rs369757546

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_001102401.4(TTI2):​c.695C>T​(p.Thr232Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000406 in 1,600,962 control chromosomes in the GnomAD database, with no homozygous occurrence. 14/24 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T232A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000060 ( 0 hom., cov: 30)
Exomes 𝑓: 0.000039 ( 0 hom. )

Consequence

TTI2
NM_001102401.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 1.55

Publications

0 publications found
Variant links:
Genes affected
TTI2 (HGNC:26262): (TELO2 interacting protein 2) This gene encodes a regulator of the DNA damage response. The protein is a component of the Triple T complex (TTT) which also includes telomere length regulation protein and TELO2 interacting protein 1. The TTT complex is involved in cellular resistance to DNA damage stresses and may act as a regulator of phosphoinositide-3-kinase-related protein kinase (PIKK) abundance. [provided by RefSeq, May 2013]
TTI2 Gene-Disease associations (from GenCC):
  • severe intellectual disability-short stature-behavioral abnormalities-facial dysmorphism syndrome
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TTI2NM_001102401.4 linkc.695C>T p.Thr232Ile missense_variant Exon 3 of 8 ENST00000431156.7 NP_001095871.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TTI2ENST00000431156.7 linkc.695C>T p.Thr232Ile missense_variant Exon 3 of 8 1 NM_001102401.4 ENSP00000411169.3

Frequencies

GnomAD3 genomes
AF:
0.0000600
AC:
9
AN:
150052
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000491
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000670
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:
0.0000886
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000159
AC:
4
AN:
251460
AF XY:
0.00000736
show subpopulations
Gnomad AFR exome
AF:
0.0000615
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:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000386
AC:
56
AN:
1450910
Hom.:
0
Cov.:
33
AF XY:
0.0000346
AC XY:
25
AN XY:
721842
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33064
American (AMR)
AF:
0.00
AC:
0
AN:
44288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25666
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38884
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86138
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52348
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5708
European-Non Finnish (NFE)
AF:
0.0000507
AC:
56
AN:
1105206
Other (OTH)
AF:
0.00
AC:
0
AN:
59608
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
4
8
12
16
20
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:
0.0000600
AC:
9
AN:
150052
Hom.:
0
Cov.:
30
AF XY:
0.0000548
AC XY:
4
AN XY:
73008
show subpopulations
African (AFR)
AF:
0.0000491
AC:
2
AN:
40760
American (AMR)
AF:
0.0000670
AC:
1
AN:
14922
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3452
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4994
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4692
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10192
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000886
AC:
6
AN:
67746
Other (OTH)
AF:
0.00
AC:
0
AN:
2068
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
1
2
3
4
5
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:
0.0000658
Hom.:
0
Bravo
AF:
0.0000453
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00000824
AC:
1

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Oct 12, 2016
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
Mar 14, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.695C>T (p.T232I) alteration is located in exon 2 (coding exon 2) of the TTI2 gene. This alteration results from a C to T substitution at nucleotide position 695, causing the threonine (T) at amino acid position 232 to be replaced by an isoleucine (I). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Severe intellectual disability-short stature-behavioral abnormalities-facial dysmorphism syndrome Uncertain:1
Dec 24, 2018
Baylor Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0038
T;T;T;.
Eigen
Benign
0.088
Eigen_PC
Benign
0.13
FATHMM_MKL
Benign
0.58
D
LIST_S2
Benign
0.72
T;.;.;T
M_CAP
Benign
0.025
D
MetaRNN
Uncertain
0.43
T;T;T;T
MetaSVM
Benign
-0.67
T
MutationAssessor
Benign
1.5
L;L;L;.
PhyloP100
1.6
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-0.52
.;N;N;N
REVEL
Benign
0.25
Sift
Benign
0.47
.;T;T;T
Sift4G
Uncertain
0.0060
D;D;D;D
Polyphen
0.67
P;P;P;P
Vest4
0.53
MVP
0.42
MPC
0.24
ClinPred
0.20
T
GERP RS
3.1
Varity_R
0.025
gMVP
0.24
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.20
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.20
Position offset: -11

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs369757546; hg19: chr8-33367403; API