rs3729837

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000363.5(TNNI3):​c.108+21G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0664 in 1,570,564 control chromosomes in the GnomAD database, including 4,000 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.051 ( 278 hom., cov: 32)
Exomes 𝑓: 0.068 ( 3722 hom. )

Consequence

TNNI3
NM_000363.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.556

Publications

4 publications found
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]
TNNI3 Gene-Disease associations (from GenCC):
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • dilated cardiomyopathy 2A
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • hypertrophic cardiomyopathy 7
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), G2P
  • cardiomyopathy, familial restrictive, 1
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • dilated cardiomyopathy 1FF
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • dilated cardiomyopathy
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial isolated restrictive cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • arrhythmogenic right ventricular cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.72).
BP6
Variant 19-55157029-C-T is Benign according to our data. Variant chr19-55157029-C-T is described in ClinVar as Benign. ClinVar VariationId is 255944.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0967 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TNNI3NM_000363.5 linkc.108+21G>A intron_variant Intron 3 of 7 ENST00000344887.10 NP_000354.4 P19429Q6FGX2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TNNI3ENST00000344887.10 linkc.108+21G>A intron_variant Intron 3 of 7 1 NM_000363.5 ENSP00000341838.5 P19429
ENSG00000267110ENST00000587871.1 linkn.*210+21G>A intron_variant Intron 6 of 8 5 ENSP00000473050.1 M0R381

Frequencies

GnomAD3 genomes
AF:
0.0513
AC:
7796
AN:
151996
Hom.:
280
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0123
Gnomad AMI
AF:
0.109
Gnomad AMR
AF:
0.0413
Gnomad ASJ
AF:
0.0968
Gnomad EAS
AF:
0.0425
Gnomad SAS
AF:
0.104
Gnomad FIN
AF:
0.0595
Gnomad MID
AF:
0.158
Gnomad NFE
AF:
0.0688
Gnomad OTH
AF:
0.0699
GnomAD2 exomes
AF:
0.0662
AC:
12169
AN:
183920
AF XY:
0.0711
show subpopulations
Gnomad AFR exome
AF:
0.0118
Gnomad AMR exome
AF:
0.0379
Gnomad ASJ exome
AF:
0.0958
Gnomad EAS exome
AF:
0.0449
Gnomad FIN exome
AF:
0.0571
Gnomad NFE exome
AF:
0.0706
Gnomad OTH exome
AF:
0.0869
GnomAD4 exome
AF:
0.0680
AC:
96472
AN:
1418450
Hom.:
3722
Cov.:
33
AF XY:
0.0699
AC XY:
49041
AN XY:
701526
show subpopulations
African (AFR)
AF:
0.0122
AC:
405
AN:
33190
American (AMR)
AF:
0.0375
AC:
1377
AN:
36714
Ashkenazi Jewish (ASJ)
AF:
0.0937
AC:
2373
AN:
25324
East Asian (EAS)
AF:
0.0251
AC:
969
AN:
38664
South Asian (SAS)
AF:
0.110
AC:
8869
AN:
80882
European-Finnish (FIN)
AF:
0.0628
AC:
2942
AN:
46836
Middle Eastern (MID)
AF:
0.155
AC:
708
AN:
4566
European-Non Finnish (NFE)
AF:
0.0681
AC:
74415
AN:
1093254
Other (OTH)
AF:
0.0748
AC:
4414
AN:
59020
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
5541
11082
16623
22164
27705
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2790
5580
8370
11160
13950
<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:
0.0512
AC:
7788
AN:
152114
Hom.:
278
Cov.:
32
AF XY:
0.0516
AC XY:
3834
AN XY:
74374
show subpopulations
African (AFR)
AF:
0.0123
AC:
509
AN:
41506
American (AMR)
AF:
0.0411
AC:
629
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.0968
AC:
336
AN:
3470
East Asian (EAS)
AF:
0.0422
AC:
218
AN:
5170
South Asian (SAS)
AF:
0.104
AC:
502
AN:
4818
European-Finnish (FIN)
AF:
0.0595
AC:
632
AN:
10616
Middle Eastern (MID)
AF:
0.146
AC:
43
AN:
294
European-Non Finnish (NFE)
AF:
0.0688
AC:
4673
AN:
67934
Other (OTH)
AF:
0.0697
AC:
147
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.515
Heterozygous variant carriers
0
383
766
1150
1533
1916
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
90
180
270
360
450
<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:
0.0654
Hom.:
75
Bravo
AF:
0.0460
Asia WGS
AF:
0.0620
AC:
216
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

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

- -

not provided Benign:2
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.72
CADD
Benign
5.7
DANN
Benign
0.94
PhyloP100
-0.56
PromoterAI
0.037
Neutral
Mutation Taster
=11/89
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs3729837; hg19: chr19-55668397; API