X-9654221-G-T

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_005647.4(TBL1X):​c.110G>T​(p.Gly37Val) variant causes a missense change. The variant allele was found at a frequency of 0.0000207 in 1,207,777 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 9 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.000022 ( 0 hom. 9 hem. )

Consequence

TBL1X
NM_005647.4 missense

Scores

1
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.24
Variant links:
Genes affected
TBL1X (HGNC:11585): (transducin beta like 1 X-linked) The protein encoded by this gene has sequence similarity with members of the WD40 repeat-containing protein family. The WD40 group is a large family of proteins, which appear to have a regulatory function. It is believed that the WD40 repeats mediate protein-protein interactions and members of the family are involved in signal transduction, RNA processing, gene regulation, vesicular trafficking, cytoskeletal assembly and may play a role in the control of cytotypic differentiation. This encoded protein is found as a subunit in corepressor SMRT (silencing mediator for retinoid and thyroid receptors) complex along with histone deacetylase 3 protein. This gene is located adjacent to the ocular albinism gene and it is thought to be involved in the pathogenesis of the ocular albinism with late-onset sensorineural deafness phenotype. Four transcript variants encoding two different isoforms have been found for this gene. This gene is highly similar to the Y chromosome TBL1Y gene. [provided by RefSeq, Nov 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.2290296).
BS2
High Hemizygotes in GnomAdExome4 at 9 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TBL1XNM_005647.4 linkc.110G>T p.Gly37Val missense_variant Exon 5 of 18 ENST00000645353.2 NP_005638.1 O60907-1A0A024RBV9
TBL1XNM_001139466.1 linkc.110G>T p.Gly37Val missense_variant Exon 5 of 18 NP_001132938.1 O60907-1A0A024RBV9
TBL1XNM_001139467.1 linkc.-44G>T 5_prime_UTR_variant Exon 4 of 17 NP_001132939.1 O60907-2
TBL1XNM_001139468.1 linkc.-44G>T 5_prime_UTR_variant Exon 5 of 18 NP_001132940.1 O60907-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TBL1XENST00000645353.2 linkc.110G>T p.Gly37Val missense_variant Exon 5 of 18 NM_005647.4 ENSP00000496215.1 O60907-1

Frequencies

GnomAD3 genomes
AF:
0.00000903
AC:
1
AN:
110742
Hom.:
0
Cov.:
23
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:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000110
AC:
2
AN:
182540
AF XY:
0.0000149
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:
0.0000245
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000219
AC:
24
AN:
1097035
Hom.:
0
Cov.:
31
AF XY:
0.0000248
AC XY:
9
AN XY:
362503
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26379
American (AMR)
AF:
0.00
AC:
0
AN:
35168
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19356
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30201
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54008
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40513
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3873
European-Non Finnish (NFE)
AF:
0.0000285
AC:
24
AN:
841503
Other (OTH)
AF:
0.00
AC:
0
AN:
46034
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.445
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.00000903
AC:
1
AN:
110742
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33010
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30423
American (AMR)
AF:
0.00
AC:
0
AN:
10427
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2648
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3523
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2624
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5714
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
237
European-Non Finnish (NFE)
AF:
0.0000189
AC:
1
AN:
52975
Other (OTH)
AF:
0.00
AC:
0
AN:
1486
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.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.000328
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Mar 04, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.110G>T (p.G37V) alteration is located in exon 5 (coding exon 2) of the TBL1X gene. This alteration results from a G to T substitution at nucleotide position 110, causing the glycine (G) at amino acid position 37 to be replaced by a valine (V). 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
0.097
BayesDel_addAF
Benign
0.0051
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.21
T;T;T;T;T;T;T
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.57
T;T;.;.;.;.;T
M_CAP
Benign
0.052
D
MetaRNN
Benign
0.23
T;T;T;T;T;T;T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
0.0
N;.;N;N;N;N;.
PhyloP100
5.2
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-0.39
N;D;N;.;.;.;N
REVEL
Benign
0.21
Sift
Pathogenic
0.0
D;D;D;.;.;.;D
Sift4G
Uncertain
0.0090
D;D;D;.;.;.;D
Polyphen
0.94
P;.;P;P;P;P;.
Vest4
0.50
MutPred
0.32
Loss of disorder (P = 0.0339);Loss of disorder (P = 0.0339);Loss of disorder (P = 0.0339);Loss of disorder (P = 0.0339);Loss of disorder (P = 0.0339);Loss of disorder (P = 0.0339);Loss of disorder (P = 0.0339);
MVP
0.76
MPC
2.0
ClinPred
0.55
D
GERP RS
4.9
Varity_R
0.36
gMVP
0.47
Mutation Taster
=96/4
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: rs750136161; hg19: chrX-9622261; API