rs1064792864
Variant names: 
Variant summary
Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PM1PM2PP3_StrongPP5
The NM_001953.5(TYMP):c.478T>C(p.Ser160Pro) variant causes a missense change. The variant allele was found at a frequency of 0.000000684 in 1,461,668 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).
Frequency
 Genomes: not found (cov: 33) 
 Exomes 𝑓:  6.8e-7   (  0   hom.  ) 
Consequence
 TYMP
NM_001953.5 missense
NM_001953.5 missense
Scores
 10
 7
 2
Clinical Significance
Conservation
 PhyloP100:  3.95  
Publications
1 publications found 
Genes affected
 TYMP  (HGNC:3148):  (thymidine phosphorylase) This gene encodes an angiogenic factor which promotes angiogenesis in vivo and stimulates the in vitro growth of a variety of endothelial cells. It has a highly restricted target cell specificity acting only on endothelial cells. Mutations in this gene have been associated with mitochondrial neurogastrointestinal encephalomyopathy. Multiple alternatively spliced transcript variants have been identified. [provided by RefSeq, Apr 2012] 
TYMP Gene-Disease associations (from GenCC):
- mitochondrial diseaseInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
 - mitochondrial DNA depletion syndrome 1Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
 - mitochondrial neurogastrointestinal encephalomyopathyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_pathogenic. The variant received 9 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, 3 uncertain in NM_001953.5
PM2
Very rare variant in population databases, with high coverage; 
PP3
MetaRNN computational evidence supports a deleterious effect, 0.992
PP5
Variant 22-50528550-A-G is Pathogenic according to our data. Variant chr22-50528550-A-G is described in ClinVar as Pathogenic. ClinVar VariationId is 223030.Status of the report is no_assertion_criteria_provided, 0 stars. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 33 
GnomAD3 genomes 
Cov.: 
33
GnomAD4 exome  AF:  6.84e-7  AC: 1AN: 1461668Hom.:  0  Cov.: 32 AF XY:  0.00000138  AC XY: 1AN XY: 727142 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
1
AN: 
1461668
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
1
AN XY: 
727142
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33478
American (AMR) 
 AF: 
AC: 
0
AN: 
44720
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26132
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39698
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86248
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53266
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111966
Other (OTH) 
 AF: 
AC: 
1
AN: 
60392
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.425 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
GnomAD4 genome  Cov.: 33 
GnomAD4 genome 
Cov.: 
33
Alfa 
 AF: 
Hom.: 
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
Mitochondrial DNA depletion syndrome 1    Pathogenic:1 
Jan 14, 2016
GeneReviews
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Pathogenic 
D 
 BayesDel_noAF 
 Pathogenic 
 DANN 
 Uncertain 
 DEOGEN2 
 Pathogenic 
D;.;D;D 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Uncertain 
 FATHMM_MKL 
 Uncertain 
D 
 LIST_S2 
 Uncertain 
.;D;.;D 
 M_CAP 
 Pathogenic 
D 
 MetaRNN 
 Pathogenic 
D;D;D;D 
 MetaSVM 
 Pathogenic 
D 
 MutationAssessor 
 Pathogenic 
H;H;H;H 
 PhyloP100 
 PrimateAI 
 Benign 
T 
 PROVEAN 
 Uncertain 
D;D;D;D 
 REVEL 
 Pathogenic 
 Sift 
 Uncertain 
D;D;D;D 
 Sift4G 
 Uncertain 
D;D;D;D 
 Polyphen 
D;.;D;D 
 Vest4 
 MutPred 
Loss of disorder (P = 0.2);Loss of disorder (P = 0.2);Loss of disorder (P = 0.2);Loss of disorder (P = 0.2);
 MVP 
 MPC 
 1.5 
 ClinPred 
D 
 GERP RS 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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