chr5-14143747-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM2PP2BP4_Moderate

The NM_007118.4(TRIO):​c.22G>A​(p.Ala8Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000239 in 838,038 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000024 ( 0 hom. )

Consequence

TRIO
NM_007118.4 missense

Scores

2
3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.432
Variant links:
Genes affected
TRIO (HGNC:12303): (trio Rho guanine nucleotide exchange factor) This gene encodes a large protein that functions as a GDP to GTP exchange factor. This protein promotes the reorganization of the actin cytoskeleton, thereby playing a role in cell migration and growth. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the TRIO gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 31 curated pathogenic missense variants (we use a threshold of 10). The gene has 80 curated benign missense variants. Gene score misZ: 5.3161 (above the threshold of 3.09). Trascript score misZ: 4.6722 (above the threshold of 3.09). GenCC associations: The gene is linked to intellectual disability, autosomal dominant 40, syndromic intellectual disability, intellectual developmental disorder, autosomal dominant 63, with macrocephaly, micrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.21700001).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TRIONM_007118.4 linkc.22G>A p.Ala8Thr missense_variant Exon 1 of 57 ENST00000344204.9 NP_009049.2 O75962-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TRIOENST00000344204.9 linkc.22G>A p.Ala8Thr missense_variant Exon 1 of 57 1 NM_007118.4 ENSP00000339299.4 O75962-1
TRIOENST00000698541.1 linkc.22G>A p.Ala8Thr missense_variant Exon 1 of 37 ENSP00000513786.1 A0A8V8TLX5
TRIOENST00000502816.1 linkn.46G>A non_coding_transcript_exon_variant Exon 1 of 5 2
TRIOENST00000505971.5 linkn.46G>A non_coding_transcript_exon_variant Exon 1 of 4 3

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
0.00000239
AC:
2
AN:
838038
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
387652
show subpopulations
Gnomad4 AFR exome
AF:
0.0000631
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000362
GnomAD4 genome
Cov.:
31

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Nov 21, 2023
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.22G>A (p.A8T) alteration is located in exon 1 (coding exon 1) of the TRIO gene. This alteration results from a G to A substitution at nucleotide position 22, causing the alanine (A) at amino acid position 8 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.081
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
19
DANN
Uncertain
0.98
DEOGEN2
Benign
0.050
T
Eigen
Benign
-0.76
Eigen_PC
Benign
-0.83
FATHMM_MKL
Benign
0.075
N
LIST_S2
Benign
0.37
T
M_CAP
Pathogenic
0.76
D
MetaRNN
Benign
0.22
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
-0.18
N
REVEL
Benign
0.14
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.044
D
Polyphen
0.81
P
Vest4
0.16
MutPred
0.14
Gain of glycosylation at A8 (P = 0.0019);
MVP
0.45
MPC
0.81
ClinPred
0.29
T
GERP RS
1.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.11
gMVP
0.15

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr5-14143856; API