rs143473912

Variant summary

Our verdict is Pathogenic. The variant received 14 ACMG points: 14P and 0B. PM1PM5PP2PP3PP5_Very_Strong

The NM_000359.3(TGM1):​c.944G>T​(p.Arg315Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000031 in 1,611,804 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R315H) has been classified as Pathogenic.

Frequency

Genomes: 𝑓 0.00019 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000014 ( 0 hom. )

Consequence

TGM1
NM_000359.3 missense

Scores

10
6
2

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:12

Conservation

PhyloP100: 7.56

Publications

19 publications found
Variant links:
Genes affected
TGM1 (HGNC:11777): (transglutaminase 1) The protein encoded by this gene is a membrane protein that catalyzes the addition of an alkyl group from an akylamine to a glutamine residue of a protein, forming an alkylglutamine in the protein. This protein alkylation leads to crosslinking of proteins and catenation of polyamines to proteins. This gene contains either one or two copies of a 22 nt repeat unit in its 3' UTR. Mutations in this gene have been associated with autosomal recessive lamellar ichthyosis (LI) and nonbullous congenital ichthyosiform erythroderma (NCIE). [provided by RefSeq, Jul 2008]
TGM1 Gene-Disease associations (from GenCC):
  • autosomal recessive congenital ichthyosis 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Myriad Women’s Health, PanelApp Australia, Genomics England PanelApp
  • acral self-healing collodion baby
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • bathing suit ichthyosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital non-bullous ichthyosiform erythroderma
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • lamellar ichthyosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • self-healing collodion baby
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 14 ACMG points.

PM1
In a hotspot region, there are 8 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 2 benign, 6 uncertain in NM_000359.3
PM5
Other missense variant is known to change same aminoacid residue: Variant chr14-24259744-C-T is described in ClinVar as Pathogenic. ClinVar VariationId is 39530.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 81 curated pathogenic missense variants (we use a threshold of 10). The gene has 20 curated benign missense variants. Gene score misZ: -0.060191 (below the threshold of 3.09). Trascript score misZ: 1.7514 (below the threshold of 3.09). GenCC associations: The gene is linked to autosomal recessive congenital ichthyosis 1, acral self-healing collodion baby, bathing suit ichthyosis, congenital non-bullous ichthyosiform erythroderma, lamellar ichthyosis, self-healing collodion baby.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.787
PP5
Variant 14-24259744-C-A is Pathogenic according to our data. Variant chr14-24259744-C-A is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 39531.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TGM1NM_000359.3 linkc.944G>T p.Arg315Leu missense_variant Exon 6 of 15 ENST00000206765.11 NP_000350.1 P22735-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TGM1ENST00000206765.11 linkc.944G>T p.Arg315Leu missense_variant Exon 6 of 15 1 NM_000359.3 ENSP00000206765.6 P22735-1
TGM1ENST00000559136.1 linkc.17G>T p.Arg6Leu missense_variant Exon 2 of 7 5 ENSP00000453337.1 H0YLT9
TGM1ENST00000544573.5 linkc.-28-1356G>T intron_variant Intron 2 of 8 2 ENSP00000439446.1 P22735-2

Frequencies

GnomAD3 genomes
AF:
0.000191
AC:
29
AN:
152086
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000628
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000406
AC:
10
AN:
246144
AF XY:
0.0000225
show subpopulations
Gnomad AFR exome
AF:
0.000572
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000902
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000144
AC:
21
AN:
1459718
Hom.:
0
Cov.:
32
AF XY:
0.0000110
AC XY:
8
AN XY:
726038
show subpopulations
African (AFR)
AF:
0.000508
AC:
17
AN:
33452
American (AMR)
AF:
0.00
AC:
0
AN:
44600
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26076
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39646
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
85982
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52604
Middle Eastern (MID)
AF:
0.000175
AC:
1
AN:
5728
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111344
Other (OTH)
AF:
0.0000332
AC:
2
AN:
60286
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
2
4
5
7
9
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
AF:
0.000191
AC:
29
AN:
152086
Hom.:
0
Cov.:
33
AF XY:
0.000188
AC XY:
14
AN XY:
74274
show subpopulations
African (AFR)
AF:
0.000628
AC:
26
AN:
41386
American (AMR)
AF:
0.00
AC:
0
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5198
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68014
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.000162
Hom.:
0
Bravo
AF:
0.000227
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000412
AC:
5

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal recessive congenital ichthyosis 1 Pathogenic:9
Jul 10, 2020
Revvity Omics, Revvity
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome-Nilou Lab
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 27, 2024
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 01, 2023
Division of Human Genetics, National Health Laboratory Service/University of the Witwatersrand
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

