chr13-75288980-T-C
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Variant summary
Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2
The NM_014832.5(TBC1D4):āc.3617A>Gā(p.Asn1206Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0151 in 1,613,960 control chromosomes in the GnomAD database, including 251 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā ā ).
Frequency
Genomes: š 0.010 ( 15 hom., cov: 32)
Exomes š: 0.016 ( 236 hom. )
Consequence
TBC1D4
NM_014832.5 missense
NM_014832.5 missense
Scores
4
7
7
Clinical Significance
Conservation
PhyloP100: 7.61
Genes affected
TBC1D4 (HGNC:19165): (TBC1 domain family member 4) This gene is a member of the Tre-2/BUB2/CDC16 domain family. The protein encoded by this gene is a Rab-GTPase-activating protein, and contains two phopshotyrosine-binding domains (PTB1 and PTB2), a calmodulin-binding domain (CBD), a Rab-GTPase domain, and multiple AKT phosphomotifs. This protein is thought to play an important role in glucose homeostasis by regulating the insulin-dependent trafficking of the glucose transporter 4 (GLUT4), important for removing glucose from the bloodstream into skeletal muscle and fat tissues. Reduced expression of this gene results in an increase in GLUT4 levels at the plasma membrane, suggesting that this protein is important in intracellular retention of GLUT4 under basal conditions. When exposed to insulin, this protein is phosphorylated, dissociates from GLUT4 vesicles, resulting in increased GLUT4 at the cell surface, and enhanced glucose transport. Phosphorylation of this protein by AKT is required for proper translocation of GLUT4 to the cell surface. Individuals homozygous for a mutation in this gene are at higher risk for type 2 diabetes and have higher levels of circulating glucose and insulin levels after glucose ingestion. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Aug 2015]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -20 ACMG points.
BP4
Computational evidence support a benign effect (MetaRNN=0.0054231584).
BP6
Variant 13-75288980-T-C is Benign according to our data. Variant chr13-75288980-T-C is described in ClinVar as [Benign]. Clinvar id is 130553.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr13-75288980-T-C is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.0103 (1565/152314) while in subpopulation SAS AF= 0.0317 (153/4834). AF 95% confidence interval is 0.0276. There are 15 homozygotes in gnomad4. There are 748 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 15 AR gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
TBC1D4 | NM_014832.5 | c.3617A>G | p.Asn1206Ser | missense_variant | 20/21 | ENST00000377636.8 | NP_055647.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TBC1D4 | ENST00000377636.8 | c.3617A>G | p.Asn1206Ser | missense_variant | 20/21 | 2 | NM_014832.5 | ENSP00000366863.3 | ||
TBC1D4 | ENST00000431480.6 | c.3593A>G | p.Asn1198Ser | missense_variant | 19/20 | 1 | ENSP00000395986.2 | |||
TBC1D4 | ENST00000377625.6 | c.3428A>G | p.Asn1143Ser | missense_variant | 18/19 | 1 | ENSP00000366852.2 | |||
TBC1D4 | ENST00000648194.1 | c.2885A>G | p.Asn962Ser | missense_variant | 19/20 | ENSP00000496983.1 |
Frequencies
GnomAD3 genomes AF: 0.0103 AC: 1566AN: 152196Hom.: 15 Cov.: 32
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GnomAD3 exomes AF: 0.0134 AC: 3348AN: 249288Hom.: 39 AF XY: 0.0154 AC XY: 2078AN XY: 135240
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GnomAD4 exome AF: 0.0156 AC: 22859AN: 1461646Hom.: 236 Cov.: 32 AF XY: 0.0163 AC XY: 11841AN XY: 727110
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GnomAD4 genome AF: 0.0103 AC: 1565AN: 152314Hom.: 15 Cov.: 32 AF XY: 0.0100 AC XY: 748AN XY: 74482
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ClinVar
Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not specified Benign:1
Benign, criteria provided, single submitter | clinical testing | Genetic Services Laboratory, University of Chicago | Sep 05, 2013 | - - |
not provided Benign:1
Benign, criteria provided, single submitter | not provided | Breakthrough Genomics, Breakthrough Genomics | - | - - |
Computational scores
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Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Pathogenic
DANN
Uncertain
DEOGEN2
Benign
.;.;.;T
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Pathogenic
D
LIST_S2
Pathogenic
D;D;D;D
MetaRNN
Benign
T;T;T;T
MetaSVM
Uncertain
D
MutationAssessor
Uncertain
.;.;.;M
MutationTaster
Benign
D;D;D;D
PrimateAI
Benign
T
PROVEAN
Uncertain
.;D;D;D
REVEL
Uncertain
Sift
Uncertain
.;D;D;D
Sift4G
Uncertain
.;D;D;D
Polyphen
1.0, 1.0, 1.0
.;D;D;D
Vest4
0.41, 0.53, 0.24
MPC
0.97
ClinPred
T
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at