chr2-178712211-A-C
Variant names: 
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.
The NM_001267550.2(TTN):c.27619T>G(p.Phe9207Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000018 in 1,612,920 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
 Genomes: 𝑓 0.000013   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.000018   (  0   hom.  ) 
Consequence
 TTN
NM_001267550.2 missense
NM_001267550.2 missense
Scores
 4
 5
 7
Clinical Significance
Conservation
 PhyloP100:  7.33  
Publications
0 publications found 
Genes affected
 TTN  (HGNC:12403):  (titin) This gene encodes a large abundant protein of striated muscle. The product of this gene is divided into two regions, a N-terminal I-band and a C-terminal A-band. The I-band, which is the elastic part of the molecule, contains two regions of tandem immunoglobulin domains on either side of a PEVK region that is rich in proline, glutamate, valine and lysine. The A-band, which is thought to act as a protein-ruler, contains a mixture of immunoglobulin and fibronectin repeats, and possesses kinase activity. An N-terminal Z-disc region and a C-terminal M-line region bind to the Z-line and M-line of the sarcomere, respectively, so that a single titin molecule spans half the length of a sarcomere. Titin also contains binding sites for muscle associated proteins so it serves as an adhesion template for the assembly of contractile machinery in muscle cells. It has also been identified as a structural protein for chromosomes. Alternative splicing of this gene results in multiple transcript variants. Considerable variability exists in the I-band, the M-line and the Z-disc regions of titin. Variability in the I-band region contributes to the differences in elasticity of different titin isoforms and, therefore, to the differences in elasticity of different muscle types. Mutations in this gene are associated with familial hypertrophic cardiomyopathy 9, and autoantibodies to titin are produced in patients with the autoimmune disease scleroderma. [provided by RefSeq, Feb 2012] 
 TTN-AS1  (HGNC:44124):  (TTN antisense RNA 1) This gene encodes a non-coding RNA transcribed from the opposite strand to the titin gene. [provided by RefSeq, Aug 2016] 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| TTN | NM_001267550.2 | c.27619T>G | p.Phe9207Val | missense_variant | Exon 96 of 363 | ENST00000589042.5 | NP_001254479.2 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| TTN | ENST00000589042.5 | c.27619T>G | p.Phe9207Val | missense_variant | Exon 96 of 363 | 5 | NM_001267550.2 | ENSP00000467141.1 | 
Frequencies
GnomAD3 genomes  0.0000131  AC: 2AN: 152164Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
2
AN: 
152164
Hom.: 
Cov.: 
33
Gnomad AFR 
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Gnomad OTH 
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GnomAD2 exomes  AF:  0.0000161  AC: 4AN: 248064 AF XY:  0.00000743   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
4
AN: 
248064
 AF XY: 
Gnomad AFR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.0000185  AC: 27AN: 1460756Hom.:  0  Cov.: 32 AF XY:  0.0000220  AC XY: 16AN XY: 726514 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
27
AN: 
1460756
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
16
AN XY: 
726514
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33440
American (AMR) 
 AF: 
AC: 
0
AN: 
44676
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26096
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39692
South Asian (SAS) 
 AF: 
AC: 
19
AN: 
86166
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53374
Middle Eastern (MID) 
 AF: 
AC: 
3
AN: 
5762
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111216
Other (OTH) 
 AF: 
AC: 
5
AN: 
60334
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.527 
Heterozygous variant carriers
 0 
 2 
 4 
 5 
 7 
 9 
 0.00 
 0.20 
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 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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 65-70 
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 75-80 
 >80 
Age
GnomAD4 genome  0.0000131  AC: 2AN: 152164Hom.:  0  Cov.: 33 AF XY:  0.0000269  AC XY: 2AN XY: 74306 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
2
AN: 
152164
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
2
AN XY: 
74306
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
41456
American (AMR) 
 AF: 
AC: 
0
AN: 
15258
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5180
South Asian (SAS) 
 AF: 
AC: 
1
AN: 
4832
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10612
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
68038
Other (OTH) 
 AF: 
AC: 
0
AN: 
2090
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.525 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Variant carriers
 0 
 2 
 4 
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 8 
 10 
 <30 
 30-35 
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 40-45 
 45-50 
 50-55 
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 60-65 
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Age
Alfa 
 AF: 
Hom.: 
ExAC 
 AF: 
AC: 
2
Asia WGS 
 AF: 
AC: 
1
AN: 
3478
ClinVar
Significance: Uncertain significance 
Submissions summary: Uncertain:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Autosomal recessive limb-girdle muscular dystrophy type 2J;C1838244:Tibial muscular dystrophy;C1858763:Dilated cardiomyopathy 1G;C1861065:Hypertrophic cardiomyopathy 9;C1863599:Myopathy, myofibrillar, 9, with early respiratory failure;C2673677:Early-onset myopathy with fatal cardiomyopathy    Uncertain:1 
Oct 18, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
not provided    Uncertain:1 
Jun 24, 2013
Biesecker Lab/Clinical Genomics Section, National Institutes of Health
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Uncertain 
 BayesDel_addAF 
 Benign 
T 
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Pathogenic 
 FATHMM_MKL 
 Pathogenic 
D 
 LIST_S2 
 Benign 
T;T;.;T 
 M_CAP 
 Benign 
D 
 MetaRNN 
 Uncertain 
D;D;D;D 
 MetaSVM 
 Uncertain 
D 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Uncertain 
D;.;.;. 
 REVEL 
 Pathogenic 
 Sift 
 Benign 
T;.;.;. 
 Polyphen 
 1.0 
.;.;D;D 
 Vest4 
 MutPred 
 0.76 
.;.;Gain of loop (P = 0.1069);Gain of loop (P = 0.1069);
 MVP 
 MPC 
 0.53 
 ClinPred 
T 
 GERP RS 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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