rs141394423

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_182919.4(TICAM1):​c.538C>T​(p.Arg180Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00114 in 1,610,864 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R180H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00085 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0012 ( 2 hom. )

Consequence

TICAM1
NM_182919.4 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: -0.333

Publications

5 publications found
Variant links:
Genes affected
TICAM1 (HGNC:18348): (TIR domain containing adaptor molecule 1) This gene encodes an adaptor protein containing a Toll/interleukin-1 receptor (TIR) homology domain, which is an intracellular signaling domain that mediates protein-protein interactions between the Toll-like receptors (TLRs) and signal-transduction components. This protein is involved in native immunity against invading pathogens. It specifically interacts with toll-like receptor 3, but not with other TLRs, and this association mediates dsRNA induction of interferon-beta through activation of nuclear factor kappa-B, during an antiviral immune response. Mutations in this gene are associated with encephalopathy, acute, infection-induced. [provided by RefSeq, Jul 2020]
TICAM1 Gene-Disease associations (from GenCC):
  • herpes simplex encephalitis, susceptibility to, 4
    Inheritance: AR, SD, AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009036094).
BS2
High Homozygotes in GnomAd4 at 2 AR,SD,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TICAM1NM_182919.4 linkc.538C>T p.Arg180Cys missense_variant Exon 2 of 2 ENST00000248244.6 NP_891549.1 Q8IUC6
TICAM1NM_001385678.1 linkc.496C>T p.Arg166Cys missense_variant Exon 3 of 3 NP_001372607.1
TICAM1NM_001385679.1 linkc.403C>T p.Arg135Cys missense_variant Exon 2 of 2 NP_001372608.1
TICAM1NM_001385680.1 linkc.-71-34C>T intron_variant Intron 2 of 2 NP_001372609.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TICAM1ENST00000248244.6 linkc.538C>T p.Arg180Cys missense_variant Exon 2 of 2 1 NM_182919.4 ENSP00000248244.4 Q8IUC6

Frequencies

GnomAD3 genomes
AF:
0.000854
AC:
130
AN:
152194
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000265
Gnomad AMI
AF:
0.00987
Gnomad AMR
AF:
0.00118
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00135
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000934
AC:
230
AN:
246278
AF XY:
0.000959
show subpopulations
Gnomad AFR exome
AF:
0.000370
Gnomad AMR exome
AF:
0.00145
Gnomad ASJ exome
AF:
0.000101
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.0000503
Gnomad NFE exome
AF:
0.00146
Gnomad OTH exome
AF:
0.00148
GnomAD4 exome
AF:
0.00117
AC:
1710
AN:
1458552
Hom.:
2
Cov.:
80
AF XY:
0.00108
AC XY:
784
AN XY:
725412
show subpopulations
African (AFR)
AF:
0.000269
AC:
9
AN:
33448
American (AMR)
AF:
0.00148
AC:
66
AN:
44636
Ashkenazi Jewish (ASJ)
AF:
0.0000769
AC:
2
AN:
26014
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39662
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86140
European-Finnish (FIN)
AF:
0.0000388
AC:
2
AN:
51554
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.00141
AC:
1566
AN:
1111034
Other (OTH)
AF:
0.00103
AC:
62
AN:
60300
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
126
253
379
506
632
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
56
112
168
224
280
<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:
0.000854
AC:
130
AN:
152312
Hom.:
2
Cov.:
32
AF XY:
0.000725
AC XY:
54
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.000265
AC:
11
AN:
41576
American (AMR)
AF:
0.00118
AC:
18
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00135
AC:
92
AN:
68008
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
6
12
18
24
30
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.00119
Hom.:
0
Bravo
AF:
0.00114
TwinsUK
AF:
0.00189
AC:
7
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00256
AC:
22
ExAC
AF:
0.000889
AC:
108
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00115
EpiControl
AF:
0.00136

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Herpes simplex encephalitis, susceptibility to, 4 Uncertain:1
Oct 25, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 180 of the TICAM1 protein (p.Arg180Cys). This variant is present in population databases (rs141394423, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with TICAM1-related conditions. ClinVar contains an entry for this variant (Variation ID: 540508). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The cysteine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
10
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T;.
Eigen
Benign
-0.58
Eigen_PC
Benign
-0.80
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.65
T;T
M_CAP
Benign
0.021
T
MetaRNN
Benign
0.0090
T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
0.67
N;.
PhyloP100
-0.33
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-2.0
N;.
REVEL
Benign
0.093
Sift
Uncertain
0.0070
D;.
Sift4G
Uncertain
0.048
D;T
Polyphen
0.99
D;.
Vest4
0.071
MVP
0.10
MPC
0.30
ClinPred
0.027
T
GERP RS
-2.4
Varity_R
0.065
Mutation Taster
=99/1
polymorphism

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: rs141394423; hg19: chr19-4817852; COSMIC: COSV50229793; API