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rs1800462

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_000367.5(TPMT):ā€‹c.238G>Cā€‹(p.Ala80Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00214 in 1,613,984 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as drug response (no stars).

Frequency

Genomes: š‘“ 0.0020 ( 0 hom., cov: 32)
Exomes š‘“: 0.0021 ( 9 hom. )

Consequence

TPMT
NM_000367.5 missense

Scores

6
10
3

Clinical Significance

drug response no assertion criteria provided O:1

Conservation

PhyloP100: 2.18
Variant links:
Genes affected
TPMT (HGNC:12014): (thiopurine S-methyltransferase) This gene encodes the enzyme that metabolizes thiopurine drugs via S-adenosyl-L-methionine as the S-methyl donor and S-adenosyl-L-homocysteine as a byproduct. Thiopurine drugs such as 6-mercaptopurine are used as chemotherapeutic agents. Genetic polymorphisms that affect this enzymatic activity are correlated with variations in sensitivity and toxicity to such drugs within individuals, causing thiopurine S-methyltransferase deficiency. Related pseudogenes have been identified on chromosomes 3, 18 and X. [provided by RefSeq, Aug 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.124863535).
BS2
High Homozygotes in GnomAdExome4 at 9 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TPMTNM_000367.5 linkuse as main transcriptc.238G>C p.Ala80Pro missense_variant 4/9 ENST00000309983.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TPMTENST00000309983.5 linkuse as main transcriptc.238G>C p.Ala80Pro missense_variant 4/91 NM_000367.5 P1

Frequencies

GnomAD3 genomes
AF:
0.00203
AC:
309
AN:
152136
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000628
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00708
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00235
Gnomad OTH
AF:
0.00383
GnomAD3 exomes
AF:
0.00174
AC:
437
AN:
251094
Hom.:
0
AF XY:
0.00188
AC XY:
256
AN XY:
135822
show subpopulations
Gnomad AFR exome
AF:
0.000496
Gnomad AMR exome
AF:
0.00347
Gnomad ASJ exome
AF:
0.00179
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000926
Gnomad NFE exome
AF:
0.00239
Gnomad OTH exome
AF:
0.00294
GnomAD4 exome
AF:
0.00215
AC:
3142
AN:
1461730
Hom.:
9
Cov.:
32
AF XY:
0.00208
AC XY:
1510
AN XY:
727156
show subpopulations
Gnomad4 AFR exome
AF:
0.000568
Gnomad4 AMR exome
AF:
0.00376
Gnomad4 ASJ exome
AF:
0.00199
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000112
Gnomad4 NFE exome
AF:
0.00249
Gnomad4 OTH exome
AF:
0.00209
GnomAD4 genome
AF:
0.00203
AC:
309
AN:
152254
Hom.:
0
Cov.:
32
AF XY:
0.00223
AC XY:
166
AN XY:
74438
show subpopulations
Gnomad4 AFR
AF:
0.000626
Gnomad4 AMR
AF:
0.00707
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00235
Gnomad4 OTH
AF:
0.00379
Alfa
AF:
0.00238
Hom.:
0
Bravo
AF:
0.00255
TwinsUK
AF:
0.00243
AC:
9
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00233
AC:
20
ExAC
AF:
0.00137
AC:
166
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00180
EpiControl
AF:
0.00255

ClinVar

Significance: drug response
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Thiopurine S-methyltransferase deficiency Other:1
drug response, no assertion criteria providedliterature onlyOMIMFeb 01, 1999- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.88
BayesDel_addAF
Uncertain
0.077
D
BayesDel_noAF
Pathogenic
0.34
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.75
D
Eigen
Pathogenic
0.80
Eigen_PC
Pathogenic
0.72
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.93
D
M_CAP
Benign
0.068
D
MetaRNN
Benign
0.12
T
MetaSVM
Uncertain
0.67
D
MutationAssessor
Pathogenic
3.7
H
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.51
T
PROVEAN
Uncertain
-3.8
D
REVEL
Pathogenic
0.85
Sift
Uncertain
0.016
D
Sift4G
Uncertain
0.016
D
Polyphen
1.0
D
Vest4
0.85
MVP
0.95
MPC
0.68
ClinPred
0.10
T
GERP RS
5.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.99
gMVP
0.92

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1800462; hg19: chr6-18143955; API