GERP RS
3.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.20
gMVP
0.80
Mutation Taster
=95/5
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs745504645; hg19: chrX-99885829; COSMIC: COSV100885803; COSMIC: COSV100885803; API