chr7-19117047-C-CCGCCGCCGCCGCCCG
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Variant summary
Our verdict is Benign. Variant got -14 ACMG points: 2P and 16B. PM1BP6_Very_StrongBS1BS2
The ENST00000242261.6(TWIST1):c.274_275insCGGGCGGCGGCGGCG(p.Ala87_Gly91dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0002 in 150,060 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Genomes: 𝑓 0.00020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00018 ( 0 hom. )
Failed GnomAD Quality Control
Consequence
TWIST1
ENST00000242261.6 inframe_insertion
ENST00000242261.6 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.351
Genes affected
TWIST1 (HGNC:12428): (twist family bHLH transcription factor 1) This gene encodes a basic helix-loop-helix (bHLH) transcription factor that plays an important role in embryonic development. The encoded protein forms both homodimers and heterodimers that bind to DNA E box sequences and regulate the transcription of genes involved in cranial suture closure during skull development. This protein may also regulate neural tube closure, limb development and brown fat metabolism. This gene is hypermethylated and overexpressed in multiple human cancers, and the encoded protein promotes tumor cell invasion and metastasis, as well as metastatic recurrence. Mutations in this gene cause Saethre-Chotzen syndrome in human patients, which is characterized by craniosynostosis, ptosis and hypertelorism. [provided by RefSeq, Jul 2020]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -14 ACMG points.
PM1
In a chain Twist-related protein 1 (size 201) in uniprot entity TWST1_HUMAN there are 63 pathogenic changes around while only 11 benign (85%) in ENST00000242261.6
BP6
Variant 7-19117047-C-CCGCCGCCGCCGCCCG is Benign according to our data. Variant chr7-19117047-C-CCGCCGCCGCCGCCCG is described in ClinVar as [Likely_benign]. Clinvar id is 543080.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0002 (30/150060) while in subpopulation NFE AF= 0.000267 (18/67312). AF 95% confidence interval is 0.000173. There are 0 homozygotes in gnomad4. There are 8 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 30 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
TWIST1 | NM_000474.4 | c.274_275insCGGGCGGCGGCGGCG | p.Ala87_Gly91dup | inframe_insertion | 1/2 | ENST00000242261.6 | NP_000465.1 | |
TWIST1 | NR_149001.2 | n.589_590insCGGGCGGCGGCGGCG | non_coding_transcript_exon_variant | 1/3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TWIST1 | ENST00000242261.6 | c.274_275insCGGGCGGCGGCGGCG | p.Ala87_Gly91dup | inframe_insertion | 1/2 | 1 | NM_000474.4 | ENSP00000242261 | P1 | |
TWIST1 | ENST00000354571.5 | c.71_72insCGGGCGGCGGCGGCG | p.Ala20_Gly24dup | inframe_insertion, NMD_transcript_variant | 1/3 | 2 | ENSP00000346582 |
Frequencies
GnomAD3 genomes AF: 0.000200 AC: 30AN: 149952Hom.: 0 Cov.: 32
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GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.000179 AC: 223AN: 1248696Hom.: 0 Cov.: 32 AF XY: 0.000168 AC XY: 103AN XY: 613016
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Data not reliable, filtered out with message: AS_VQSR
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GnomAD4 genome AF: 0.000200 AC: 30AN: 150060Hom.: 0 Cov.: 32 AF XY: 0.000109 AC XY: 8AN XY: 73240
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ClinVar
Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Saethre-Chotzen syndrome;C1867146:Robinow-Sorauf syndrome;C4540299:Sweeney-Cox syndrome;C4551902:TWIST1-related craniosynostosis Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | Jul 13, 2021 | - - |
Saethre-Chotzen syndrome;C4551902:TWIST1-related craniosynostosis Benign:1
Benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Mar 19, 2022 | - - |
Computational scores
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Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at