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

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

TNNI3
NM_000363.5 missense

Scores

6
10
4

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 1.96
Variant links:
Genes affected
TNNI3 (HGNC:11947): (troponin I3, cardiac type) Troponin I (TnI), along with troponin T (TnT) and troponin C (TnC), is one of 3 subunits that form the troponin complex of the thin filaments of striated muscle. TnI is the inhibitory subunit; blocking actin-myosin interactions and thereby mediating striated muscle relaxation. The TnI subfamily contains three genes: TnI-skeletal-fast-twitch, TnI-skeletal-slow-twitch, and TnI-cardiac. This gene encodes the TnI-cardiac protein and is exclusively expressed in cardiac muscle tissues. Mutations in this gene cause familial hypertrophic cardiomyopathy type 7 (CMH7) and familial restrictive cardiomyopathy (RCM). Troponin I is useful in making a diagnosis of heart failure, and of ischemic heart disease. An elevated level of troponin is also now used as indicator of acute myocardial injury in patients hospitalized with moderate/severe Coronavirus Disease 2019 (COVID-19). Such elevation has also been associated with higher risk of mortality in cardiovascular disease patients hospitalized due to COVID-19. [provided by RefSeq, Aug 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 16 ACMG points.

PM1
In a chain Troponin I, cardiac muscle (size 208) in uniprot entity TNNI3_HUMAN there are 86 pathogenic changes around while only 10 benign (90%) in NM_000363.5
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.95
PP5
Variant 19-55157097-G-A is Pathogenic according to our data. Variant chr19-55157097-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 12434.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-55157097-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TNNI3NM_000363.5 linkc.61C>T p.Arg21Cys missense_variant Exon 3 of 8 ENST00000344887.10 NP_000354.4 P19429Q6FGX2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TNNI3ENST00000344887.10 linkc.61C>T p.Arg21Cys missense_variant Exon 3 of 8 1 NM_000363.5 ENSP00000341838.5 P19429
ENSG00000267110ENST00000587871.1 linkn.*163C>T non_coding_transcript_exon_variant Exon 6 of 9 5 ENSP00000473050.1 M0R381
ENSG00000267110ENST00000587871.1 linkn.*163C>T 3_prime_UTR_variant Exon 6 of 9 5 ENSP00000473050.1 M0R381

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1450698
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
720350
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hypertrophic cardiomyopathy 7 Pathogenic:1
Nov 01, 2005
OMIM
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Hypertrophic cardiomyopathy Pathogenic:1
Nov 18, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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
Mar 01, 2021
Ambry Genetics
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.79
CardioboostCm
Benign
0.011
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Uncertain
0.11
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.73
D
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.32
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Uncertain
0.91
D
M_CAP
Pathogenic
0.91
D
MetaRNN
Pathogenic
0.95
D
MetaSVM
Pathogenic
0.87
D
MutationAssessor
Benign
0.97
L
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
-1.0
N
REVEL
Uncertain
0.63
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0020
D
Polyphen
1.0
D
Vest4
0.81
MutPred
0.77
Loss of MoRF binding (P = 0.0123);
MVP
0.94
MPC
0.89
ClinPred
0.78
D
GERP RS
4.0
Varity_R
0.31

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.13
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: rs267607128; hg19: chr19-55668465; API