rs2562837

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001267550.2(TTN):​c.26200+19A>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.033 in 1,589,382 control chromosomes in the GnomAD database, including 1,676 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.045 ( 249 hom., cov: 32)
Exomes 𝑓: 0.032 ( 1427 hom. )

Consequence

TTN
NM_001267550.2 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: 0.118
Variant links:
Genes affected
TTN (HGNC:12403): (titin) This gene encodes a large abundant protein of striated muscle. The product of this gene is divided into two regions, a N-terminal I-band and a C-terminal A-band. The I-band, which is the elastic part of the molecule, contains two regions of tandem immunoglobulin domains on either side of a PEVK region that is rich in proline, glutamate, valine and lysine. The A-band, which is thought to act as a protein-ruler, contains a mixture of immunoglobulin and fibronectin repeats, and possesses kinase activity. An N-terminal Z-disc region and a C-terminal M-line region bind to the Z-line and M-line of the sarcomere, respectively, so that a single titin molecule spans half the length of a sarcomere. Titin also contains binding sites for muscle associated proteins so it serves as an adhesion template for the assembly of contractile machinery in muscle cells. It has also been identified as a structural protein for chromosomes. Alternative splicing of this gene results in multiple transcript variants. Considerable variability exists in the I-band, the M-line and the Z-disc regions of titin. Variability in the I-band region contributes to the differences in elasticity of different titin isoforms and, therefore, to the differences in elasticity of different muscle types. Mutations in this gene are associated with familial hypertrophic cardiomyopathy 9, and autoantibodies to titin are produced in patients with the autoimmune disease scleroderma. [provided by RefSeq, Feb 2012]
TTN-AS1 (HGNC:44124): (TTN antisense RNA 1) This gene encodes a non-coding RNA transcribed from the opposite strand to the titin gene. [provided by RefSeq, Aug 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 2-178714967-T-A is Benign according to our data. Variant chr2-178714967-T-A is described in ClinVar as [Benign]. Clinvar id is 137847.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-178714967-T-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.181 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TTNNM_001267550.2 linkc.26200+19A>T intron_variant Intron 90 of 362 ENST00000589042.5 NP_001254479.2 A0A0A0MTS7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TTNENST00000589042.5 linkc.26200+19A>T intron_variant Intron 90 of 362 5 NM_001267550.2 ENSP00000467141.1 A0A0A0MTS7

Frequencies

GnomAD3 genomes
AF:
0.0451
AC:
6860
AN:
151978
Hom.:
250
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0640
Gnomad AMI
AF:
0.0307
Gnomad AMR
AF:
0.0365
Gnomad ASJ
AF:
0.0366
Gnomad EAS
AF:
0.191
Gnomad SAS
AF:
0.0363
Gnomad FIN
AF:
0.0477
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0255
Gnomad OTH
AF:
0.0445
GnomAD3 exomes
AF:
0.0487
AC:
11153
AN:
229132
Hom.:
581
AF XY:
0.0453
AC XY:
5563
AN XY:
122872
show subpopulations
Gnomad AFR exome
AF:
0.0652
Gnomad AMR exome
AF:
0.0451
Gnomad ASJ exome
AF:
0.0303
Gnomad EAS exome
AF:
0.211
Gnomad SAS exome
AF:
0.0289
Gnomad FIN exome
AF:
0.0493
Gnomad NFE exome
AF:
0.0261
Gnomad OTH exome
AF:
0.0378
GnomAD4 exome
AF:
0.0317
AC:
45539
AN:
1437286
Hom.:
1427
Cov.:
31
AF XY:
0.0314
AC XY:
22330
AN XY:
711446
show subpopulations
Gnomad4 AFR exome
AF:
0.0619
Gnomad4 AMR exome
AF:
0.0433
Gnomad4 ASJ exome
AF:
0.0321
Gnomad4 EAS exome
AF:
0.191
Gnomad4 SAS exome
AF:
0.0300
Gnomad4 FIN exome
AF:
0.0514
Gnomad4 NFE exome
AF:
0.0236
Gnomad4 OTH exome
AF:
0.0358
GnomAD4 genome
AF:
0.0451
AC:
6856
AN:
152096
Hom.:
249
Cov.:
32
AF XY:
0.0458
AC XY:
3407
AN XY:
74340
show subpopulations
Gnomad4 AFR
AF:
0.0638
Gnomad4 AMR
AF:
0.0365
Gnomad4 ASJ
AF:
0.0366
Gnomad4 EAS
AF:
0.191
Gnomad4 SAS
AF:
0.0363
Gnomad4 FIN
AF:
0.0477
Gnomad4 NFE
AF:
0.0255
Gnomad4 OTH
AF:
0.0431
Alfa
AF:
0.0189
Hom.:
8
Bravo
AF:
0.0470
Asia WGS
AF:
0.0850
AC:
293
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Apr 29, 2013
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

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

- -

May 21, 2014
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Sep 14, 2019
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Autosomal recessive limb-girdle muscular dystrophy type 2J Benign:1
Sep 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Autosomal recessive limb-girdle muscular dystrophy type 2J;C1858763:Dilated cardiomyopathy 1G Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Early-onset myopathy with fatal cardiomyopathy Benign:1
Sep 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

Tibial muscular dystrophy Benign:1
Sep 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Myopathy, myofibrillar, 9, with early respiratory failure Benign:1
Sep 10, 2021
Genome-Nilou Lab
Significance: 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
-0.85
CADD
Benign
4.4
DANN
Benign
0.70

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: rs2562837; hg19: chr2-179579694; COSMIC: COSV59946407; COSMIC: COSV59946407; API