chr13-100612493-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_032813.5(TMTC4):​c.1969G>A​(p.Glu657Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000048 in 1,458,424 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

TMTC4
NM_032813.5 missense

Scores

3
7
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.51
Variant links:
Genes affected
TMTC4 (HGNC:25904): (transmembrane O-mannosyltransferase targeting cadherins 4) This gene encodes a transmembrane protein that belongs to family of proteins containing an N-terminal transmembrane domain and a C-terminal tetratricopeptide repeat (TPR) domain. TPR domains mediate protein-protein interactions in various cellular processes, such as synaptic vesicle fusion, protein folding, and protein translocation. A pseudogene of this gene has been defined on chromosome 5. [provided by RefSeq, Apr 2017]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.782

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMTC4NM_032813.5 linkuse as main transcriptc.1969G>A p.Glu657Lys missense_variant 17/19 ENST00000342624.10 NP_116202.2 Q5T4D3-3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMTC4ENST00000342624.10 linkuse as main transcriptc.1969G>A p.Glu657Lys missense_variant 17/192 NM_032813.5 ENSP00000343871.5 Q5T4D3-3
TMTC4ENST00000376234.7 linkuse as main transcriptc.1912G>A p.Glu638Lys missense_variant 16/181 ENSP00000365408.3 Q5T4D3-1
TMTC4ENST00000328767.9 linkuse as main transcriptc.1579G>A p.Glu527Lys missense_variant 14/162 ENSP00000365409.2 Q5T4D3-4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000405
AC:
1
AN:
246898
Hom.:
0
AF XY:
0.00000749
AC XY:
1
AN XY:
133452
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000886
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000480
AC:
7
AN:
1458424
Hom.:
0
Cov.:
32
AF XY:
0.00000276
AC XY:
2
AN XY:
725414
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

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 25, 2024The c.1969G>A (p.E657K) alteration is located in exon 17 (coding exon 16) of the TMTC4 gene. This alteration results from a G to A substitution at nucleotide position 1969, causing the glutamic acid (E) at amino acid position 657 to be replaced by a lysine (K). 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
Uncertain
0.35
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.10
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.020
T;.;.
Eigen
Uncertain
0.37
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Pathogenic
0.98
D;D;D
M_CAP
Benign
0.063
D
MetaRNN
Pathogenic
0.78
D;D;D
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
2.0
M;.;.
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
-1.7
N;N;N
REVEL
Benign
0.27
Sift
Benign
0.032
D;D;D
Sift4G
Benign
0.063
T;T;T
Polyphen
0.66
P;P;.
Vest4
0.85
MutPred
0.52
Gain of ubiquitination at E638 (P = 0.0267);.;.;
MVP
0.62
MPC
0.44
ClinPred
0.70
D
GERP RS
5.7
Varity_R
0.39
gMVP
0.90

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: rs1395387722; hg19: chr13-101264747; COSMIC: COSV60891156; API