rs113993963

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PP2PP5

The NM_001114980.2(TP63):​c.16A>C​(p.Asn6His) variant causes a missense change. The variant allele was found at a frequency of 0.000000691 in 1,447,220 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

TP63
NM_001114980.2 missense

Scores

2
8
6

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 7.17

Publications

4 publications found
Variant links:
Genes affected
TP63 (HGNC:15979): (tumor protein p63) This gene encodes a member of the p53 family of transcription factors. The functional domains of p53 family proteins include an N-terminal transactivation domain, a central DNA-binding domain and an oligomerization domain. Alternative splicing of this gene and the use of alternative promoters results in multiple transcript variants encoding different isoforms that vary in their functional properties. These isoforms function during skin development and maintenance, adult stem/progenitor cell regulation, heart development and premature aging. Some isoforms have been found to protect the germline by eliminating oocytes or testicular germ cells that have suffered DNA damage. Mutations in this gene are associated with ectodermal dysplasia, and cleft lip/palate syndrome 3 (EEC3); split-hand/foot malformation 4 (SHFM4); ankyloblepharon-ectodermal defects-cleft lip/palate; ADULT syndrome (acro-dermato-ungual-lacrimal-tooth); limb-mammary syndrome; Rap-Hodgkin syndrome (RHS); and orofacial cleft 8. [provided by RefSeq, Aug 2016]
TP63 Gene-Disease associations (from GenCC):
  • ADULT syndrome
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
  • ankyloblepharon-ectodermal defects-cleft lip/palate syndrome
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
  • ectrodactyly, ectodermal dysplasia, and cleft lip-palate syndrome 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • limb-mammary syndrome
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
  • Rapp-Hodgkin syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • premature ovarian failure 21
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • split hand-foot malformation 4
    Inheritance: AD Classification: MODERATE Submitted by: Illumina
  • EEC syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • split hand-foot malformation
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the TP63 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 73 curated pathogenic missense variants (we use a threshold of 10). The gene has 15 curated benign missense variants. Gene score misZ: 2.2077 (below the threshold of 3.09). Trascript score misZ: 3.4346 (above the threshold of 3.09). GenCC associations: The gene is linked to Rapp-Hodgkin syndrome, ADULT syndrome, premature ovarian failure 21, limb-mammary syndrome, ectrodactyly, ectodermal dysplasia, and cleft lip-palate syndrome 3, ankyloblepharon-ectodermal defects-cleft lip/palate syndrome, EEC syndrome, split hand-foot malformation, split hand-foot malformation 4.
PP5
Variant 3-189789816-A-C is Pathogenic according to our data. Variant chr3-189789816-A-C is described in ClinVar as Pathogenic. ClinVar VariationId is 6537.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TP63NM_001114980.2 linkc.16A>C p.Asn6His missense_variant Exon 1 of 12 ENST00000354600.10 NP_001108452.1
TP63NM_003722.5 linkc.325-18456A>C intron_variant Intron 3 of 13 ENST00000264731.8 NP_003713.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TP63ENST00000354600.10 linkc.16A>C p.Asn6His missense_variant Exon 1 of 12 1 NM_001114980.2 ENSP00000346614.5
TP63ENST00000264731.8 linkc.325-18456A>C intron_variant Intron 3 of 13 1 NM_003722.5 ENSP00000264731.3

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
6.91e-7
AC:
1
AN:
1447220
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
718866
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32654
American (AMR)
AF:
0.00
AC:
0
AN:
43148
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25790
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38926
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83336
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53042
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5726
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1104760
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59838
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
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
Cov.:
31
Alfa
AF:
0.00
Hom.:
0

ClinVar

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

Submissions by phenotype

ADULT syndrome Pathogenic:1
Aug 01, 2001
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

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Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Pathogenic
0.16
D
BayesDel_noAF
Uncertain
0.0
CADD
Benign
20
DANN
Uncertain
0.98
Eigen
Benign
0.18
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.84
T;T;T;T;T;T;T
M_CAP
Benign
0.039
D
MetaRNN
Uncertain
0.66
D;D;D;D;D;D;D
MetaSVM
Pathogenic
1.2
D
PhyloP100
7.2
PROVEAN
Benign
-0.91
N;N;N;N;N;N;N
REVEL
Uncertain
0.52
Sift
Uncertain
0.029
D;D;D;T;D;D;D
Sift4G
Uncertain
0.045
D;D;D;T;T;T;D
Polyphen
0.79
P;.;P;P;.;B;.
Vest4
0.71
MutPred
0.45
Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);
MVP
0.76
ClinPred
0.63
D
GERP RS
5.8
PromoterAI
-0.0083
Neutral
Mutation Taster
=3/97
disease causing (ClinVar)

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: rs113993963; hg19: chr3-189507605; API