X-9684109-C-T

Variant summary

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

The NM_005647.4(TBL1X):​c.278C>T​(p.Thr93Met) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000827 in 1,209,681 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 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 0.0000090 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000082 ( 0 hom. 3 hem. )

Consequence

TBL1X
NM_005647.4 missense

Scores

2
4
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.37
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 -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.322684).
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TBL1XNM_005647.4 linkc.278C>T p.Thr93Met missense_variant Exon 6 of 18 ENST00000645353.2 NP_005638.1 O60907-1A0A024RBV9
TBL1XNM_001139466.1 linkc.278C>T p.Thr93Met missense_variant Exon 6 of 18 NP_001132938.1 O60907-1A0A024RBV9
TBL1XNM_001139467.1 linkc.125C>T p.Thr42Met missense_variant Exon 5 of 17 NP_001132939.1 O60907-2
TBL1XNM_001139468.1 linkc.125C>T p.Thr42Met missense_variant Exon 6 of 18 NP_001132940.1 O60907-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TBL1XENST00000645353.2 linkc.278C>T p.Thr93Met missense_variant Exon 6 of 18 NM_005647.4 ENSP00000496215.1 O60907-1

Frequencies

GnomAD3 genomes
AF:
0.00000897
AC:
1
AN:
111468
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000954
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:
0.0000218
AC:
4
AN:
183502
AF XY:
0.0000442
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000366
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000820
AC:
9
AN:
1098213
Hom.:
0
Cov.:
31
AF XY:
0.00000825
AC XY:
3
AN XY:
363569
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26403
American (AMR)
AF:
0.0000284
AC:
1
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19386
East Asian (EAS)
AF:
0.0000331
AC:
1
AN:
30206
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54144
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40534
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4137
European-Non Finnish (NFE)
AF:
0.00000831
AC:
7
AN:
842101
Other (OTH)
AF:
0.00
AC:
0
AN:
46095
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
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:
0.00000897
AC:
1
AN:
111468
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33676
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30599
American (AMR)
AF:
0.0000954
AC:
1
AN:
10480
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2644
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3536
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2647
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6028
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
236
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53122
Other (OTH)
AF:
0.00
AC:
0
AN:
1492
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000264
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

Inborn genetic diseases Uncertain:1
Aug 17, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.278C>T (p.T93M) alteration is located in exon 6 (coding exon 3) of the TBL1X gene. This alteration results from a C to T substitution at nucleotide position 278, causing the threonine (T) at amino acid position 93 to be replaced by a methionine (M). 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
0.14
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.27
CADD
Uncertain
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.38
.;T;.;.;T;T;.;T;T;.;.
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
D;D;.;D;.;.;D;.;.;D;D
M_CAP
Benign
0.026
D
MetaRNN
Benign
0.32
T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
1.3
.;L;.;.;L;L;.;L;L;.;.
PhyloP100
7.4
PrimateAI
Pathogenic
0.85
D
PROVEAN
Benign
-1.8
N;N;N;D;N;.;N;.;.;.;.
REVEL
Benign
0.21
Sift
Uncertain
0.026
D;D;D;T;D;.;D;.;.;.;.
Sift4G
Uncertain
0.055
T;D;T;D;D;.;T;.;.;.;.
Polyphen
0.99
.;D;.;.;D;D;.;D;D;.;.
Vest4
0.53
MutPred
0.32
.;Loss of glycosylation at T93 (P = 0.0264);.;.;Loss of glycosylation at T93 (P = 0.0264);Loss of glycosylation at T93 (P = 0.0264);.;Loss of glycosylation at T93 (P = 0.0264);Loss of glycosylation at T93 (P = 0.0264);.;.;
MVP
0.62
MPC
1.5
ClinPred
0.49
T
GERP RS
4.2
Varity_R
0.49
gMVP
0.87
Mutation Taster
=95/5
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: rs1322211695; hg19: chrX-9652149; COSMIC: COSV54279427; COSMIC: COSV54279427; API