X-155511709-C-T

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4BP6_ModerateBS2

The NM_018196.4(TMLHE):​c.722G>A​(p.Arg241Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000195 in 1,200,954 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 75 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00015 ( 0 hom., 5 hem., cov: 22)
Exomes 𝑓: 0.00020 ( 0 hom. 70 hem. )

Consequence

TMLHE
NM_018196.4 missense

Scores

8
9

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 4.11
Variant links:
Genes affected
TMLHE (HGNC:18308): (trimethyllysine hydroxylase, epsilon) This gene encodes the protein trimethyllysine dioxygenase which is the first enzyme in the carnitine biosynthesis pathway. Carnitine play an essential role in the transport of activated fatty acids across the inner mitochondrial membrane. The encoded protein converts trimethyllysine into hydroxytrimethyllysine. A pseudogene of this gene is found on chromosome X. Alternate splicing results in multiple transcript variants.[provided by RefSeq, May 2010]
TMLHE-AS1 (HGNC:44261): (TMLHE antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.29569468).
BP6
Variant X-155511709-C-T is Benign according to our data. Variant chrX-155511709-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 2661879.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 17 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TMLHENM_018196.4 linkuse as main transcriptc.722G>A p.Arg241Gln missense_variant 5/8 ENST00000334398.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TMLHEENST00000334398.8 linkuse as main transcriptc.722G>A p.Arg241Gln missense_variant 5/81 NM_018196.4 P1Q9NVH6-1
TMLHEENST00000369439.4 linkuse as main transcriptc.722G>A p.Arg241Gln missense_variant 5/71 Q9NVH6-2
TMLHE-AS1ENST00000452506.1 linkuse as main transcriptn.67+22320C>T intron_variant, non_coding_transcript_variant 5
TMLHEENST00000675642.1 linkuse as main transcriptc.755G>A p.Arg252Gln missense_variant 6/9 Q9NVH6-8

Frequencies

GnomAD3 genomes
AF:
0.000153
AC:
17
AN:
111330
Hom.:
0
Cov.:
22
AF XY:
0.000149
AC XY:
5
AN XY:
33584
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:
0.000166
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000302
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000210
AC:
38
AN:
180807
Hom.:
0
AF XY:
0.000168
AC XY:
11
AN XY:
65509
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000374
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000107
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000432
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000199
AC:
217
AN:
1089575
Hom.:
0
Cov.:
29
AF XY:
0.000196
AC XY:
70
AN XY:
356893
show subpopulations
Gnomad4 AFR exome
AF:
0.0000381
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000523
Gnomad4 EAS exome
AF:
0.0000333
Gnomad4 SAS exome
AF:
0.0000948
Gnomad4 FIN exome
AF:
0.0000249
Gnomad4 NFE exome
AF:
0.000242
Gnomad4 OTH exome
AF:
0.000131
GnomAD4 genome
AF:
0.000153
AC:
17
AN:
111379
Hom.:
0
Cov.:
22
AF XY:
0.000149
AC XY:
5
AN XY:
33643
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:
0.000166
Gnomad4 NFE
AF:
0.000302
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000145
Hom.:
0
Bravo
AF:
0.000178
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000346
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000446
AC:
3
ExAC
AF:
0.000206
AC:
25

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenOct 01, 2022TMLHE: BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.39
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.39
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.12
T;.
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.96
D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.30
T;T
MetaSVM
Uncertain
-0.26
T
MutationAssessor
Benign
1.3
L;L
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-0.72
N;N
REVEL
Uncertain
0.43
Sift
Benign
0.080
T;T
Sift4G
Benign
0.090
T;T
Polyphen
1.0
D;D
Vest4
0.16
MVP
0.55
MPC
0.75
ClinPred
0.11
T
GERP RS
2.8
Varity_R
0.12
gMVP
0.74

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: rs201701235; hg19: chrX-154741370; API