- -

Oct 31, 2018
Fulgent Genetics, Fulgent Genetics
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 01, 2010
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Sep 16, 2020
Natera, Inc.
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 03, 2017
Counsyl
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Oct 22, 2018
Illumina Laboratory Services, Illumina
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The TGM1 c.944G>T (p.Arg315Leu) missense variant has been reported in three studies in which it is found in a total of 11 individuals with congenital ichthyosis including in ten in a homozygous state and in one in a compound heterozygous state (Tok et al. 1999; Arita et al. 2007; Hackett et al. 2010). The variant is also found in one unaffected parent in a heterozygous state (Tok et al. 1999). The p.Arg315Leu variant has been associated with a specific phenotype of ichthyosis referred to as bathing suit ichthyosis (Arita et al. 2007; Hackett et al. 2010). The p.Arg315Leu variant was absent from at least 150 control chromosomes (Arita et al. 2007; Hackett et al. 2010) and is reported at a frequency of 0.00061 in the African population of the Exome Aggregation Consortium. Testing in NHEK cells found that the p.Arg315Leu variant demonstrated increased protein stability, increased half-life and prevented proteolytic processing into the active form of the enzyme (Candi et al. 1998). The specific activity of the unprocessed form was similar to wild type, however due to the lack of processing the variant protein could not be converted into the highly active form, unlike wild type (Candi et al. 1998). The Arg315 residue is highly conserved and is located in a catalytic core domain (Arita et al. 2007). Based on the evidence, the p.Arg315Leu variant is classified as pathogenic for congenital ichthyosis. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. -

not provided Pathogenic:2
Jan 27, 2023
GeneDx
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Published functional studies demonstrate a damaging effect with impaired proteolytic processing, reduced activity of membrane-bound transglutaminase 1 in keratinocytes, and enhanced stability of the mutant protein; variant described using alternate nomenclature as R314L (Candi et al., 1998; Trindade et al., 2010); This variant is associated with the following publications: (PMID: 31168818, 28403434, 19863506, 20522418, 10232404, 31589614, 35698621, 16977323, 9593710) -

Jan 05, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces arginine, which is basic and polar, with leucine, which is neutral and non-polar, at codon 315 of the TGM1 protein (p.Arg315Leu). This variant is present in population databases (rs143473912, gnomAD 0.06%). This missense change has been observed in individuals with TGM1-related disease (PMID: 10232404, 16977323, 19863506, 20522418, 28403434). ClinVar contains an entry for this variant (Variation ID: 39531). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt TGM1 protein function with a positive predictive value of 95%. Experimental studies have shown that this missense change affects TGM1 function (PMID: 9593710). This variant disrupts the p.Arg315 amino acid residue in TGM1. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 10232404, 16977323, 19863506, 20522418, 28403434). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -

TGM1-related disorder Pathogenic:1
Feb 27, 2024
PreventionGenetics, part of Exact Sciences
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

The TGM1 c.944G>T variant is predicted to result in the amino acid substitution p.Arg315Leu. This variant has been previously reported in the homozygous or compound heterozygous state in patients with ichthyosis (Arita et al. 2007. PubMed ID: 16977323; Trindade et al. 2010. PubMed ID: 20522418; Hackett et al. 2010. PubMed ID: 19863506; Table S2, Simpson et al 2019. PubMed ID: 31168818; Marukian et al 2017. PubMed ID: 28403434). This variant is reported in 0.053% of alleles in individuals of African descent in gnomAD. This variant is interpreted as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.90
BayesDel_addAF
Pathogenic
0.18
D
BayesDel_noAF
Pathogenic
0.39
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.86
D;T
Eigen
Pathogenic
0.71
Eigen_PC
Uncertain
0.63
FATHMM_MKL
Uncertain
0.85
D
M_CAP
Pathogenic
0.41
D
MetaRNN
Pathogenic
0.79
D;D
MetaSVM
Pathogenic
0.95
D
MutationAssessor
Uncertain
2.9
M;.
PhyloP100
7.6
PrimateAI
Benign
0.48
T
PROVEAN
Pathogenic
-4.8
D;D
REVEL
Pathogenic
0.84
Sift
Uncertain
0.020
D;D
Sift4G
Uncertain
0.059
T;.
Polyphen
0.99
D;.
Vest4
0.97
MVP
0.98
MPC
1.0
ClinPred
0.83
D
GERP RS
4.9
PromoterAI
0.017
Neutral
Varity_R
0.62
gMVP
0.85
Mutation Taster
=18/82
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: rs143473912; hg19: chr14-24728950; API