rs1556490053

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001953.5(TYMP):​c.221T>G​(p.Met74Arg) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic 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. M74V) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)

Consequence

TYMP
NM_001953.5 missense

Scores

10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.67

Publications

0 publications found
Variant links:
Genes affected
TYMP (HGNC:3148): (thymidine phosphorylase) This gene encodes an angiogenic factor which promotes angiogenesis in vivo and stimulates the in vitro growth of a variety of endothelial cells. It has a highly restricted target cell specificity acting only on endothelial cells. Mutations in this gene have been associated with mitochondrial neurogastrointestinal encephalomyopathy. Multiple alternatively spliced transcript variants have been identified. [provided by RefSeq, Apr 2012]
TYMP Gene-Disease associations (from GenCC):
  • mitochondrial disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • mitochondrial DNA depletion syndrome 1
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • mitochondrial neurogastrointestinal encephalomyopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

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ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.948

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001953.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TYMP
NM_001953.5
MANE Select
c.221T>Gp.Met74Arg
missense
Exon 3 of 10NP_001944.1
TYMP
NM_001257989.1
c.221T>Gp.Met74Arg
missense
Exon 3 of 10NP_001244918.1
TYMP
NM_001113755.3
c.221T>Gp.Met74Arg
missense
Exon 3 of 10NP_001107227.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TYMP
ENST00000252029.8
TSL:1 MANE Select
c.221T>Gp.Met74Arg
missense
Exon 3 of 10ENSP00000252029.3
TYMP
ENST00000395681.6
TSL:1
c.221T>Gp.Met74Arg
missense
Exon 3 of 10ENSP00000379038.1
TYMP
ENST00000395678.7
TSL:1
c.221T>Gp.Met74Arg
missense
Exon 3 of 10ENSP00000379036.3

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
33

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.94
BayesDel_addAF
Pathogenic
0.41
D
BayesDel_noAF
Pathogenic
0.36
CADD
Pathogenic
28
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.88
D
Eigen
Uncertain
0.56
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.97
D
M_CAP
Pathogenic
0.56
D
MetaRNN
Pathogenic
0.95
D
MetaSVM
Pathogenic
0.83
D
MutationAssessor
Pathogenic
3.1
M
PhyloP100
4.7
PrimateAI
Uncertain
0.62
T
PROVEAN
Pathogenic
-4.4
D
REVEL
Pathogenic
0.91
Sift
Uncertain
0.0060
D
Sift4G
Uncertain
0.013
D
Polyphen
1.0
D
Vest4
0.88
MutPred
0.80
Gain of methylation at M74 (P = 0.0026)
MVP
0.84
MPC
1.6
ClinPred
0.99
D
GERP RS
5.1
Varity_R
0.98
gMVP
0.99
Mutation Taster
=29/71
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs1556490053; hg19: chr22-50967761; API