rs104894383

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3PP5

The NM_181486.4(TBX5):​c.145C>A​(p.Gln49Lys) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,214 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)

Consequence

TBX5
NM_181486.4 missense, splice_region

Scores

5
7
7
Splicing: ADA: 0.8854
1
1

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.68
Variant links:
Genes affected
TBX5 (HGNC:11604): (T-box transcription factor 5) This gene is a member of a phylogenetically conserved family of genes that share a common DNA-binding domain, the T-box. T-box genes encode transcription factors involved in the regulation of developmental processes. This gene is closely linked to related family member T-box 3 (ulnar mammary syndrome) on human chromosome 12. The encoded protein may play a role in heart development and specification of limb identity. Mutations in this gene have been associated with Holt-Oram syndrome, a developmental disorder affecting the heart and upper limbs. Several transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.762
PP5
Variant 12-114403754-G-T is Pathogenic according to our data. Variant chr12-114403754-G-T is described in ClinVar as [Pathogenic]. Clinvar id is 7997.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TBX5NM_181486.4 linkuse as main transcriptc.145C>A p.Gln49Lys missense_variant, splice_region_variant 2/9 ENST00000405440.7
TBX5NM_000192.3 linkuse as main transcriptc.145C>A p.Gln49Lys missense_variant, splice_region_variant 2/9
TBX5XM_017019912.2 linkuse as main transcriptc.193C>A p.Gln65Lys missense_variant, splice_region_variant 2/9
TBX5NM_080717.4 linkuse as main transcriptc.-3-1834C>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TBX5ENST00000405440.7 linkuse as main transcriptc.145C>A p.Gln49Lys missense_variant, splice_region_variant 2/91 NM_181486.4 P1Q99593-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152214
Hom.:
0
Cov.:
33
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
32
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152214
Hom.:
0
Cov.:
33
AF XY:
0.0000134
AC XY:
1
AN XY:
74354
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
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:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Holt-Oram syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJun 05, 2000- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.36
BayesDel_addAF
Pathogenic
0.40
D
BayesDel_noAF
Pathogenic
0.34
CADD
Pathogenic
28
DANN
Uncertain
0.99
DEOGEN2
Benign
0.30
T;T;.
Eigen
Benign
0.068
Eigen_PC
Uncertain
0.27
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.90
.;D;D
M_CAP
Uncertain
0.085
D
MetaRNN
Pathogenic
0.76
D;D;D
MetaSVM
Benign
-0.40
T
MutationAssessor
Benign
1.0
L;L;L
MutationTaster
Benign
1.0
A;A;A;A
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-0.78
N;N;N
REVEL
Uncertain
0.51
Sift
Uncertain
0.024
D;D;D
Sift4G
Benign
0.24
T;T;T
Polyphen
0.038
B;B;B
Vest4
0.80
MutPred
0.62
Gain of catalytic residue at I54 (P = 0);Gain of catalytic residue at I54 (P = 0);Gain of catalytic residue at I54 (P = 0);
MVP
0.99
MPC
0.98
ClinPred
0.80
D
GERP RS
5.4
Varity_R
0.58
gMVP
0.62

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.89
dbscSNV1_RF
Pathogenic
0.78
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs104894383; hg19: chr12-114841559; API