rs149925563

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_024753.5(TTC21B):​c.691A>T​(p.Thr231Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00112 in 1,613,962 control chromosomes in the GnomAD database, including 11 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00075 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0012 ( 11 hom. )

Consequence

TTC21B
NM_024753.5 missense

Scores

1
1
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:6B:4

Conservation

PhyloP100: 1.70

Publications

9 publications found
Variant links:
Genes affected
TTC21B (HGNC:25660): (tetratricopeptide repeat domain 21B) This gene encodes a member of TTC21 family, containing several tetratricopeptide repeat (TPR) domains. This protein is localized to the cilium axoneme, and may play a role in retrograde intraflagellar transport in cilia. Mutations in this gene are associated with various ciliopathies, nephronophthisis 12, and asphyxiating thoracic dystrophy 4. [provided by RefSeq, Oct 2011]
TTC21B-AS1 (HGNC:41115): (TTC21B antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.035384238).
BP6
Variant 2-165941046-T-A is Benign according to our data. Variant chr2-165941046-T-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 198257.
BS2
High Homozygotes in GnomAdExome4 at 11 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_024753.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTC21B
NM_024753.5
MANE Select
c.691A>Tp.Thr231Ser
missense
Exon 6 of 29NP_079029.3
TTC21B-AS1
NR_038983.1
n.277-6151T>A
intron
N/A
TTC21B-AS1
NR_038984.1
n.221-6151T>A
intron
N/A

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TTC21B
ENST00000243344.8
TSL:1 MANE Select
c.691A>Tp.Thr231Ser
missense
Exon 6 of 29ENSP00000243344.7Q7Z4L5-1
TTC21B
ENST00000464374.5
TSL:1
n.731A>T
non_coding_transcript_exon
Exon 6 of 11
TTC21B
ENST00000679840.1
c.691A>Tp.Thr231Ser
missense
Exon 6 of 27ENSP00000505248.1A0A7P0T8P4

Frequencies

GnomAD3 genomes
AF:
0.000749
AC:
114
AN:
152218
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000265
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00157
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00106
Gnomad OTH
AF:
0.00143
GnomAD2 exomes
AF:
0.00105
AC:
264
AN:
251318
AF XY:
0.00105
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.00148
Gnomad ASJ exome
AF:
0.000496
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00147
Gnomad OTH exome
AF:
0.00179
GnomAD4 exome
AF:
0.00116
AC:
1695
AN:
1461626
Hom.:
11
Cov.:
32
AF XY:
0.00114
AC XY:
826
AN XY:
727110
show subpopulations
African (AFR)
AF:
0.000149
AC:
5
AN:
33468
American (AMR)
AF:
0.00174
AC:
78
AN:
44700
Ashkenazi Jewish (ASJ)
AF:
0.000459
AC:
12
AN:
26122
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39686
South Asian (SAS)
AF:
0.000916
AC:
79
AN:
86252
European-Finnish (FIN)
AF:
0.0000374
AC:
2
AN:
53416
Middle Eastern (MID)
AF:
0.00416
AC:
24
AN:
5768
European-Non Finnish (NFE)
AF:
0.00127
AC:
1413
AN:
1111824
Other (OTH)
AF:
0.00136
AC:
82
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
89
178
268
357
446
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
50
100
150
200
250
<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:
0.000748
AC:
114
AN:
152336
Hom.:
0
Cov.:
33
AF XY:
0.000658
AC XY:
49
AN XY:
74502
show subpopulations
African (AFR)
AF:
0.000265
AC:
11
AN:
41570
American (AMR)
AF:
0.00157
AC:
24
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.000621
AC:
3
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10630
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00106
AC:
72
AN:
68024
Other (OTH)
AF:
0.00142
AC:
3
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.521
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
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:
0.000977
Hom.:
0
Bravo
AF:
0.000926
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00163
AC:
14
ExAC
AF:
0.00112
AC:
136
EpiCase
AF:
0.00185
EpiControl
AF:
0.00219

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
2
not provided (4)
-
1
-
Asphyxiating thoracic dystrophy 4 (1)
-
-
1
Jeune thoracic dystrophy;C0687120:Nephronophthisis (1)
-
1
-
Joubert syndrome 1 (1)
-
1
-
Nephronophthisis 12 (1)
-
1
-
not specified (1)
-
-
1
TTC21B-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
14
DANN
Benign
0.95
DEOGEN2
Benign
0.22
T
Eigen
Benign
0.16
Eigen_PC
Benign
0.17
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.021
T
MetaRNN
Benign
0.035
T
MetaSVM
Benign
-0.89
T
MutationAssessor
Uncertain
2.6
M
PhyloP100
1.7
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-2.3
N
REVEL
Benign
0.21
Sift
Benign
0.057
T
Sift4G
Benign
0.082
T
Polyphen
0.63
P
Vest4
0.76
MVP
0.34
MPC
0.057
ClinPred
0.025
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.088
gMVP
0.26
Mutation Taster
=88/12
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs149925563; hg19: chr2-166797556; API