rs111619594

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_153704.6(TMEM67):​c.958A>T​(p.Ser320Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000302 in 1,609,204 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00085 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00024 ( 1 hom. )

Consequence

TMEM67
NM_153704.6 missense

Scores

7
7
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:14B:1O:2

Conservation

PhyloP100: 8.64

Publications

6 publications found
Variant links:
Genes affected
TMEM67 (HGNC:28396): (transmembrane protein 67) The protein encoded by this gene localizes to the primary cilium and to the plasma membrane. The gene functions in centriole migration to the apical membrane and formation of the primary cilium. Multiple transcript variants encoding different isoforms have been found for this gene. Defects in this gene are a cause of Meckel syndrome type 3 (MKS3) and Joubert syndrome type 6 (JBTS6). [provided by RefSeq, Nov 2008]
TMEM67 Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • COACH syndrome 1
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • Meckel syndrome, type 3
    Inheritance: AR Classification: DEFINITIVE Submitted by: Ambry Genetics
  • nephronophthisis 11
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • COACH syndrome 1
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics
  • Joubert syndrome 6
    Inheritance: AR Classification: STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • Joubert syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Meckel syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Senior-Boichis syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.029471219).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_153704.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM67
NM_153704.6
MANE Select
c.958A>Tp.Ser320Cys
missense
Exon 9 of 28NP_714915.3
TMEM67
NM_001142301.1
c.715A>Tp.Ser239Cys
missense
Exon 10 of 29NP_001135773.1
TMEM67
NR_024522.2
n.979A>T
non_coding_transcript_exon
Exon 9 of 29

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM67
ENST00000453321.8
TSL:1 MANE Select
c.958A>Tp.Ser320Cys
missense
Exon 9 of 28ENSP00000389998.3
TMEM67
ENST00000452276.6
TSL:1
c.958A>Tp.Ser320Cys
missense
Exon 9 of 27ENSP00000388671.2
TMEM67
ENST00000474944.5
TSL:1
n.427-5261A>T
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.000821
AC:
125
AN:
152252
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00272
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000390
AC:
98
AN:
251056
AF XY:
0.000339
show subpopulations
Gnomad AFR exome
AF:
0.00316
Gnomad AMR exome
AF:
0.000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000231
Gnomad NFE exome
AF:
0.000282
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000244
AC:
356
AN:
1456834
Hom.:
1
Cov.:
30
AF XY:
0.000244
AC XY:
177
AN XY:
724950
show subpopulations
African (AFR)
AF:
0.00258
AC:
86
AN:
33356
American (AMR)
AF:
0.000335
AC:
15
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26116
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39612
South Asian (SAS)
AF:
0.0000465
AC:
4
AN:
86078
European-Finnish (FIN)
AF:
0.0000936
AC:
5
AN:
53410
Middle Eastern (MID)
AF:
0.000925
AC:
4
AN:
4322
European-Non Finnish (NFE)
AF:
0.000202
AC:
224
AN:
1109080
Other (OTH)
AF:
0.000283
AC:
17
AN:
60148
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
18
35
53
70
88
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000853
AC:
130
AN:
152370
Hom.:
0
Cov.:
32
AF XY:
0.000738
AC XY:
55
AN XY:
74514
show subpopulations
African (AFR)
AF:
0.00284
AC:
118
AN:
41592
American (AMR)
AF:
0.000196
AC:
3
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.0000942
AC:
1
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000118
AC:
8
AN:
68040
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.509
Heterozygous variant carriers
0
7
13
20
26
33
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.000254
Hom.:
0
Bravo
AF:
0.000926
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00340
AC:
15
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000453
AC:
55
Asia WGS
AF:
0.00260
AC:
9
AN:
3472
EpiCase
AF:
0.000600
EpiControl
AF:
0.000296

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
5
-
not provided (5)
-
2
-
COACH syndrome 1 (2)
-
1
-
Joubert syndrome 6 (1)
-
1
-
Meckel syndrome, type 3 (1)
-
1
-
Meckel syndrome, type 3;C1853153:Joubert syndrome 6;C1865794:RHYNS syndrome;C2673874:Bardet-Biedl syndrome 14;C3150796:Nephronophthisis 11;C5435651:COACH syndrome 1 (1)
-
-
1
Meckel-Gruber syndrome;C0431399:Joubert syndrome (1)
-
1
-
Nephronophthisis 11 (1)
-
1
-
not specified (1)
-
1
-
RHYNS syndrome (1)
-
1
-
TMEM67-related disorder (1)
-
-
-
Bardet-Biedl syndrome 14, modifier of (1)
-
-
-
Nephronophthisis (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.057
T
BayesDel_noAF
Pathogenic
0.14
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.80
D
Eigen
Pathogenic
0.74
Eigen_PC
Pathogenic
0.70
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.87
D
M_CAP
Pathogenic
0.44
D
MetaRNN
Benign
0.029
T
MetaSVM
Pathogenic
0.95
D
MutationAssessor
Uncertain
2.6
M
PhyloP100
8.6
PrimateAI
Benign
0.41
T
PROVEAN
Uncertain
-3.2
D
REVEL
Pathogenic
0.83
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.0050
D
Polyphen
1.0
D
Vest4
0.67
MVP
1.0
MPC
0.55
ClinPred
0.084
T
GERP RS
4.7
Varity_R
0.39
gMVP
0.73
Mutation Taster
=8/92
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs111619594; hg19: chr8-94793190; API