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rs184812195

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_003227.4(TFR2):​c.1097G>A​(p.Arg366His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000494 in 1,612,312 control chromosomes in the GnomAD database, including 7 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R366C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00078 ( 0 hom., cov: 30)
Exomes 𝑓: 0.00046 ( 7 hom. )

Consequence

TFR2
NM_003227.4 missense

Scores

2
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: -1.55
Variant links:
Genes affected
TFR2 (HGNC:11762): (transferrin receptor 2) This gene encodes a single-pass type II membrane protein, which is a member of the transferrin receptor-like family. This protein mediates cellular uptake of transferrin-bound iron, and may be involved in iron metabolism, hepatocyte function and erythrocyte differentiation. Mutations in this gene have been associated with hereditary hemochromatosis type III. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, May 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008228421).
BP6
Variant 7-100631815-C-T is Benign according to our data. Variant chr7-100631815-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 530395.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=2, Likely_benign=1}.
BS2
High Homozygotes in GnomAdExome4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TFR2NM_003227.4 linkuse as main transcriptc.1097G>A p.Arg366His missense_variant 8/18 ENST00000223051.8
LOC124901709XR_007060454.1 linkuse as main transcriptn.503+590C>T intron_variant, non_coding_transcript_variant
TFR2NM_001206855.3 linkuse as main transcriptc.584G>A p.Arg195His missense_variant 5/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TFR2ENST00000223051.8 linkuse as main transcriptc.1097G>A p.Arg366His missense_variant 8/181 NM_003227.4 P1Q9UP52-1

Frequencies

GnomAD3 genomes
AF:
0.000783
AC:
119
AN:
151912
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000578
Gnomad EAS
AF:
0.00117
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00765
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000383
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000867
AC:
217
AN:
250160
Hom.:
3
AF XY:
0.000755
AC XY:
102
AN XY:
135130
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000603
Gnomad EAS exome
AF:
0.000326
Gnomad SAS exome
AF:
0.0000990
Gnomad FIN exome
AF:
0.00709
Gnomad NFE exome
AF:
0.000327
Gnomad OTH exome
AF:
0.00197
GnomAD4 exome
AF:
0.000464
AC:
678
AN:
1460282
Hom.:
7
Cov.:
31
AF XY:
0.000479
AC XY:
348
AN XY:
726186
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000461
Gnomad4 EAS exome
AF:
0.000277
Gnomad4 SAS exome
AF:
0.000163
Gnomad4 FIN exome
AF:
0.00853
Gnomad4 NFE exome
AF:
0.000113
Gnomad4 OTH exome
AF:
0.000978
GnomAD4 genome
AF:
0.000783
AC:
119
AN:
152030
Hom.:
0
Cov.:
30
AF XY:
0.00102
AC XY:
76
AN XY:
74308
show subpopulations
Gnomad4 AFR
AF:
0.0000482
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.000578
Gnomad4 EAS
AF:
0.00137
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00765
Gnomad4 NFE
AF:
0.000383
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000381
Hom.:
0
Bravo
AF:
0.000185
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000824
AC:
100
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000237

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCenter for Genomic Medicine, Rigshospitalet, Copenhagen University HospitalJul 31, 2024- -
Hemochromatosis type 3 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Hereditary hemochromatosis Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 24, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
0.35
DANN
Benign
0.80
DEOGEN2
Benign
0.19
T;T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.021
N
LIST_S2
Benign
0.31
T;.
M_CAP
Benign
0.0039
T
MetaRNN
Benign
0.0082
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.060
N;N
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Benign
0.19
T
PROVEAN
Uncertain
-2.4
N;N
REVEL
Benign
0.049
Sift
Benign
0.052
T;T
Sift4G
Uncertain
0.034
D;D
Polyphen
0.0030
B;B
Vest4
0.13
MVP
0.25
MPC
0.41
ClinPred
0.032
T
GERP RS
-9.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.039
gMVP
0.39

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs184812195; hg19: chr7-100229438; COSMIC: COSV56154156; COSMIC: COSV56154156; API