rs13335638

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000548.5(TSC2):​c.4850-109T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.186 in 1,538,084 control chromosomes in the GnomAD database, including 33,023 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.27 ( 8001 hom., cov: 33)
Exomes 𝑓: 0.18 ( 25022 hom. )

Consequence

TSC2
NM_000548.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2O:1

Conservation

PhyloP100: -3.40
Variant links:
Genes affected
TSC2 (HGNC:12363): (TSC complex subunit 2) This gene is a tumor suppressor gene that encodes the growth inhibitory protein tuberin. Tuberin interacts with hamartin to form the TSC protein complex which functions in the control of cell growth. This TSC protein complex negatively regulates mammalian target of rapamycin complex 1 (mTORC1) signaling which is a major regulator of anabolic cell growth. Mutations in this gene have been associated with tuberous sclerosis and lymphangioleiomyomatosis. [provided by RefSeq, May 2022]

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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 (BayesDel_noAF=-0.92).
BP6
Variant 16-2086623-T-C is Benign according to our data. Variant chr16-2086623-T-C is described in ClinVar as [Benign]. Clinvar id is 65253.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-2086623-T-C is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.535 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TSC2NM_000548.5 linkuse as main transcriptc.4850-109T>C intron_variant ENST00000219476.9 NP_000539.2 P49815-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TSC2ENST00000219476.9 linkuse as main transcriptc.4850-109T>C intron_variant 5 NM_000548.5 ENSP00000219476.3 P49815-1

Frequencies

GnomAD3 genomes
AF:
0.275
AC:
41725
AN:
151976
Hom.:
7964
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.540
Gnomad AMI
AF:
0.0978
Gnomad AMR
AF:
0.198
Gnomad ASJ
AF:
0.240
Gnomad EAS
AF:
0.00116
Gnomad SAS
AF:
0.0928
Gnomad FIN
AF:
0.232
Gnomad MID
AF:
0.259
Gnomad NFE
AF:
0.175
Gnomad OTH
AF:
0.249
GnomAD4 exome
AF:
0.177
AC:
244845
AN:
1385990
Hom.:
25022
AF XY:
0.173
AC XY:
118993
AN XY:
686782
show subpopulations
Gnomad4 AFR exome
AF:
0.550
Gnomad4 AMR exome
AF:
0.130
Gnomad4 ASJ exome
AF:
0.242
Gnomad4 EAS exome
AF:
0.000241
Gnomad4 SAS exome
AF:
0.0962
Gnomad4 FIN exome
AF:
0.223
Gnomad4 NFE exome
AF:
0.176
Gnomad4 OTH exome
AF:
0.191
GnomAD4 genome
AF:
0.275
AC:
41810
AN:
152094
Hom.:
8001
Cov.:
33
AF XY:
0.272
AC XY:
20214
AN XY:
74354
show subpopulations
Gnomad4 AFR
AF:
0.541
Gnomad4 AMR
AF:
0.198
Gnomad4 ASJ
AF:
0.240
Gnomad4 EAS
AF:
0.00116
Gnomad4 SAS
AF:
0.0925
Gnomad4 FIN
AF:
0.232
Gnomad4 NFE
AF:
0.175
Gnomad4 OTH
AF:
0.247
Alfa
AF:
0.157
Hom.:
478
Bravo
AF:
0.284
Asia WGS
AF:
0.0830
AC:
291
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJul 31, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 23% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy, Progressive Myoclonus Epilepsy and Abnormal Movements and Neurodegeneration with brain iron accumulation. Number of patients: 21. Only high quality variants are reported. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJun 19, 2018This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Tuberous sclerosis syndrome Other:1
not provided, no classification providedcurationTuberous sclerosis database (TSC2)-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.92
CADD
Benign
0.82
DANN
Benign
0.43

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: rs13335638; hg19: chr16-2136624; API