rs41277901

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004817.4(TJP2):​c.1478G>A​(p.Arg493Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00335 in 1,614,078 control chromosomes in the GnomAD database, including 70 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.012 ( 26 hom., cov: 32)
Exomes 𝑓: 0.0024 ( 44 hom. )

Consequence

TJP2
NM_004817.4 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 4.23

Publications

9 publications found
Variant links:
Genes affected
TJP2 (HGNC:11828): (tight junction protein 2) This gene encodes a zonula occluden that is a member of the membrane-associated guanylate kinase homolog family. The encoded protein functions as a component of the tight junction barrier in epithelial and endothelial cells and is necessary for proper assembly of tight junctions. Mutations in this gene have been identified in patients with hypercholanemia, and genomic duplication of a 270 kb region including this gene causes autosomal dominant deafness-51. Alternatively spliced transcripts encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Nov 2011]
TJP2 Gene-Disease associations (from GenCC):
  • cholestasis, progressive familial intrahepatic, 4
    Inheritance: AR Classification: STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • autosomal dominant nonsyndromic hearing loss
    Inheritance: AD Classification: SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Orphanet
  • familial hypercholanemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • nonsyndromic genetic hearing loss
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • hypercholanemia, familial 1
    Inheritance: Unknown Classification: LIMITED 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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0020357668).
BP6
Variant 9-69229208-G-A is Benign according to our data. Variant chr9-69229208-G-A is described in ClinVar as Benign. ClinVar VariationId is 44092.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.0122 (1856/152256) while in subpopulation AFR AF = 0.036 (1497/41536). AF 95% confidence interval is 0.0345. There are 26 homozygotes in GnomAd4. There are 910 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 26 AD,Unknown,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TJP2NM_004817.4 linkc.1478G>A p.Arg493Lys missense_variant Exon 10 of 23 ENST00000377245.9 NP_004808.2 Q9UDY2-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TJP2ENST00000377245.9 linkc.1478G>A p.Arg493Lys missense_variant Exon 10 of 23 1 NM_004817.4 ENSP00000366453.4 Q9UDY2-1
ENSG00000285130ENST00000642889.1 linkc.1865G>A p.Arg622Lys missense_variant Exon 12 of 25 ENSP00000493780.1 A0A2R8YDH4

Frequencies

GnomAD3 genomes
AF:
0.0122
AC:
1854
AN:
152138
Hom.:
26
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0361
Gnomad AMI
AF:
0.00658
Gnomad AMR
AF:
0.0122
Gnomad ASJ
AF:
0.00634
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.00146
Gnomad OTH
AF:
0.0177
GnomAD2 exomes
AF:
0.00468
AC:
1177
AN:
251486
AF XY:
0.00394
show subpopulations
Gnomad AFR exome
AF:
0.0372
Gnomad AMR exome
AF:
0.00714
Gnomad ASJ exome
AF:
0.00585
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000785
Gnomad NFE exome
AF:
0.00179
Gnomad OTH exome
AF:
0.00635
GnomAD4 exome
AF:
0.00243
AC:
3547
AN:
1461822
Hom.:
44
Cov.:
31
AF XY:
0.00226
AC XY:
1645
AN XY:
727226
show subpopulations
African (AFR)
AF:
0.0384
AC:
1286
AN:
33460
American (AMR)
AF:
0.00778
AC:
348
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00482
AC:
126
AN:
26134
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39688
South Asian (SAS)
AF:
0.000313
AC:
27
AN:
86254
European-Finnish (FIN)
AF:
0.000768
AC:
41
AN:
53418
Middle Eastern (MID)
AF:
0.0154
AC:
89
AN:
5768
European-Non Finnish (NFE)
AF:
0.00114
AC:
1267
AN:
1111982
Other (OTH)
AF:
0.00599
AC:
362
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
187
375
562
750
937
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
70
140
210
280
350
<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:
0.0122
AC:
1856
AN:
152256
Hom.:
26
Cov.:
32
AF XY:
0.0122
AC XY:
910
AN XY:
74448
show subpopulations
African (AFR)
AF:
0.0360
AC:
1497
AN:
41536
American (AMR)
AF:
0.0122
AC:
187
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00634
AC:
22
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4820
European-Finnish (FIN)
AF:
0.000377
AC:
4
AN:
10612
Middle Eastern (MID)
AF:
0.0102
AC:
3
AN:
294
European-Non Finnish (NFE)
AF:
0.00146
AC:
99
AN:
68020
Other (OTH)
AF:
0.0176
AC:
37
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
90
180
269
359
449
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00444
Hom.:
17
Bravo
AF:
0.0149
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.0347
AC:
153
ESP6500EA
AF:
0.00163
AC:
14
ExAC
AF:
0.00511
AC:
620
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.00202
EpiControl
AF:
0.00184

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Feb 22, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

May 07, 2012
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Arg470Lys in Exon 11 of TJP2: This variant is not expected to have clinical sign ificance because it has been identified in 3.6% (134/3738) of African American c hromosomes from a broad population by the NHLBI Exome Sequencing Project (http:/ /evs.gs.washington.edu/EVS; dbSNP rs41277901). -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Jan 07, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.64
CADD
Benign
20
DANN
Benign
0.97
DEOGEN2
Benign
0.11
.;.;.;.;T;.;T;.;.;.;.;.;.;.
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.13
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.85
D;D;D;D;.;D;D;D;D;D;D;D;D;D
MetaRNN
Benign
0.0020
T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.3
.;.;.;.;L;L;L;.;.;.;.;.;.;.
PhyloP100
4.2
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.0
.;N;.;.;.;N;N;.;.;.;N;.;N;.
REVEL
Benign
0.058
Sift
Benign
0.45
.;T;.;.;.;T;T;.;.;.;T;.;T;.
Sift4G
Benign
0.86
.;T;.;.;.;T;T;.;.;.;T;.;T;.
Polyphen
0.0070, 0.0040
.;.;.;.;B;B;B;.;.;.;.;.;.;.
Vest4
0.23, 0.25, 0.26, 0.24
MVP
0.40
MPC
0.20
ClinPred
0.010
T
GERP RS
4.0
Varity_R
0.075
gMVP
0.29
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs41277901; hg19: chr9-71844124; API