rs375484585

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP6BS2

The NM_001077653.2(TBX20):​c.1310G>T​(p.Arg437Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000394 in 1,600,902 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R437H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000043 ( 0 hom. )

Consequence

TBX20
NM_001077653.2 missense

Scores

6
8
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 7.57

Publications

1 publications found
Variant links:
Genes affected
TBX20 (HGNC:11598): (T-box transcription factor 20) This gene encodes a T-box family member. The T-box family members share a common DNA binding domain, termed the T-box, and they are transcription factors involved in the regulation of developmental processes. This gene is essential for heart development. Mutations in this gene are associated with diverse cardiac pathologies, including defects in septation, valvulogenesis and cardiomyopathy. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2009]
TBX20 Gene-Disease associations (from GenCC):
  • atrial septal defect 4
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • dilated cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP6
Variant 7-35202464-C-A is Benign according to our data. Variant chr7-35202464-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 1604200.
BS2
High AC in GnomAdExome4 at 62 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001077653.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TBX20
NM_001077653.2
MANE Select
c.1310G>Tp.Arg437Leu
missense
Exon 8 of 8NP_001071121.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TBX20
ENST00000408931.4
TSL:1 MANE Select
c.1310G>Tp.Arg437Leu
missense
Exon 8 of 8ENSP00000386170.3
ENSG00000294801
ENST00000726058.1
n.446C>A
non_coding_transcript_exon
Exon 2 of 2
ENSG00000294801
ENST00000726056.1
n.166+448C>A
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.0000133
AC:
2
AN:
149850
Hom.:
0
Cov.:
31
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:
0.00
Gnomad SAS
AF:
0.000419
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000986
AC:
23
AN:
233228
AF XY:
0.000151
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000953
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000427
AC:
62
AN:
1450948
Hom.:
0
Cov.:
33
AF XY:
0.0000666
AC XY:
48
AN XY:
720794
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33140
American (AMR)
AF:
0.00
AC:
0
AN:
43540
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25878
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39024
South Asian (SAS)
AF:
0.000710
AC:
60
AN:
84558
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52694
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5746
European-Non Finnish (NFE)
AF:
9.04e-7
AC:
1
AN:
1106446
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59922
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
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:
0.00000667
AC:
1
AN:
149954
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
73032
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40780
American (AMR)
AF:
0.00
AC:
0
AN:
14674
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3462
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5036
South Asian (SAS)
AF:
0.000210
AC:
1
AN:
4768
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10180
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
286
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67776
Other (OTH)
AF:
0.00
AC:
0
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
ExAC
AF:
0.0000828
AC:
10

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
not provided (2)
-
1
-
Cardiovascular phenotype (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.90
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Pathogenic
0.35
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Benign
0.20
T
Eigen
Pathogenic
0.69
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.91
D
M_CAP
Uncertain
0.25
D
MetaRNN
Uncertain
0.49
T
MetaSVM
Uncertain
0.66
D
MutationAssessor
Benign
0.69
N
PhyloP100
7.6
PrimateAI
Pathogenic
0.81
D
PROVEAN
Benign
-0.38
N
REVEL
Uncertain
0.58
Sift
Uncertain
0.0020
D
Sift4G
Benign
0.086
T
Polyphen
0.99
D
Vest4
0.84
MutPred
0.37
Gain of catalytic residue at S439 (P = 0.0594)
MVP
0.84
MPC
1.8
ClinPred
0.33
T
GERP RS
5.7
Varity_R
0.19
gMVP
0.65
Mutation Taster
=25/75
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: rs375484585; hg19: chr7-35242076; API