chr14-24259744-C-T

Variant summary

Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PM2PM5PP3_StrongPP5_Very_Strong

The NM_000359.3(TGM1):​c.944G>A​(p.Arg315His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000391 in 1,611,804 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R315C) has been classified as Pathogenic.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000042 ( 0 hom. )

Consequence

TGM1
NM_000359.3 missense

Scores

12
4
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:11

Conservation

PhyloP100: 7.56
Variant links:
Genes affected
TGM1 (HGNC:11777): (transglutaminase 1) The protein encoded by this gene is a membrane protein that catalyzes the addition of an alkyl group from an akylamine to a glutamine residue of a protein, forming an alkylglutamine in the protein. This protein alkylation leads to crosslinking of proteins and catenation of polyamines to proteins. This gene contains either one or two copies of a 22 nt repeat unit in its 3' UTR. Mutations in this gene have been associated with autosomal recessive lamellar ichthyosis (LI) and nonbullous congenital ichthyosiform erythroderma (NCIE). [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 16 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr14-24259745-G-A is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.97
PP5
Variant 14-24259744-C-T is Pathogenic according to our data. Variant chr14-24259744-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 39530.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-24259744-C-T is described in UniProt as null.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TGM1NM_000359.3 linkc.944G>A p.Arg315His missense_variant 6/15 ENST00000206765.11 NP_000350.1 P22735-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TGM1ENST00000206765.11 linkc.944G>A p.Arg315His missense_variant 6/151 NM_000359.3 ENSP00000206765.6 P22735-1
TGM1ENST00000559136.1 linkc.17G>A p.Arg6His missense_variant 2/75 ENSP00000453337.1 H0YLT9
TGM1ENST00000544573.5 linkc.-28-1356G>A intron_variant 2 ENSP00000439446.1 P22735-2

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152086
Hom.:
0
Cov.:
33
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000488
AC:
12
AN:
246144
Hom.:
0
AF XY:
0.0000449
AC XY:
6
AN XY:
133622
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000876
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:
0.0000721
Gnomad OTH exome
AF:
0.000166
GnomAD4 exome
AF:
0.0000425
AC:
62
AN:
1459718
Hom.:
0
Cov.:
32
AF XY:
0.0000468
AC XY:
34
AN XY:
726038
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000897
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000465
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000459
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
152086
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74274
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000252
Hom.:
0
Bravo
AF:
0.0000491
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal recessive congenital ichthyosis 1 Pathogenic:8
Pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsMar 27, 2024- -
Pathogenic, criteria provided, single submitterclinical testingGenome-Nilou Lab-- -
Pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 31, 2018- -
Pathogenic, no assertion criteria providedclinical testingCounsylJun 09, 2017- -
Pathogenic, no assertion criteria providedclinical testingNatera, Inc.Aug 13, 2020- -
Pathogenic, criteria provided, single submitterclinical testingRevvity Omics, RevvitySep 07, 2022- -
Pathogenic, no assertion criteria providedliterature onlyOMIMAug 01, 2009- -
Pathogenic, criteria provided, single submitterclinical testingNeuberg Centre For Genomic Medicine, NCGM-- -
not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 03, 2024This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 315 of the TGM1 protein (p.Arg315His). This variant is present in population databases (rs143473912, gnomAD 0.009%). This missense change has been observed in individuals with congenital ichthyosis (PMID: 16968736, 23096117, 23278109, 27025581, 28403434). ClinVar contains an entry for this variant (Variation ID: 39530). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt TGM1 protein function with a positive predictive value of 95%. Experimental studies have shown that this missense change affects TGM1 function (PMID: 19212342). This variant disrupts the p.Arg315 amino acid residue in TGM1. Other variant(s) that disrupt this residue have been observed in individuals with TGM1-related conditions (PMID: 10232404, 16968736, 19863506), which suggests that this may be a clinically significant amino acid residue. For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, criteria provided, single submitterclinical testingGeneDxFeb 14, 2022Published functional studies demonstrate that the R315H variant is temperature-sensitive and results in decreased transglutaminase 1 enzyme activity, particularly in warmer skin regions (Oji et al., 2006; Aufenvenne et al., 2009); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 23096117, 28236338, 19212342, 27025581, 23278109, 16968736, 27442430, 18948357, 22801880, 19241467, 31168818, 31953843, 31589614) -
Lamellar ichthyosis Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpJul 31, 2024Variant summary: TGM1 c.944G>A (p.Arg315His) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4.9e-05 in 246144 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in TGM1 causing Lamellar Ichthyosis (4.9e-05 vs 0.0021), allowing no conclusion about variant significance. c.944G>A has been reported in the literature in multiple homozygous individuals affected with Lamellar Ichthyosis (Oji_2006, Terrinoni_2012). These data indicate that the variant is very likely to be associated with disease. A different variant affecting the same codon has been classified as pathogenic by our lab (c.943C>T, p.Arg315Cys), supporting the critical relevance of codon 315 to TGM1 protein function. At least one publication reports experimental evidence evaluating an impact on protein function. The most pronounced variant effect results in <10% of normal activity in an in vitro assay (Aufenvenne_2009). The following publications have been ascertained in the context of this evaluation (PMID: 19212342, 16968736, 23096117). ClinVar contains an entry for this variant (Variation ID: 39530). Based on the evidence outlined above, the variant was classified as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.68
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.30
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.90
D;T
Eigen
Pathogenic
0.76
Eigen_PC
Pathogenic
0.67
FATHMM_MKL
Uncertain
0.96
D
M_CAP
Pathogenic
0.46
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Pathogenic
3.0
M;.
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-3.3
D;D
REVEL
Pathogenic
0.83
Sift
Uncertain
0.012
D;D
Sift4G
Uncertain
0.047
D;.
Polyphen
1.0
D;.
Vest4
0.91
MutPred
0.90
Loss of methylation at R315 (P = 0.0096);.;
MVP
0.99
MPC
1.0
ClinPred
0.95
D
GERP RS
4.9
Varity_R
0.35
gMVP
0.80

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: rs143473912; hg19: chr14-24728950; API