chr11-125097715-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_001258244.2(TMEM218):​c.239G>A​(p.Arg80His) variant causes a missense change. The variant allele was found at a frequency of 0.0000062 in 1,613,564 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

TMEM218
NM_001258244.2 missense

Scores

5
8
6

Clinical Significance

Uncertain significance criteria provided, single submitter P:2U:1

Conservation

PhyloP100: 4.47
Variant links:
Genes affected
TMEM218 (HGNC:27344): (transmembrane protein 218) Predicted to be located in cilium. Predicted to be integral component of membrane. Implicated in Joubert syndrome. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3866673).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMEM218NM_001258244.2 linkuse as main transcriptc.239G>A p.Arg80His missense_variant 5/5 ENST00000682305.1 NP_001245173.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMEM218ENST00000682305.1 linkuse as main transcriptc.239G>A p.Arg80His missense_variant 5/5 NM_001258244.2 ENSP00000506979 P1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152112
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000966
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
GnomAD3 exomes
AF:
0.0000160
AC:
4
AN:
250676
Hom.:
0
AF XY:
0.0000221
AC XY:
3
AN XY:
135508
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000882
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1461334
Hom.:
0
Cov.:
34
AF XY:
0.00000825
AC XY:
6
AN XY:
726978
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152230
Hom.:
0
Cov.:
33
AF XY:
0.0000134
AC XY:
1
AN XY:
74432
show subpopulations
Gnomad4 AFR
AF:
0.0000963
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:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:2Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Joubert syndrome 39 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMOct 12, 2021- -
Familial aplasia of the vermis Pathogenic:1
Pathogenic, no assertion criteria providedresearchUW Hindbrain Malformation Research Program, University of WashingtonNov 05, 2020- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 27, 2021The c.239G>A (p.R80H) alteration is located in exon 4 (coding exon 3) of the TMEM218 gene. This alteration results from a G to A substitution at nucleotide position 239, causing the arginine (R) at amino acid position 80 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
0.33
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Pathogenic
0.37
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.34
T;.;T;T;T;T;T;T
Eigen
Pathogenic
0.75
Eigen_PC
Pathogenic
0.75
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.92
.;D;.;.;.;.;.;D
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.39
T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.25
T
MutationAssessor
Uncertain
2.4
M;.;M;M;M;M;M;M
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D;D;D
PrimateAI
Benign
0.43
T
PROVEAN
Uncertain
-3.0
D;D;D;D;D;D;D;D
REVEL
Uncertain
0.32
Sift
Uncertain
0.0080
D;D;D;D;D;D;D;D
Sift4G
Uncertain
0.016
D;D;D;D;D;D;D;D
Polyphen
1.0
D;D;D;D;D;D;D;D
Vest4
0.51
MutPred
0.41
.;Loss of methylation at R106 (P = 0.0574);.;.;.;.;.;.;
MVP
0.36
ClinPred
0.78
D
GERP RS
5.6
Varity_R
0.30
gMVP
0.86

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

LitVar

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

Other links and lift over

dbSNP: rs575689990; hg19: chr11-124967611; COSMIC: COSV54444770; COSMIC: COSV54444770; API