rs141774400

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_003283.6(TNNT1):​c.580G>A​(p.Asp194Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00027 in 1,563,316 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 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. D194E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00019 ( 0 hom., cov: 30)
Exomes 𝑓: 0.00028 ( 1 hom. )

Consequence

TNNT1
NM_003283.6 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:5

Conservation

PhyloP100: 0.659

Publications

0 publications found
Variant links:
Genes affected
TNNT1 (HGNC:11948): (troponin T1, slow skeletal type) This gene encodes a protein that is a subunit of troponin, which is a regulatory complex located on the thin filament of the sarcomere. This complex regulates striated muscle contraction in response to fluctuations in intracellular calcium concentration. This complex is composed of three subunits: troponin C, which binds calcium, troponin T, which binds tropomyosin, and troponin I, which is an inhibitory subunit. This protein is the slow skeletal troponin T subunit. Mutations in this gene cause nemaline myopathy type 5, also known as Amish nemaline myopathy, a neuromuscular disorder characterized by muscle weakness and rod-shaped, or nemaline, inclusions in skeletal muscle fibers which affects infants, resulting in death due to respiratory insufficiency, usually in the second year. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
TNNT1 Gene-Disease associations (from GenCC):
  • nemaline myopathy 5
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • nemaline myopathy 5B, autosomal recessive, childhood-onset
    Inheritance: AR Classification: STRONG Submitted by: PanelApp Australia
  • nemaline myopathy
    Inheritance: AD Classification: LIMITED Submitted by: PanelApp Australia, ClinGen
  • nemaline myopathy 5C, autosomal dominant
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08732173).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003283.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TNNT1
NM_003283.6
MANE Select
c.580G>Ap.Asp194Asn
missense
Exon 11 of 14NP_003274.3
TNNT1
NM_001126132.3
c.580G>Ap.Asp194Asn
missense
Exon 11 of 14NP_001119604.1P13805-3
TNNT1
NM_001126133.3
c.547G>Ap.Asp183Asn
missense
Exon 10 of 13NP_001119605.1P13805-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TNNT1
ENST00000588981.6
TSL:1 MANE Select
c.580G>Ap.Asp194Asn
missense
Exon 11 of 14ENSP00000467176.1P13805-1
TNNT1
ENST00000291901.12
TSL:1
c.580G>Ap.Asp194Asn
missense
Exon 11 of 14ENSP00000291901.8P13805-3
TNNT1
ENST00000356783.9
TSL:1
c.547G>Ap.Asp183Asn
missense
Exon 10 of 13ENSP00000349233.4P13805-2

Frequencies

GnomAD3 genomes
AF:
0.000194
AC:
29
AN:
149660
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.000415
Gnomad OTH
AF:
0.000486
GnomAD2 exomes
AF:
0.000159
AC:
40
AN:
251140
AF XY:
0.000162
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000308
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000278
AC:
393
AN:
1413532
Hom.:
1
Cov.:
33
AF XY:
0.000283
AC XY:
199
AN XY:
702718
show subpopulations
African (AFR)
AF:
0.0000623
AC:
2
AN:
32096
American (AMR)
AF:
0.000185
AC:
8
AN:
43228
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24550
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36194
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85842
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46964
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5512
European-Non Finnish (NFE)
AF:
0.000345
AC:
373
AN:
1081904
Other (OTH)
AF:
0.000175
AC:
10
AN:
57242
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
16
32
49
65
81
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000194
AC:
29
AN:
149784
Hom.:
0
Cov.:
30
AF XY:
0.000137
AC XY:
10
AN XY:
73064
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40828
American (AMR)
AF:
0.00
AC:
0
AN:
14978
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3458
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4920
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4650
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10260
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
288
European-Non Finnish (NFE)
AF:
0.000415
AC:
28
AN:
67424
Other (OTH)
AF:
0.000481
AC:
1
AN:
2078
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.000328
Hom.:
0
Bravo
AF:
0.000208
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000132
AC:
16
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000382
EpiControl
AF:
0.000237

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
not provided (3)
-
2
-
Nemaline myopathy 5 (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
8.5
DANN
Benign
0.25
DEOGEN2
Benign
0.40
T
Eigen
Benign
-1.0
Eigen_PC
Benign
-0.82
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.84
T
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.087
T
MetaSVM
Benign
-0.58
T
MutationAssessor
Benign
-1.6
N
PhyloP100
0.66
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
2.9
N
REVEL
Benign
0.17
Sift
Benign
1.0
T
Sift4G
Benign
0.97
T
Polyphen
0.0
B
Vest4
0.20
MVP
0.86
MPC
0.56
ClinPred
0.010
T
GERP RS
1.7
PromoterAI
-0.0094
Neutral
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.0
Varity_R
0.026
gMVP
0.12
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs141774400; hg19: chr19-55648502; API