rs1060500548

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001267550.2(TTN):​c.40879G>A​(p.Ala13627Thr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A13627V) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

TTN
NM_001267550.2 missense, splice_region

Scores

4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.02

Publications

1 publications found
Variant links:
Genes affected
TTN (HGNC:12403): (titin) This gene encodes a large abundant protein of striated muscle. The product of this gene is divided into two regions, a N-terminal I-band and a C-terminal A-band. The I-band, which is the elastic part of the molecule, contains two regions of tandem immunoglobulin domains on either side of a PEVK region that is rich in proline, glutamate, valine and lysine. The A-band, which is thought to act as a protein-ruler, contains a mixture of immunoglobulin and fibronectin repeats, and possesses kinase activity. An N-terminal Z-disc region and a C-terminal M-line region bind to the Z-line and M-line of the sarcomere, respectively, so that a single titin molecule spans half the length of a sarcomere. Titin also contains binding sites for muscle associated proteins so it serves as an adhesion template for the assembly of contractile machinery in muscle cells. It has also been identified as a structural protein for chromosomes. Alternative splicing of this gene results in multiple transcript variants. Considerable variability exists in the I-band, the M-line and the Z-disc regions of titin. Variability in the I-band region contributes to the differences in elasticity of different titin isoforms and, therefore, to the differences in elasticity of different muscle types. Mutations in this gene are associated with familial hypertrophic cardiomyopathy 9, and autoantibodies to titin are produced in patients with the autoimmune disease scleroderma. [provided by RefSeq, Feb 2012]
TTN-AS1 (HGNC:44124): (TTN antisense RNA 1) This gene encodes a non-coding RNA transcribed from the opposite strand to the titin gene. [provided by RefSeq, Aug 2016]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.14414108).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001267550.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTN
NM_001267550.2
MANE Select
c.40879G>Ap.Ala13627Thr
missense splice_region
Exon 224 of 363NP_001254479.2
TTN
NM_001256850.1
c.35956G>Ap.Ala11986Thr
missense splice_region
Exon 174 of 313NP_001243779.1
TTN
NM_133378.4
c.33175G>Ap.Ala11059Thr
missense splice_region
Exon 173 of 312NP_596869.4

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTN
ENST00000589042.5
TSL:5 MANE Select
c.40879G>Ap.Ala13627Thr
missense splice_region
Exon 224 of 363ENSP00000467141.1
TTN
ENST00000446966.2
TSL:1
c.40723G>Ap.Ala13575Thr
missense splice_region
Exon 222 of 361ENSP00000408004.2
TTN
ENST00000436599.2
TSL:1
c.40603G>Ap.Ala13535Thr
missense splice_region
Exon 222 of 361ENSP00000405517.2

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1323824
Hom.:
0
Cov.:
28
AF XY:
0.00
AC XY:
0
AN XY:
653342
African (AFR)
AF:
0.00
AC:
0
AN:
27190
American (AMR)
AF:
0.00
AC:
0
AN:
25086
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22540
East Asian (EAS)
AF:
0.00
AC:
0
AN:
31896
South Asian (SAS)
AF:
0.00
AC:
0
AN:
60648
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49294
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5400
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1047450
Other (OTH)
AF:
0.00
AC:
0
AN:
54320
GnomAD4 genome
Cov.:
31
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

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

Submissions by phenotype

Autosomal recessive limb-girdle muscular dystrophy type 2J;C1858763:Dilated cardiomyopathy 1G Uncertain:1
Nov 04, 2016
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.027
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
22
DANN
Benign
0.95
Eigen
Benign
-0.028
Eigen_PC
Benign
0.15
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.78
T
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-0.62
T
MutationAssessor
Benign
1.5
L
PhyloP100
2.0
PrimateAI
Uncertain
0.68
T
PROVEAN
Uncertain
-2.4
N
REVEL
Benign
0.11
Sift
Benign
0.13
T
Polyphen
0.020
B
Vest4
0.20
MutPred
0.25
Gain of phosphorylation at A11986 (P = 0.0322)
MVP
0.24
MPC
0.082
ClinPred
0.56
D
GERP RS
5.5
Mutation Taster
=77/23
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1060500548; hg19: chr2-179502144; API