chr2-178747087-GCTCTAGAGTCTCTCCTGGGGGTGTGGAGTATCT-G

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.

The NM_001267550.2(TTN):​c.11312-5199_11312-5167delAGATACTCCACACCCCCAGGAGAGACTCTAGAG variant causes a intron change. The variant allele was found at a frequency of 0.000014 in 142,784 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000027 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

TTN
NM_001267550.2 intron

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.71

Publications

0 publications found
Variant links:
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.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001267550.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTN
NM_001267550.2
MANE Select
c.11312-5199_11312-5167delAGATACTCCACACCCCCAGGAGAGACTCTAGAG
intron
N/ANP_001254479.2
TTN
NM_133379.5
c.15280_15312delAGATACTCCACACCCCCAGGAGAGACTCTAGAGp.Arg5094_Glu5104del
conservative_inframe_deletion
Exon 46 of 46NP_596870.2
TTN
NM_001256850.1
c.10361-5199_10361-5167delAGATACTCCACACCCCCAGGAGAGACTCTAGAG
intron
N/ANP_001243779.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTN
ENST00000589042.5
TSL:5 MANE Select
c.11312-5199_11312-5167delAGATACTCCACACCCCCAGGAGAGACTCTAGAG
intron
N/AENSP00000467141.1
TTN
ENST00000446966.2
TSL:1
c.11312-5199_11312-5167delAGATACTCCACACCCCCAGGAGAGACTCTAGAG
intron
N/AENSP00000408004.2
TTN
ENST00000436599.2
TSL:1
c.11036-5199_11036-5167delAGATACTCCACACCCCCAGGAGAGACTCTAGAG
intron
N/AENSP00000405517.2

Frequencies

GnomAD3 genomes
AF:
0.0000140
AC:
2
AN:
142668
Hom.:
0
Cov.:
32
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:
0.000231
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000154
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000241
AC:
6
AN:
249252
AF XY:
0.0000371
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000266
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000269
AC:
39
AN:
1451828
Hom.:
0
AF XY:
0.0000304
AC XY:
22
AN XY:
722594
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32916
American (AMR)
AF:
0.00
AC:
0
AN:
44484
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25886
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39398
South Asian (SAS)
AF:
0.0000698
AC:
6
AN:
86014
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53192
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5722
European-Non Finnish (NFE)
AF:
0.0000290
AC:
32
AN:
1104228
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59988
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.413
Heterozygous variant carriers
0
4
7
11
14
18
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
AF:
0.0000140
AC:
2
AN:
142784
Hom.:
0
Cov.:
32
AF XY:
0.0000287
AC XY:
2
AN XY:
69796
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
38294
American (AMR)
AF:
0.00
AC:
0
AN:
14488
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3340
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4658
South Asian (SAS)
AF:
0.000231
AC:
1
AN:
4328
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9644
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
268
European-Non Finnish (NFE)
AF:
0.0000154
AC:
1
AN:
64938
Other (OTH)
AF:
0.00
AC:
0
AN:
1976
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
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
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
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
5.7
Mutation Taster
=163/37
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs397517814; hg19: chr2-179611814; API