chr16-75555881-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 4P and 2B. PM1PM2BP4_Moderate

The NM_001077418.3(TMEM231):​c.232G>A​(p.Asp78Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00000139 in 1,441,286 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D78Y) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000014 ( 1 hom. )

Consequence

TMEM231
NM_001077418.3 missense

Scores

3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.69

Publications

0 publications found
Variant links:
Genes affected
TMEM231 (HGNC:37234): (transmembrane protein 231) This gene encodes a transmembrane protein, which is a component of the B9 complex involved in the formation of the diffusion barrier between the cilia and plasma membrane. Mutations in this gene cause Joubert syndrome (JBTS). Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jan 2013]
TMEM231 Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Joubert syndrome 20
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • Joubert syndrome with oculorenal defect
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Meckel syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • orofaciodigital syndrome III
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 10 uncertain in NM_001077418.3
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.20489964).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001077418.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM231
NM_001077418.3
MANE Select
c.232G>Ap.Asp78Asn
missense
Exon 2 of 7NP_001070886.1
TMEM231
NM_001077416.2
c.391G>Ap.Asp131Asn
missense
Exon 1 of 6NP_001070884.2
TMEM231
NR_074083.2
n.275G>A
non_coding_transcript_exon
Exon 2 of 7

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM231
ENST00000258173.11
TSL:1 MANE Select
c.232G>Ap.Asp78Asn
missense
Exon 2 of 7ENSP00000258173.5
TMEM231
ENST00000568377.5
TSL:1
c.319G>Ap.Asp107Asn
missense
Exon 1 of 6ENSP00000476267.1
TMEM231
ENST00000565067.5
TSL:5
c.232G>Ap.Asp78Asn
missense
Exon 2 of 6ENSP00000457254.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000139
AC:
2
AN:
1441286
Hom.:
1
Cov.:
30
AF XY:
0.00000280
AC XY:
2
AN XY:
714646
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32914
American (AMR)
AF:
0.00
AC:
0
AN:
42200
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25546
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38826
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82970
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51290
Middle Eastern (MID)
AF:
0.000350
AC:
2
AN:
5716
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1102320
Other (OTH)
AF:
0.00
AC:
0
AN:
59504

Age Distribution

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
Cov.:
33
Alfa
AF:
0.00
Hom.:
0

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Joubert syndrome 20;C3809352:Meckel syndrome, type 11 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.093
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.099
T
Eigen
Benign
-0.17
Eigen_PC
Benign
0.0060
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Benign
0.48
T
M_CAP
Benign
0.0095
T
MetaRNN
Benign
0.20
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.90
L
PhyloP100
6.7
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
0.050
N
REVEL
Benign
0.15
Sift
Benign
0.11
T
Sift4G
Benign
0.69
T
Polyphen
0.0030
B
Vest4
0.30
MutPred
0.54
Gain of sheet (P = 0.0221)
MVP
0.23
MPC
0.81
ClinPred
0.90
D
GERP RS
5.9
PromoterAI
0.011
Neutral
Varity_R
0.13
gMVP
0.32
Mutation Taster
=86/14
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: rs753709447; hg19: chr16-75589779; API