rs1554813610

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4

The NM_000368.5(TSC1):​c.2637G>T​(p.Met879Ile) variant causes a missense change. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M879V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000017 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000044 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

TSC1
NM_000368.5 missense

Scores

1
12
6

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 4.67

Publications

0 publications found
Variant links:
Genes affected
TSC1 (HGNC:12362): (TSC complex subunit 1) This gene is a tumor suppressor gene that encodes the growth inhibitory protein hamartin. The encoded protein interacts with and stabilizes the GTPase activating protein tuberin. This hamartin-tuberin complex negatively regulates mammalian target of rapamycin complex 1 (mTORC1) signaling which is a major regulator of anabolic cell growth. This protein also functions as a co-chaperone for Hsp90 that inhibits its ATPase activity. This protein functions as a facilitator of Hsp90-mediated folding of kinase and non-kinase clients, including TSC2 and thereby preventing their ubiquitination and proteasomal degradation. Mutations in this gene have been associated with tuberous sclerosis and lymphangioleiomyomatosis. [provided by RefSeq, May 2022]
TSC1 Gene-Disease associations (from GenCC):
  • tuberous sclerosis
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • tuberous sclerosis 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, PanelApp Australia, Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae)
  • lung lymphangioleiomyomatosis
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • tuberous sclerosis complex
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3432119).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TSC1NM_000368.5 linkc.2637G>T p.Met879Ile missense_variant Exon 21 of 23 ENST00000298552.9 NP_000359.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TSC1ENST00000298552.9 linkc.2637G>T p.Met879Ile missense_variant Exon 21 of 23 1 NM_000368.5 ENSP00000298552.3
TSC1ENST00000490179.4 linkc.2637G>T p.Met879Ile missense_variant Exon 22 of 24 3 ENSP00000495533.2

Frequencies

GnomAD3 genomes
AF:
0.0000173
AC:
2
AN:
115774
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.0000309
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:
0.000263
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000439
AC:
40
AN:
910438
Hom.:
0
Cov.:
34
AF XY:
0.0000343
AC XY:
16
AN XY:
465804
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000859
AC:
2
AN:
23296
American (AMR)
AF:
0.00
AC:
0
AN:
32938
Ashkenazi Jewish (ASJ)
AF:
0.0000558
AC:
1
AN:
17920
East Asian (EAS)
AF:
0.000140
AC:
4
AN:
28548
South Asian (SAS)
AF:
0.00
AC:
0
AN:
66734
European-Finnish (FIN)
AF:
0.0000253
AC:
1
AN:
39502
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4032
European-Non Finnish (NFE)
AF:
0.0000470
AC:
31
AN:
659342
Other (OTH)
AF:
0.0000262
AC:
1
AN:
38126
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.236
Heterozygous variant carriers
0
7
14
21
28
35
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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000173
AC:
2
AN:
115838
Hom.:
0
Cov.:
29
AF XY:
0.0000188
AC XY:
1
AN XY:
53232
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000308
AC:
1
AN:
32428
American (AMR)
AF:
0.00
AC:
0
AN:
9074
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3090
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3368
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2898
European-Finnish (FIN)
AF:
0.000263
AC:
1
AN:
3808
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
158
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
58664
Other (OTH)
AF:
0.00
AC:
0
AN:
1538
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.250
Heterozygous variant carriers
0
0
1
1
2
2
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

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Tuberous sclerosis syndrome Uncertain:1
Aug 15, 2023
All of Us Research Program, National Institutes of Health
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This missense variant replaces methionine with isoleucine at codon 879 of the TSC1 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has not been reported in individuals affected with TSC1-related disorders in the literature. This variant has not been identified in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -

not provided Uncertain:1
Jun 03, 2022
Mayo Clinic Laboratories, Mayo Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PM2 -

Tuberous sclerosis 1 Uncertain:1
Nov 18, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces methionine, which is neutral and non-polar, with isoleucine, which is neutral and non-polar, at codon 879 of the TSC1 protein (p.Met879Ile). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with TSC1-related conditions. ClinVar contains an entry for this variant (Variation ID: 534471). 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 not expected to disrupt TSC1 protein function with a negative predictive value of 95%. 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. -

Hereditary cancer-predisposing syndrome Uncertain:1
Mar 05, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.M879I variant (also known as c.2637G>T), located in coding exon 19 of the TSC1 gene, results from a G to T substitution at nucleotide position 2637. The methionine at codon 879 is replaced by isoleucine, an amino acid with highly similar properties. This amino acid position is conserved. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
-0.080
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.49
T;.;T;.;.;T;.;T;.;.;.
Eigen
Uncertain
0.22
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.81
.;T;T;T;T;.;.;.;T;T;.
M_CAP
Benign
0.070
D
MetaRNN
Benign
0.34
T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.12
T
MutationAssessor
Benign
1.9
L;.;L;.;.;L;.;L;.;.;.
PhyloP100
4.7
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.9
N;N;N;.;.;.;.;.;.;.;.
REVEL
Uncertain
0.39
Sift
Uncertain
0.013
D;D;D;.;.;.;.;.;.;.;.
Sift4G
Uncertain
0.037
D;D;D;.;.;.;.;.;.;.;.
Polyphen
0.10
B;.;B;.;.;B;.;B;.;.;.
Vest4
0.70
MutPred
0.22
Loss of disorder (P = 0.0521);.;Loss of disorder (P = 0.0521);.;.;Loss of disorder (P = 0.0521);.;Loss of disorder (P = 0.0521);.;.;.;
MVP
0.48
MPC
0.56
ClinPred
0.87
D
GERP RS
4.9
Varity_R
0.68
gMVP
0.23
Mutation Taster
=67/33
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: rs1554813610; hg19: chr9-135772986; API