rs267607128
Variant summary
Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PM1PM2PP3_StrongPP5_Very_Strong
The NM_000363.5(TNNI3):c.61C>T(p.Arg21Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Consequence
NM_000363.5 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 16 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TNNI3 | ENST00000344887.10 | c.61C>T | p.Arg21Cys | missense_variant | Exon 3 of 8 | 1 | NM_000363.5 | ENSP00000341838.5 | ||
ENSG00000267110 | ENST00000587871.1 | n.*163C>T | non_coding_transcript_exon_variant | Exon 6 of 9 | 5 | ENSP00000473050.1 | ||||
ENSG00000267110 | ENST00000587871.1 | n.*163C>T | 3_prime_UTR_variant | Exon 6 of 9 | 5 | ENSP00000473050.1 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD4 exome Data not reliable, filtered out with message: AC0 AF: 0.00 AC: 0AN: 1450698Hom.: 0 Cov.: 33 AF XY: 0.00 AC XY: 0AN XY: 720350
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Hypertrophic cardiomyopathy 7 Pathogenic:1
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Hypertrophic cardiomyopathy Pathogenic:1
This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 21 of the TNNI3 protein (p.Arg21Cys). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with hypertrophic cardiomyopathy (PMID: 16267253, 24111713, 31737537, 32885985). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 12434). Algorithms developed to predict the effect of variants on gene product structure and function are not available or were not evaluated for this variant. Experimental studies have shown that this missense change affects TNNI3 function (PMID: 22086914, 25961037, 26391394). For these reasons, this variant has been classified as Pathogenic. -
Cardiovascular phenotype Pathogenic:1
The p.R21C variant (also known as c.61C>T), located in coding exon 3 of the TNNI3 gene, results from a C to T substitution at nucleotide position 61. The arginine at codon 21 is replaced by cysteine, an amino acid with highly dissimilar properties. This variant has been detected in hypertrophic cardiomyopathy (HCM) cohorts (Berge KE et al. Clin Genet, 2014 Oct;86:355-60; Fahed AC et al. Circ Genom Precis Med, 2020 Oct;13:444-452), and it has been found to segregate with HCM and sudden cardiac death among multiple unrelated South Lebanese families (Fahed AC et al. Circ Genom Precis Med, 2020 Oct;13:444-452). Additionally, functional studies show that this alteration impacts protein function by altering phosphorylation and calcium sensitivity, which may lead to the development of a cardiomyopathy phenotype (Gomes AV et al. J Mol Cell Cardiol, 2005 Nov;39:754-65; Wang Y et al. J Biol Chem, 2012 Jan;287:2156-67; Dweck D et al. J Biol Chem, 2014 Aug;289:23097-111; Cheng Y et al. J Biol Chem, 2015 Nov;290:27749-66; Liang J et al. Biomed Res Int, 2015 Apr;2015:742536). Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at