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chr21-18270124-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 2P and 10B. PP3_ModerateBP6_ModerateBS1BS2

The NM_002772.3(TMPRSS15):​c.2905G>A​(p.Gly969Arg) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000284 in 1,613,248 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G969E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0014 ( 2 hom., cov: 32)
Exomes 𝑓: 0.00017 ( 1 hom. )

Consequence

TMPRSS15
NM_002772.3 missense, splice_region

Scores

13
4
2
Splicing: ADA: 0.9998
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 6.30
Variant links:
Genes affected
TMPRSS15 (HGNC:9490): (transmembrane serine protease 15) This gene encodes an enzyme that converts the pancreatic proenzyme trypsinogen to trypsin, which activates other proenzymes including chymotrypsinogen and procarboxypeptidases. The precursor protein is cleaved into two chains that form a heterodimer linked by a disulfide bond. This protein is a member of the trypsin family of peptidases. Mutations in this gene cause enterokinase deficiency, a malabsorption disorder characterized by diarrhea and failure to thrive. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. Scorers claiming Uncertain: max_spliceai. No scorers claiming Benign.
BP6
Variant 21-18270124-C-T is Benign according to our data. Variant chr21-18270124-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 722982.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00138 (209/151724) while in subpopulation AFR AF= 0.0036 (149/41342). AF 95% confidence interval is 0.00313. There are 2 homozygotes in gnomad4. There are 109 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TMPRSS15NM_002772.3 linkuse as main transcriptc.2905G>A p.Gly969Arg missense_variant, splice_region_variant 25/25 ENST00000284885.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TMPRSS15ENST00000284885.8 linkuse as main transcriptc.2905G>A p.Gly969Arg missense_variant, splice_region_variant 25/251 NM_002772.3 P1

Frequencies

GnomAD3 genomes
AF:
0.00138
AC:
209
AN:
151604
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00361
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00348
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00288
GnomAD3 exomes
AF:
0.000302
AC:
76
AN:
251326
Hom.:
0
AF XY:
0.000236
AC XY:
32
AN XY:
135854
show subpopulations
Gnomad AFR exome
AF:
0.00332
Gnomad AMR exome
AF:
0.000491
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000815
GnomAD4 exome
AF:
0.000170
AC:
249
AN:
1461524
Hom.:
1
Cov.:
31
AF XY:
0.000133
AC XY:
97
AN XY:
727080
show subpopulations
Gnomad4 AFR exome
AF:
0.00478
Gnomad4 AMR exome
AF:
0.00101
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.000613
GnomAD4 genome
AF:
0.00138
AC:
209
AN:
151724
Hom.:
2
Cov.:
32
AF XY:
0.00147
AC XY:
109
AN XY:
74096
show subpopulations
Gnomad4 AFR
AF:
0.00360
Gnomad4 AMR
AF:
0.00348
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00285
Alfa
AF:
0.000263
Hom.:
0
Bravo
AF:
0.00207
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000288
AC:
35

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 16, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.86
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Pathogenic
0.51
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.69
D
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.96
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D
M_CAP
Pathogenic
0.37
D
MetaRNN
Benign
0.30
T
MetaSVM
Pathogenic
0.92
D
MutationAssessor
Uncertain
2.7
M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.77
T
PROVEAN
Pathogenic
-7.6
D
REVEL
Pathogenic
0.96
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0010
D
Polyphen
1.0
D
Vest4
0.92
MutPred
0.97
Gain of phosphorylation at S971 (P = 0.1147);
MVP
0.98
MPC
0.24
ClinPred
0.16
T
GERP RS
6.0
Varity_R
0.93
gMVP
0.94

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.96
SpliceAI score (max)
0.24
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.24
Position offset: 0

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: rs146198697; hg19: chr21-19642441; COSMIC: COSV99518769; COSMIC: COSV99518769; API