rs34377097

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_001060.6(TBXA2R):​c.179G>T​(p.Arg60Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000134 in 1,612,836 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00014 ( 4 hom. )

Consequence

TBXA2R
NM_001060.6 missense

Scores

1
9
9

Clinical Significance

Benign criteria provided, single submitter P:1B:1O:1

Conservation

PhyloP100: 1.15

Publications

25 publications found
Variant links:
Genes affected
TBXA2R (HGNC:11608): (thromboxane A2 receptor) This gene encodes a member of the G protein-coupled receptor family. The protein interacts with thromboxane A2 to induce platelet aggregation and regulate hemostasis. A mutation in this gene results in a bleeding disorder. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2009]
TBXA2R Gene-Disease associations (from GenCC):
  • qualitative platelet defect
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen
  • bleeding diathesis due to thromboxane synthesis deficiency
    Inheritance: Unknown, AD Classification: MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • schizophrenia
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06575355).
BP6
Variant 19-3600456-C-A is Benign according to our data. Variant chr19-3600456-C-A is described in ClinVar as Benign. ClinVar VariationId is 12712.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 8 Unknown,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TBXA2RNM_001060.6 linkc.179G>T p.Arg60Leu missense_variant Exon 2 of 3 ENST00000375190.10 NP_001051.1
TBXA2RNM_201636.3 linkc.179G>T p.Arg60Leu missense_variant Exon 2 of 4 NP_963998.2
TBXA2RXM_011528214.3 linkc.179G>T p.Arg60Leu missense_variant Exon 3 of 4 XP_011526516.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TBXA2RENST00000375190.10 linkc.179G>T p.Arg60Leu missense_variant Exon 2 of 3 1 NM_001060.6 ENSP00000364336.4
TBXA2RENST00000589966.1 linkc.179G>T p.Arg60Leu missense_variant Exon 1 of 2 1 ENSP00000468145.1
TBXA2RENST00000411851.3 linkc.179G>T p.Arg60Leu missense_variant Exon 2 of 4 2 ENSP00000393333.2

Frequencies

GnomAD3 genomes
AF:
0.0000591
AC:
9
AN:
152162
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:
0.00154
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000576
AC:
14
AN:
243186
AF XY:
0.0000451
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000788
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000142
AC:
208
AN:
1460556
Hom.:
4
Cov.:
33
AF XY:
0.000133
AC XY:
97
AN XY:
726628
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33460
American (AMR)
AF:
0.00
AC:
0
AN:
44692
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26102
East Asian (EAS)
AF:
0.00517
AC:
205
AN:
39684
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86232
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52756
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5668
European-Non Finnish (NFE)
AF:
9.00e-7
AC:
1
AN:
1111644
Other (OTH)
AF:
0.0000332
AC:
2
AN:
60318
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
15
29
44
58
73
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.0000525
AC:
8
AN:
152280
Hom.:
0
Cov.:
32
AF XY:
0.0000671
AC XY:
5
AN XY:
74464
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41548
American (AMR)
AF:
0.00
AC:
0
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00155
AC:
8
AN:
5174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68018
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000122
Hom.:
1
Bravo
AF:
0.00000756
ExAC
AF:
0.0000662
AC:
8
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Pathogenic:1Benign:1Other:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Bleeding disorder, platelet-type, 13, susceptibility to Benign:1Other:1
Feb 15, 1996
OMIM
Significance:risk factor
Review Status:no assertion criteria provided
Collection Method:literature only

- -

May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Asthma Pathogenic:1
Nov 04, 2022
Allergology and Ecology Laboratory, University of Burdwan
Significance:Likely risk allele
Review Status:no assertion criteria provided
Collection Method:case-control

STRING analysis showed that TBXA2R are involved in interaction with different known and predicted Gq proteins (guanine nucleotide-binding G protein, subunits alpha, group q). Out of all Gq proteins, GNA11 acts as an activator of phospholipase C (PLC). PLC hydrolyses phosphoinositides into the two stimulatory second messengers - inositol 1,4,5-triphosphate (IP3) and diacylglycerol. IP3 enhances cytoplasmic free calcium level and diacylglycerol (DAG) activates protein kinase C (PKC). Activated protein kinase C either directly phosphorylates LTC4 synthase enzyme and inactivates it or this regulation may involve another regulatory protein which is yet to be discovered. Inactivation of LTC4 synthase leads to reduction of Leukotriene C4 (LTC4) biosynthesis in platelets. However, in the case of risk allele rs34377097 T-bearing individuals, the non-synonymous polymorphism (R60L) in TBXA2R protein inhibits the interaction between GNA11 and TBXA2R due to the change in the positive charge potentiality at the cytoplasmic domain. This is in line with Hirata et al. 1996, who demonstrated that the R60L polymorphism significantly reduces PLC activity. That leads to simultaneous inactivation of PKC which ultimately results in LTC4 synthase enzyme activation. Activation of this enzyme leads to LTA4 to LTC4 conversion which results in acute asthmatic response including broncho-constriction, tracheolar constriction and increased mucus secretion. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Benign
-0.057
T
BayesDel_noAF
Uncertain
0.060
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.75
D;.;.
Eigen
Benign
0.16
Eigen_PC
Benign
0.035
FATHMM_MKL
Benign
0.56
D
LIST_S2
Benign
0.81
T;T;T
M_CAP
Uncertain
0.18
D
MetaRNN
Benign
0.066
T;T;T
MetaSVM
Benign
-0.64
T
MutationAssessor
Uncertain
2.6
M;.;M
PhyloP100
1.1
PrimateAI
Uncertain
0.61
T
PROVEAN
Pathogenic
-5.2
D;.;D
REVEL
Uncertain
0.47
Sift
Uncertain
0.0060
D;.;D
Sift4G
Uncertain
0.043
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.31
MVP
0.72
MPC
1.9
ClinPred
0.82
D
GERP RS
4.6
PromoterAI
0.0047
Neutral
Varity_R
0.62
gMVP
0.77
Mutation Taster
=12/88
disease causing

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: rs34377097; hg19: chr19-3600454; API