rs16927166

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_006757.4(TNNT3):​c.636T>C​(p.Ile212Ile) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.017 in 1,613,608 control chromosomes in the GnomAD database, including 675 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.039 ( 253 hom., cov: 33)
Exomes 𝑓: 0.015 ( 422 hom. )

Consequence

TNNT3
NM_006757.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7O:1

Conservation

PhyloP100: -1.99

Publications

7 publications found
Variant links:
Genes affected
TNNT3 (HGNC:11950): (troponin T3, fast skeletal type) The binding of Ca(2+) to the trimeric troponin complex initiates the process of muscle contraction. Increased Ca(2+) concentrations produce a conformational change in the troponin complex that is transmitted to tropomyosin dimers situated along actin filaments. The altered conformation permits increased interaction between a myosin head and an actin filament which, ultimately, produces a muscle contraction. The troponin complex has protein subunits C, I, and T. Subunit C binds Ca(2+) and subunit I binds to actin and inhibits actin-myosin interaction. Subunit T binds the troponin complex to the tropomyosin complex and is also required for Ca(2+)-mediated activation of actomyosin ATPase activity. There are 3 different troponin T genes that encode tissue-specific isoforms of subunit T for fast skeletal-, slow skeletal-, and cardiac-muscle. This gene encodes fast skeletal troponin T protein; also known as troponin T type 3. Alternative splicing results in multiple transcript variants encoding additional distinct troponin T type 3 isoforms. A developmentally regulated switch between fetal/neonatal and adult troponin T type 3 isoforms occurs. Additional splice variants have been described but their biological validity has not been established. Mutations in this gene may cause distal arthrogryposis multiplex congenita type 2B (DA2B). [provided by RefSeq, Oct 2009]
TNNT3 Gene-Disease associations (from GenCC):
  • distal arthrogryposis type 2B1
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • congenital myopathy
    Inheritance: AR Classification: STRONG Submitted by: G2P
  • arthrogryposis, distal, type 2B2
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • nemaline myopathy
    Inheritance: AR Classification: MODERATE, LIMITED Submitted by: Ambry Genetics, ClinGen
  • digitotalar dysmorphism
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Sheldon-hall syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.93).
BP6
Variant 11-1934874-T-C is Benign according to our data. Variant chr11-1934874-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 31871.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.99 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.1 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TNNT3NM_006757.4 linkc.636T>C p.Ile212Ile synonymous_variant Exon 14 of 16 ENST00000278317.11 NP_006748.1 P45378-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TNNT3ENST00000278317.11 linkc.636T>C p.Ile212Ile synonymous_variant Exon 14 of 16 5 NM_006757.4 ENSP00000278317.6 P45378-2

Frequencies

GnomAD3 genomes
AF:
0.0386
AC:
5870
AN:
152182
Hom.:
251
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.103
Gnomad AMI
AF:
0.00329
Gnomad AMR
AF:
0.0245
Gnomad ASJ
AF:
0.00894
Gnomad EAS
AF:
0.00597
Gnomad SAS
AF:
0.0410
Gnomad FIN
AF:
0.00744
Gnomad MID
AF:
0.0253
Gnomad NFE
AF:
0.0122
Gnomad OTH
AF:
0.0316
GnomAD2 exomes
AF:
0.0210
AC:
5280
AN:
251284
AF XY:
0.0212
show subpopulations
Gnomad AFR exome
AF:
0.105
Gnomad AMR exome
AF:
0.0133
Gnomad ASJ exome
AF:
0.00586
Gnomad EAS exome
AF:
0.00473
Gnomad FIN exome
AF:
0.00370
Gnomad NFE exome
AF:
0.0120
Gnomad OTH exome
AF:
0.0188
GnomAD4 exome
AF:
0.0148
AC:
21577
AN:
1461308
Hom.:
422
Cov.:
33
AF XY:
0.0154
AC XY:
11230
AN XY:
726932
show subpopulations
African (AFR)
AF:
0.102
AC:
3403
AN:
33476
American (AMR)
AF:
0.0141
AC:
629
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00585
AC:
153
AN:
26136
East Asian (EAS)
AF:
0.00254
AC:
101
AN:
39700
South Asian (SAS)
AF:
0.0450
AC:
3884
AN:
86258
European-Finnish (FIN)
AF:
0.00445
AC:
235
AN:
52856
Middle Eastern (MID)
AF:
0.0354
AC:
204
AN:
5768
European-Non Finnish (NFE)
AF:
0.0106
AC:
11802
AN:
1112002
Other (OTH)
AF:
0.0193
AC:
1166
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
1468
2936
4405
5873
7341
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
520
1040
1560
2080
2600
<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:
0.0387
AC:
5890
AN:
152300
Hom.:
253
Cov.:
33
AF XY:
0.0383
AC XY:
2850
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.103
AC:
4272
AN:
41560
American (AMR)
AF:
0.0244
AC:
373
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00894
AC:
31
AN:
3466
East Asian (EAS)
AF:
0.00598
AC:
31
AN:
5184
South Asian (SAS)
AF:
0.0408
AC:
197
AN:
4830
European-Finnish (FIN)
AF:
0.00744
AC:
79
AN:
10624
Middle Eastern (MID)
AF:
0.0272
AC:
8
AN:
294
European-Non Finnish (NFE)
AF:
0.0122
AC:
830
AN:
68014
Other (OTH)
AF:
0.0313
AC:
66
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
284
568
852
1136
1420
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
66
132
198
264
330
<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:
0.0185
Hom.:
179
Bravo
AF:
0.0413
Asia WGS
AF:
0.0330
AC:
115
AN:
3478
EpiCase
AF:
0.0132
EpiControl
AF:
0.0146

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3Other:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 18, 2012
Leiden Muscular Dystrophy (TNNT3)
Significance:not provided
Review Status:no classification provided
Collection Method:curation

- -

Nov 14, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:2
-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Distal arthrogryposis type 2B1 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Arthrogryposis multiplex congenita distal Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.93
CADD
Benign
0.0020
DANN
Benign
0.52
PhyloP100
-2.0
Mutation Taster
=100/0
polymorphism (auto)

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: rs16927166; hg19: chr11-1956104; COSMIC: COSV53485438; COSMIC: COSV53485438; API