chrX-154419617-C-G

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 6P and 4B. PM1PP3_StrongBS2

The NM_000116.5(TAFAZZIN):​c.535C>G​(p.Pro179Ala) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000033 in 1,210,693 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. P179P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 1 hem., cov: 24)
Exomes 𝑓: 0.0000027 ( 0 hom. 2 hem. )

Consequence

TAFAZZIN
NM_000116.5 missense

Scores

10
6

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:6

Conservation

PhyloP100: 7.25

Publications

1 publications found
Variant links:
Genes affected
TAFAZZIN (HGNC:11577): (tafazzin, phospholipid-lysophospholipid transacylase) This gene encodes a protein that is expressed at high levels in cardiac and skeletal muscle. Mutations in this gene have been associated with a number of clinical disorders including Barth syndrome, dilated cardiomyopathy (DCM), hypertrophic DCM, endocardial fibroelastosis, and left ventricular noncompaction (LVNC). Multiple transcript variants encoding different isoforms have been described. A long form and a short form of each of these isoforms is produced; the short form lacks a hydrophobic leader sequence and may exist as a cytoplasmic protein rather than being membrane-bound. Other alternatively spliced transcripts have been described but the full-length nature of all these transcripts is not known. [provided by RefSeq, Jul 2008]
TAFAZZIN Gene-Disease associations (from GenCC):
  • Barth syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: ClinGen, PanelApp Australia, G2P, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 6 uncertain in NM_000116.5
PP3
MetaRNN computational evidence supports a deleterious effect, 0.988
BS2
High Hemizygotes in GnomAdExome4 at 2 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000116.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TAFAZZIN
NM_000116.5
MANE Select
c.535C>Gp.Pro179Ala
missense
Exon 6 of 11NP_000107.1Q16635-1
TAFAZZIN
NM_001440856.1
c.589C>Gp.Pro197Ala
missense
Exon 6 of 11NP_001427785.1
TAFAZZIN
NM_001303465.2
c.589C>Gp.Pro197Ala
missense
Exon 6 of 10NP_001290394.1A6XNE1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TAFAZZIN
ENST00000601016.6
TSL:1 MANE Select
c.535C>Gp.Pro179Ala
missense
Exon 6 of 11ENSP00000469981.1Q16635-1
TAFAZZIN
ENST00000475699.6
TSL:1
c.499C>Gp.Pro167Ala
missense
Exon 5 of 10ENSP00000419854.3A0A499FJ53
TAFAZZIN
ENST00000369776.8
TSL:1
c.370C>Gp.Pro124Ala
missense
Exon 4 of 7ENSP00000358791.4F6Y2X3

Frequencies

GnomAD3 genomes
AF:
0.00000889
AC:
1
AN:
112533
Hom.:
0
Cov.:
24
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:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000545
AC:
1
AN:
183483
AF XY:
0.0000147
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:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000273
AC:
3
AN:
1098160
Hom.:
0
Cov.:
31
AF XY:
0.00000550
AC XY:
2
AN XY:
363518
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26399
American (AMR)
AF:
0.00
AC:
0
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19385
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30206
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54144
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40532
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4132
European-Non Finnish (NFE)
AF:
0.00000356
AC:
3
AN:
842063
Other (OTH)
AF:
0.00
AC:
0
AN:
46092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
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

Exome Het
Exome Hom
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:
0.00000889
AC:
1
AN:
112533
Hom.:
0
Cov.:
24
AF XY:
0.0000288
AC XY:
1
AN XY:
34719
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30997
American (AMR)
AF:
0.00
AC:
0
AN:
10722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2648
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3575
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2767
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6266
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53114
Other (OTH)
AF:
0.00
AC:
0
AN:
1520

Age Distribution

Genome Hom
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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
3-Methylglutaconic aciduria type 2 (2)
-
1
-
Endocardial fibroelastosis (1)
-
1
-
Left ventricular noncompaction cardiomyopathy (1)
-
1
-
not provided (1)
-
1
-
Primary dilated cardiomyopathy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.94
BayesDel_addAF
Pathogenic
0.70
D
BayesDel_noAF
Pathogenic
0.76
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.92
D
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.88
D
M_CAP
Pathogenic
0.94
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
3.5
M
PhyloP100
7.2
PrimateAI
Uncertain
0.64
T
PROVEAN
Pathogenic
-7.2
D
REVEL
Pathogenic
0.97
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.018
D
Polyphen
0.84
P
Vest4
0.75
MutPred
0.87
Loss of methylation at K182 (P = 0.0618)
MVP
1.0
ClinPred
0.98
D
GERP RS
5.5
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.6
Varity_R
0.73
gMVP
1.0
Mutation Taster
=12/88
disease causing

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

Other links and lift over

dbSNP: rs397515744; hg19: chrX-153647956; API