rs146284515

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting

The NM_020458.4(TTC7A):​c.1189G>A​(p.Val397Ile) variant causes a missense change. The variant allele was found at a frequency of 0.000132 in 1,613,746 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V397D) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00013 ( 0 hom. )

Consequence

TTC7A
NM_020458.4 missense

Scores

1
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: 4.68

Publications

3 publications found
Variant links:
Genes affected
TTC7A (HGNC:19750): (tetratricopeptide repeat domain 7A) This gene encodes a protein containing tetratricopeptide repeats. Mutations in this gene disrupt intestinal development and can cause early onset inflammatory bowel disease and intestinal atresia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jun 2014]
TTC7A Gene-Disease associations (from GenCC):
  • gastrointestinal defects and immunodeficiency syndrome 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • multiple intestinal atresia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.031164825).
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.000158 (24/152188) while in subpopulation EAS AF = 0.00116 (6/5164). AF 95% confidence interval is 0.000506. There are 0 homozygotes in GnomAd4. There are 14 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020458.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTC7A
NM_020458.4
MANE Select
c.1189G>Ap.Val397Ile
missense
Exon 9 of 20NP_065191.2Q9ULT0-1
TTC7A
NM_001288951.2
c.1189G>Ap.Val397Ile
missense
Exon 9 of 21NP_001275880.1Q9ULT0-4
TTC7A
NM_001288953.2
c.1087G>Ap.Val363Ile
missense
Exon 10 of 21NP_001275882.1G5E9G4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTC7A
ENST00000319190.11
TSL:2 MANE Select
c.1189G>Ap.Val397Ile
missense
Exon 9 of 20ENSP00000316699.5Q9ULT0-1
TTC7A
ENST00000394850.6
TSL:1
c.1189G>Ap.Val397Ile
missense
Exon 9 of 21ENSP00000378320.2Q9ULT0-4
TTC7A
ENST00000409825.5
TSL:1
n.*938G>A
non_coding_transcript_exon
Exon 10 of 21ENSP00000386521.1H0Y3V7

Frequencies

GnomAD3 genomes
AF:
0.000151
AC:
23
AN:
152070
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000966
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000966
Gnomad SAS
AF:
0.000624
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000187
AC:
47
AN:
251114
AF XY:
0.000170
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00109
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000880
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000129
AC:
189
AN:
1461558
Hom.:
0
Cov.:
31
AF XY:
0.000140
AC XY:
102
AN XY:
727036
show subpopulations
African (AFR)
AF:
0.0000597
AC:
2
AN:
33478
American (AMR)
AF:
0.000112
AC:
5
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26130
East Asian (EAS)
AF:
0.00156
AC:
62
AN:
39700
South Asian (SAS)
AF:
0.000336
AC:
29
AN:
86254
European-Finnish (FIN)
AF:
0.000188
AC:
10
AN:
53206
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000450
AC:
50
AN:
1111914
Other (OTH)
AF:
0.000513
AC:
31
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
11
23
34
46
57
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000158
AC:
24
AN:
152188
Hom.:
0
Cov.:
32
AF XY:
0.000188
AC XY:
14
AN XY:
74428
show subpopulations
African (AFR)
AF:
0.0000963
AC:
4
AN:
41520
American (AMR)
AF:
0.00
AC:
0
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00116
AC:
6
AN:
5164
South Asian (SAS)
AF:
0.000624
AC:
3
AN:
4804
European-Finnish (FIN)
AF:
0.000188
AC:
2
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000132
AC:
9
AN:
67992
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000915
Hom.:
0
Bravo
AF:
0.000151
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000206
AC:
25
Asia WGS
AF:
0.00202
AC:
7
AN:
3478

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Multiple gastrointestinal atresias (2)
-
-
1
Gastrointestinal defects and immunodeficiency syndrome 1 (1)
-
1
-
Inborn genetic diseases (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Benign
0.071
T
Eigen
Benign
-0.42
Eigen_PC
Benign
-0.35
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.17
T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.031
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
L
PhyloP100
4.7
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.75
N
REVEL
Benign
0.090
Sift
Benign
0.16
T
Sift4G
Benign
0.13
T
Polyphen
0.15
B
Vest4
0.28
MVP
0.33
MPC
0.078
ClinPred
0.024
T
GERP RS
3.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.039
gMVP
0.12
Mutation Taster
=96/4
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: rs146284515; hg19: chr2-47233184; COSMIC: COSV55409089; COSMIC: COSV55409089; API