X-154295948-G-A

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_012253.4(TKTL1):​c.89G>A​(p.Arg30His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000364 in 1,210,282 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 13 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 0.000027 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000037 ( 0 hom. 12 hem. )

Consequence

TKTL1
NM_012253.4 missense

Scores

1
5
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.16
Variant links:
Genes affected
TKTL1 (HGNC:11835): (transketolase like 1) The protein encoded by this gene is a transketolase that acts as a homodimer and catalyzes the conversion of sedoheptulose 7-phosphate and D-glyceraldehyde 3-phosphate to D-ribose 5-phosphate and D-xylulose 5-phosphate. This reaction links the pentose phosphate pathway with the glycolytic pathway. Variations in this gene may be the cause of Wernicke-Korsakoff syndrome. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3444724).
BS2
High Hemizygotes in GnomAdExome4 at 12 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TKTL1NM_012253.4 linkuse as main transcriptc.89G>A p.Arg30His missense_variant 1/13 ENST00000369915.8 NP_036385.3 P51854-3
TKTL1NM_001145933.2 linkuse as main transcriptc.89G>A p.Arg30His missense_variant 1/13 NP_001139405.1 B7Z7I0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TKTL1ENST00000369915.8 linkuse as main transcriptc.89G>A p.Arg30His missense_variant 1/131 NM_012253.4 ENSP00000358931.3 P51854-3
TKTL1ENST00000439635.5 linkuse as main transcriptn.89G>A non_coding_transcript_exon_variant 1/54 ENSP00000399763.1 F8WF97
TKTL1ENST00000710264.1 linkuse as main transcriptn.89G>A non_coding_transcript_exon_variant 1/13 ENSP00000518160.1

Frequencies

GnomAD3 genomes
AF:
0.0000267
AC:
3
AN:
112209
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34349
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000564
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000876
AC:
16
AN:
182593
Hom.:
0
AF XY:
0.0000742
AC XY:
5
AN XY:
67383
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000722
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000625
Gnomad NFE exome
AF:
0.000173
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000373
AC:
41
AN:
1098073
Hom.:
0
Cov.:
30
AF XY:
0.0000330
AC XY:
12
AN XY:
363431
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000516
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000247
Gnomad4 NFE exome
AF:
0.0000439
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000267
AC:
3
AN:
112209
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34349
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000564
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000453
ExAC
AF:
0.000132
AC:
16
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 17, 2022The c.89G>A (p.R30H) alteration is located in exon 1 (coding exon 1) of the TKTL1 gene. This alteration results from a G to A substitution at nucleotide position 89, causing the arginine (R) at amino acid position 30 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
0.13
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
22
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.41
T
FATHMM_MKL
Benign
0.62
D
LIST_S2
Uncertain
0.95
D
M_CAP
Benign
0.025
T
MetaRNN
Benign
0.34
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Uncertain
2.2
M
PrimateAI
Uncertain
0.52
T
PROVEAN
Uncertain
-3.3
D
REVEL
Benign
0.29
Sift
Benign
0.049
D
Sift4G
Uncertain
0.060
T
Polyphen
1.0
D
Vest4
0.46
MVP
0.33
MPC
0.15
ClinPred
0.24
T
GERP RS
4.5
Varity_R
0.39
gMVP
0.47

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs781826654; hg19: chrX-153524301; COSMIC: COSV54212671; COSMIC: COSV54212671; API