rs201620629

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 9P and 4B. PVS1PP5BS2

The NM_004608.4(TBX6):​c.844C>T​(p.Arg282*) variant causes a stop gained change. The variant allele was found at a frequency of 0.0000137 in 1,609,114 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000014 ( 0 hom. )

Consequence

TBX6
NM_004608.4 stop_gained

Scores

3
2
2

Clinical Significance

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

Conservation

PhyloP100: 4.12

Publications

6 publications found
Variant links:
Genes affected
TBX6 (HGNC:11605): (T-box transcription factor 6) This gene is a member of a phylogenetically conserved family of genes that share a common DNA-binding domain, the T-box. T-box genes encode transcription factors involved in the regulation of developmental processes. Knockout studies in mice indicate that this gene is important for specification of paraxial mesoderm structures. [provided by RefSeq, Aug 2008]
TBX6 Gene-Disease associations (from GenCC):
  • spondylocostal dysostosis 5
    Inheritance: Unknown, SD Classification: MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • autosomal dominant spondylocostal dysostosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital anomaly of kidney and urinary tract
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 16-30086847-G-A is Pathogenic according to our data. Variant chr16-30086847-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 188052. Variant chr16-30086847-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 188052. Variant chr16-30086847-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 188052. Variant chr16-30086847-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 188052. Variant chr16-30086847-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 188052. Variant chr16-30086847-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 188052. Variant chr16-30086847-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 188052.
BS2
High AC in GnomAdExome4 at 20 Unknown,AD,SD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TBX6NM_004608.4 linkc.844C>T p.Arg282* stop_gained Exon 7 of 9 ENST00000395224.7 NP_004599.2 O95947-1
TBX6XM_011545926.4 linkc.844C>T p.Arg282* stop_gained Exon 7 of 9 XP_011544228.1 O95947-1
TBX6XM_047434551.1 linkc.844C>T p.Arg282* stop_gained Exon 6 of 8 XP_047290507.1
TBX6XR_007064904.1 linkn.1065C>T non_coding_transcript_exon_variant Exon 7 of 8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TBX6ENST00000395224.7 linkc.844C>T p.Arg282* stop_gained Exon 7 of 9 1 NM_004608.4 ENSP00000378650.2 O95947-1
TBX6ENST00000279386.6 linkc.844C>T p.Arg282* stop_gained Exon 6 of 8 1 ENSP00000279386.2 O95947-1
TBX6ENST00000567664.5 linkn.*48-152C>T intron_variant Intron 5 of 6 5 ENSP00000460425.1 O95947-2

Frequencies

GnomAD3 genomes
AF:
0.0000134
AC:
2
AN:
148998
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000198
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000150
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000812
AC:
2
AN:
246400
AF XY:
0.0000150
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000548
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000897
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000137
AC:
20
AN:
1459998
Hom.:
0
Cov.:
34
AF XY:
0.0000165
AC XY:
12
AN XY:
726224
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33456
American (AMR)
AF:
0.00
AC:
0
AN:
44588
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26098
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39674
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85994
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52722
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5752
European-Non Finnish (NFE)
AF:
0.0000180
AC:
20
AN:
1111406
Other (OTH)
AF:
0.00
AC:
0
AN:
60308
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
1
2
4
5
6
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
AF:
0.0000134
AC:
2
AN:
149116
Hom.:
0
Cov.:
32
AF XY:
0.0000138
AC XY:
1
AN XY:
72726
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41146
American (AMR)
AF:
0.00
AC:
0
AN:
14940
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3428
East Asian (EAS)
AF:
0.000199
AC:
1
AN:
5026
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4466
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10270
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
288
European-Non Finnish (NFE)
AF:
0.0000150
AC:
1
AN:
66598
Other (OTH)
AF:
0.00
AC:
0
AN:
2058
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000824
AC:
1

ClinVar

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

Submissions by phenotype

Spondylocostal dysostosis 5 Pathogenic:2
Jan 22, 2015
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Nov 15, 2015
Lupski Lab, Baylor-Hopkins CMG, Baylor College of Medicine
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

This variant was observed in 1 individual with a vertebral malformation. The variant was found to be in trans with a high-risk TBX6 haplotype, T-C-A (rs2289292, rs3809624, rs3809627). -

not provided Uncertain:1
Dec 30, 2024
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; This variant is associated with the following publications: (PMID: 27437870, 25564734, 30636772, 23335591, 32381727) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.63
D
BayesDel_noAF
Pathogenic
0.48
CADD
Pathogenic
40
DANN
Uncertain
1.0
Eigen
Pathogenic
0.77
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Benign
0.70
D
PhyloP100
4.1
Vest4
0.82
GERP RS
4.3
Mutation Taster
=1/199
disease causing (ClinVar)

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: rs201620629; hg19: chr16-30098168; API