rs202215735

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_001077418.3(TMEM231):​c.91G>C​(p.Ala31Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000572 in 1,573,424 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A31T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000056 ( 0 hom. )

Consequence

TMEM231
NM_001077418.3 missense

Scores

5
12

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.00500

Publications

0 publications found
Variant links:
Genes affected
TMEM231 (HGNC:37234): (transmembrane protein 231) This gene encodes a transmembrane protein, which is a component of the B9 complex involved in the formation of the diffusion barrier between the cilia and plasma membrane. Mutations in this gene cause Joubert syndrome (JBTS). Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jan 2013]
TMEM231 Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Joubert syndrome 20
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • Joubert syndrome with oculorenal defect
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Meckel syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • orofaciodigital syndrome III
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.332592).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TMEM231NM_001077418.3 linkc.91G>C p.Ala31Pro missense_variant Exon 1 of 7 ENST00000258173.11 NP_001070886.1 Q9H6L2-1
TMEM231NM_001077416.2 linkc.153G>C p.Pro51Pro synonymous_variant Exon 1 of 6 NP_001070884.2 Q9H6L2
TMEM231NR_074083.2 linkn.134G>C non_coding_transcript_exon_variant Exon 1 of 7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TMEM231ENST00000258173.11 linkc.91G>C p.Ala31Pro missense_variant Exon 1 of 7 1 NM_001077418.3 ENSP00000258173.5 Q9H6L2-1
TMEM231ENST00000565067.5 linkc.91G>C p.Ala31Pro missense_variant Exon 1 of 6 5 ENSP00000457254.1 H3BTN6
TMEM231ENST00000568377.5 linkc.81G>C p.Pro27Pro synonymous_variant Exon 1 of 6 1 ENSP00000476267.1 Q9H6L2-2
TMEM231ENST00000562410.5 linkn.91G>C non_coding_transcript_exon_variant Exon 1 of 7 1 ENSP00000454582.1 H3BMW7
TMEM231ENST00000570006.5 linkn.91G>C non_coding_transcript_exon_variant Exon 1 of 7 5 ENSP00000455520.1 H3BPY4

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152250
Hom.:
0
Cov.:
33
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000112
AC:
2
AN:
178310
AF XY:
0.0000102
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000268
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000563
AC:
8
AN:
1421174
Hom.:
0
Cov.:
30
AF XY:
0.00000711
AC XY:
5
AN XY:
703682
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32232
American (AMR)
AF:
0.00
AC:
0
AN:
38636
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25306
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37026
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81340
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48766
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5670
European-Non Finnish (NFE)
AF:
0.00000732
AC:
8
AN:
1093320
Other (OTH)
AF:
0.00
AC:
0
AN:
58878
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.444
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:
0.00000657
AC:
1
AN:
152250
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74376
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
41470
American (AMR)
AF:
0.00
AC:
0
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5200
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68044
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00000844
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.53
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
-0.010
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.23
T;T
Eigen
Benign
-0.10
Eigen_PC
Benign
-0.073
FATHMM_MKL
Benign
0.21
N
LIST_S2
Uncertain
0.89
D;D
M_CAP
Benign
0.050
D
MetaRNN
Benign
0.33
T;T
MetaSVM
Benign
-0.90
T
PhyloP100
-0.0050
PROVEAN
Benign
-1.9
N;N
REVEL
Benign
0.089
Sift
Benign
0.091
T;T
Sift4G
Benign
0.16
T;T
Polyphen
0.52
P;.
Vest4
0.38
MutPred
0.65
Loss of helix (P = 0.0237);Loss of helix (P = 0.0237);
MVP
0.36
ClinPred
0.61
D
GERP RS
0.53
PromoterAI
0.014
Neutral
Varity_R
0.38
gMVP
0.80
Mutation Taster
=86/14
polymorphism

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: rs202215735; hg19: chr16-75590017; API