rs118086587

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001365276.2(TNXB):​c.1469G>A​(p.Arg490Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0047 in 1,560,144 control chromosomes in the GnomAD database, including 148 homozygotes. In-silico tool predicts a benign outcome for this variant. 11/16 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0057 ( 21 hom., cov: 34)
Exomes 𝑓: 0.0046 ( 127 hom. )

Consequence

TNXB
NM_001365276.2 missense

Scores

4
13

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.285
Variant links:
Genes affected
TNXB (HGNC:11976): (tenascin XB) This gene encodes a member of the tenascin family of extracellular matrix glycoproteins. The tenascins have anti-adhesive effects, as opposed to fibronectin which is adhesive. This protein is thought to function in matrix maturation during wound healing, and its deficiency has been associated with the connective tissue disorder Ehlers-Danlos syndrome. This gene localizes to the major histocompatibility complex (MHC) class III region on chromosome 6. It is one of four genes in this cluster which have been duplicated. The duplicated copy of this gene is incomplete and is a pseudogene which is transcribed but does not encode a protein. The structure of this gene is unusual in that it overlaps the CREBL1 and CYP21A2 genes at its 5' and 3' ends, respectively. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003249526).
BP6
Variant 6-32096384-C-T is Benign according to our data. Variant chr6-32096384-C-T is described in ClinVar as [Benign]. Clinvar id is 261124.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-32096384-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00575 (845/146998) while in subpopulation AMR AF= 0.0323 (478/14800). AF 95% confidence interval is 0.0299. There are 21 homozygotes in gnomad4. There are 483 alleles in male gnomad4 subpopulation. Median coverage is 34. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 21 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TNXBNM_001365276.2 linkuse as main transcriptc.1469G>A p.Arg490Gln missense_variant 3/44 ENST00000644971.2 NP_001352205.1
TNXBNM_019105.8 linkuse as main transcriptc.1469G>A p.Arg490Gln missense_variant 3/44 NP_061978.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TNXBENST00000644971.2 linkuse as main transcriptc.1469G>A p.Arg490Gln missense_variant 3/44 NM_001365276.2 ENSP00000496448 P22105-3

Frequencies

GnomAD3 genomes
AF:
0.00571
AC:
839
AN:
146858
Hom.:
20
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000352
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0319
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0219
Gnomad SAS
AF:
0.000433
Gnomad FIN
AF:
0.00699
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00253
Gnomad OTH
AF:
0.00401
GnomAD3 exomes
AF:
0.0115
AC:
2003
AN:
174274
Hom.:
60
AF XY:
0.00871
AC XY:
843
AN XY:
96810
show subpopulations
Gnomad AFR exome
AF:
0.000542
Gnomad AMR exome
AF:
0.0529
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0172
Gnomad SAS exome
AF:
0.000401
Gnomad FIN exome
AF:
0.00783
Gnomad NFE exome
AF:
0.00207
Gnomad OTH exome
AF:
0.00564
GnomAD4 exome
AF:
0.00459
AC:
6493
AN:
1413146
Hom.:
127
Cov.:
33
AF XY:
0.00423
AC XY:
2965
AN XY:
700216
show subpopulations
Gnomad4 AFR exome
AF:
0.000493
Gnomad4 AMR exome
AF:
0.0452
Gnomad4 ASJ exome
AF:
0.0000788
Gnomad4 EAS exome
AF:
0.0425
Gnomad4 SAS exome
AF:
0.000344
Gnomad4 FIN exome
AF:
0.00689
Gnomad4 NFE exome
AF:
0.00242
Gnomad4 OTH exome
AF:
0.00285
GnomAD4 genome
AF:
0.00575
AC:
845
AN:
146998
Hom.:
21
Cov.:
34
AF XY:
0.00672
AC XY:
483
AN XY:
71882
show subpopulations
Gnomad4 AFR
AF:
0.000351
Gnomad4 AMR
AF:
0.0323
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0219
Gnomad4 SAS
AF:
0.000434
Gnomad4 FIN
AF:
0.00699
Gnomad4 NFE
AF:
0.00254
Gnomad4 OTH
AF:
0.00395
Alfa
AF:
0.00274
Hom.:
1
Bravo
AF:
0.00686
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00175
AC:
14
ExAC
AF:
0.00636
AC:
742
Asia WGS
AF:
0.0100
AC:
36
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Ehlers-Danlos syndrome Benign:1
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenJul 22, 2022- -
Ehlers-Danlos syndrome due to tenascin-X deficiency;C4014831:Vesicoureteral reflux 8 Benign:1
Benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJul 07, 2021- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJul 14, 2018- -
Cardiovascular phenotype Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsFeb 01, 2019This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.053
T;.;T;.;.
Eigen
Benign
-0.39
Eigen_PC
Benign
-0.44
FATHMM_MKL
Benign
0.069
N
LIST_S2
Uncertain
0.88
.;D;D;T;T
MetaRNN
Benign
0.0032
T;T;T;T;T
MetaSVM
Benign
-0.87
T
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-1.8
.;.;N;.;N
REVEL
Benign
0.091
Sift
Benign
0.30
.;.;T;.;T
Sift4G
Uncertain
0.034
.;.;D;T;T
Vest4
0.26, 0.14
ClinPred
0.022
T
GERP RS
2.3
Varity_R
0.082

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

LitVar

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

Other links and lift over

dbSNP: rs118086587; hg19: chr6-32064161; COSMIC: COSV64485019; COSMIC: COSV64485019; API