chr2-178767810-G-C
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 2P and 7B. PM2BP4_StrongBP6_ModerateBP7
The NM_001267550.2(TTN):c.9420C>G(p.Leu3140Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000248 in 1,614,008 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: 𝑓 0.000013   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.0000014   (  0   hom.  ) 
Consequence
 TTN
NM_001267550.2 synonymous
NM_001267550.2 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  1.13  
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] 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -5 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.49). 
BP6
Variant 2-178767810-G-C is Benign according to our data. Variant chr2-178767810-G-C is described in ClinVar as Likely_benign. ClinVar VariationId is 413077.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP7
Synonymous conserved (PhyloP=1.13 with no splicing effect.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| TTN | NM_001267550.2 | c.9420C>G | p.Leu3140Leu | synonymous_variant | Exon 40 of 363 | ENST00000589042.5 | NP_001254479.2 | |
| TTN | NM_133379.5 | c.9420C>G | p.Leu3140Leu | synonymous_variant | Exon 40 of 46 | ENST00000360870.10 | NP_596870.2 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| TTN | ENST00000589042.5 | c.9420C>G | p.Leu3140Leu | synonymous_variant | Exon 40 of 363 | 5 | NM_001267550.2 | ENSP00000467141.1 | ||
| TTN | ENST00000360870.10 | c.9420C>G | p.Leu3140Leu | synonymous_variant | Exon 40 of 46 | 5 | NM_133379.5 | ENSP00000354117.4 | 
Frequencies
GnomAD3 genomes  0.0000131  AC: 2AN: 152176Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
2
AN: 
152176
Hom.: 
Cov.: 
33
Gnomad AFR 
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GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 251040 AF XY:  0.00   show subpopulations 
GnomAD2 exomes 
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AC: 
1
AN: 
251040
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GnomAD4 exome  AF:  0.00000137  AC: 2AN: 1461832Hom.:  0  Cov.: 31 AF XY:  0.00000138  AC XY: 1AN XY: 727216 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
2
AN: 
1461832
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
1
AN XY: 
727216
show subpopulations 
African (AFR) 
 AF: 
AC: 
1
AN: 
33480
American (AMR) 
 AF: 
AC: 
0
AN: 
44722
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26134
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39690
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86258
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53410
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5766
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
1111978
Other (OTH) 
 AF: 
AC: 
0
AN: 
60394
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.500 
Heterozygous variant carriers
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 0 
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 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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Age
GnomAD4 genome  0.0000131  AC: 2AN: 152176Hom.:  0  Cov.: 33 AF XY:  0.0000135  AC XY: 1AN XY: 74334 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
2
AN: 
152176
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
1
AN XY: 
74334
show subpopulations 
African (AFR) 
 AF: 
AC: 
2
AN: 
41434
American (AMR) 
 AF: 
AC: 
0
AN: 
15278
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5196
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4824
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10616
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
68038
Other (OTH) 
 AF: 
AC: 
0
AN: 
2092
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.575 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Alfa 
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Hom.: 
Bravo 
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ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Autosomal recessive limb-girdle muscular dystrophy type 2J;C1858763:Dilated cardiomyopathy 1G    Benign:1 
Aug 27, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
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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