chr19-3595705-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The ENST00000375190.10(TBXA2R):​c.1015C>T​(p.Arg339Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000234 in 1,591,446 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 11/14 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. R339H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00024 ( 0 hom. )

Consequence

TBXA2R
ENST00000375190.10 missense

Scores

1
11

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.0300
Variant links:
Genes affected
TBXA2R (HGNC:11608): (thromboxane A2 receptor) This gene encodes a member of the G protein-coupled receptor family. The protein interacts with thromboxane A2 to induce platelet aggregation and regulate hemostasis. A mutation in this gene results in a bleeding disorder. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.016737938).
BS2
High AC in GnomAd4 at 22 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TBXA2RNM_001060.6 linkuse as main transcriptc.1015C>T p.Arg339Cys missense_variant 3/3 ENST00000375190.10 NP_001051.1
TBXA2RXM_011528214.3 linkuse as main transcriptc.1015C>T p.Arg339Cys missense_variant 4/4 XP_011526516.1
TBXA2RNM_201636.3 linkuse as main transcriptc.983+32C>T intron_variant NP_963998.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TBXA2RENST00000375190.10 linkuse as main transcriptc.1015C>T p.Arg339Cys missense_variant 3/31 NM_001060.6 ENSP00000364336 P1P21731-3
TBXA2RENST00000589966.1 linkuse as main transcriptc.626C>T p.Ala209Val missense_variant 2/21 ENSP00000468145
TBXA2RENST00000411851.3 linkuse as main transcriptc.983+32C>T intron_variant 2 ENSP00000393333 P21731-2

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152230
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000121
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:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000235
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000136
AC:
28
AN:
206222
Hom.:
0
AF XY:
0.0000982
AC XY:
11
AN XY:
111992
show subpopulations
Gnomad AFR exome
AF:
0.0000841
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:
0.000283
Gnomad NFE exome
AF:
0.000231
Gnomad OTH exome
AF:
0.000192
GnomAD4 exome
AF:
0.000243
AC:
350
AN:
1439216
Hom.:
0
Cov.:
66
AF XY:
0.000258
AC XY:
184
AN XY:
713590
show subpopulations
Gnomad4 AFR exome
AF:
0.0000300
Gnomad4 AMR exome
AF:
0.0000248
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000120
Gnomad4 FIN exome
AF:
0.000197
Gnomad4 NFE exome
AF:
0.000298
Gnomad4 OTH exome
AF:
0.000151
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
152230
Hom.:
0
Cov.:
33
AF XY:
0.000161
AC XY:
12
AN XY:
74374
show subpopulations
Gnomad4 AFR
AF:
0.000121
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.000235
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000163
Hom.:
0
Bravo
AF:
0.000136
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000239
AC:
1
ESP6500EA
AF:
0.000119
AC:
1
ExAC
AF:
0.000125
AC:
15
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpApr 16, 2024Variant summary: TBXA2R c.1015C>T (p.Arg339Cys) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.00014 in 206222 control chromosomes. This frequency does not allow conclusions about variant significance. To our knowledge, no occurrence of c.1015C>T in individuals affected with Bleeding Diathesis Due To Thromboxane Synthesis Deficiency and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 2389230). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 07, 2022The c.1015C>T (p.R339C) alteration is located in exon 3 (coding exon 2) of the TBXA2R gene. This alteration results from a C to T substitution at nucleotide position 1015, causing the arginine (R) at amino acid position 339 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 06, 2023This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 339 of the TBXA2R protein (p.Arg339Cys). This variant is present in population databases (rs202067474, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with TBXA2R-related conditions. ClinVar contains an entry for this variant (Variation ID: 2389230). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
17
DANN
Benign
0.96
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.011
N
LIST_S2
Benign
0.36
T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.017
T
MutationTaster
Benign
1.0
N;N;N
Sift4G
Pathogenic
0.0
D
Vest4
0.050
MVP
0.088
ClinPred
0.028
T
GERP RS
-9.2

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: rs202067474; hg19: chr19-3595703; API