rs41316640

Variant summary

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

The NM_001365276.2(TNXB):​c.12210+43T>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00125 in 1,428,772 control chromosomes in the GnomAD database, including 869 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00083 ( 1 hom., cov: 20)
Exomes 𝑓: 0.0013 ( 869 hom. )
Failed GnomAD Quality Control

Consequence

TNXB
NM_001365276.2 intron

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.618

Publications

1 publications found
Variant links:
Genes affected
TNXB (HGNC:11976): (tenascin XB) This gene encodes a member of the tenascin family of extracellular matrix glycoproteins. The tenascins have anti-adhesive effects, as opposed to fibronectin which is adhesive. This protein is thought to function in matrix maturation during wound healing, and its deficiency has been associated with the connective tissue disorder Ehlers-Danlos syndrome. This gene localizes to the major histocompatibility complex (MHC) class III region on chromosome 6. It is one of four genes in this cluster which have been duplicated. The duplicated copy of this gene is incomplete and is a pseudogene which is transcribed but does not encode a protein. The structure of this gene is unusual in that it overlaps the CREBL1 and CYP21A2 genes at its 5' and 3' ends, respectively. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
TNXB Gene-Disease associations (from GenCC):
  • Ehlers-Danlos syndrome
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • Ehlers-Danlos syndrome due to tenascin-X deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Illumina, PanelApp Australia, Orphanet
  • familial vesicoureteral reflux
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • vesicoureteral reflux 8
    Inheritance: AD 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 (BayesDel_noAF=-0.92).
BP6
Variant 6-32042412-A-C is Benign according to our data. Variant chr6-32042412-A-C is described in ClinVar as Likely_benign. ClinVar VariationId is 261122.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAdExome4 allele frequency = 0.00125 (1786/1428772) while in subpopulation SAS AF = 0.0099 (800/80790). AF 95% confidence interval is 0.00933. There are 869 homozygotes in GnomAdExome4. There are 1152 alleles in the male GnomAdExome4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 869 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TNXBNM_001365276.2 linkc.12210+43T>G intron_variant Intron 40 of 43 ENST00000644971.2 NP_001352205.1
TNXBNM_001428335.1 linkc.12951+43T>G intron_variant Intron 41 of 44 NP_001415264.1
TNXBNM_019105.8 linkc.12204+43T>G intron_variant Intron 40 of 43 NP_061978.6 P22105-1O95680Q9Y464O95681
TNXBNM_032470.4 linkc.1497+43T>G intron_variant Intron 9 of 12 NP_115859.2 P22105-2Q6IPK3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TNXBENST00000644971.2 linkc.12210+43T>G intron_variant Intron 40 of 43 NM_001365276.2 ENSP00000496448.1 P22105-3

Frequencies

GnomAD3 genomes
AF:
0.000800
AC:
110
AN:
137566
Hom.:
0
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.00201
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000277
Gnomad ASJ
AF:
0.000307
Gnomad EAS
AF:
0.000616
Gnomad SAS
AF:
0.000715
Gnomad FIN
AF:
0.0000984
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000439
Gnomad OTH
AF:
0.00106
GnomAD2 exomes
AF:
0.0000890
AC:
22
AN:
247112
AF XY:
0.000127
show subpopulations
Gnomad AFR exome
AF:
0.000131
Gnomad AMR exome
AF:
0.0000874
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000714
Gnomad OTH exome
AF:
0.000331
GnomAD4 exome
AF:
0.00125
AC:
1786
AN:
1428772
Hom.:
869
Cov.:
31
AF XY:
0.00162
AC XY:
1152
AN XY:
709880
show subpopulations
African (AFR)
AF:
0.00527
AC:
163
AN:
30954
American (AMR)
AF:
0.00124
AC:
55
AN:
44192
Ashkenazi Jewish (ASJ)
AF:
0.00165
AC:
42
AN:
25518
East Asian (EAS)
AF:
0.000462
AC:
18
AN:
38932
South Asian (SAS)
AF:
0.00990
AC:
800
AN:
80790
European-Finnish (FIN)
AF:
0.000305
AC:
16
AN:
52448
Middle Eastern (MID)
AF:
0.00177
AC:
10
AN:
5638
European-Non Finnish (NFE)
AF:
0.000571
AC:
623
AN:
1091370
Other (OTH)
AF:
0.00100
AC:
59
AN:
58930
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.446
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000828
AC:
114
AN:
137684
Hom.:
1
Cov.:
20
AF XY:
0.000863
AC XY:
58
AN XY:
67192
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00212
AC:
72
AN:
33960
American (AMR)
AF:
0.000277
AC:
4
AN:
14460
Ashkenazi Jewish (ASJ)
AF:
0.000307
AC:
1
AN:
3260
East Asian (EAS)
AF:
0.000618
AC:
3
AN:
4858
South Asian (SAS)
AF:
0.000715
AC:
3
AN:
4194
European-Finnish (FIN)
AF:
0.0000984
AC:
1
AN:
10164
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
272
European-Non Finnish (NFE)
AF:
0.000439
AC:
28
AN:
63766
Other (OTH)
AF:
0.00104
AC:
2
AN:
1914
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.245
Heterozygous variant carriers
0
17
33
50
66
83
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:
0.00198
Hom.:
12

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
-
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely 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
-0.92
CADD
Benign
2.9
DANN
Benign
0.46
PhyloP100
-0.62
Mutation Taster
=100/0
polymorphism

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: rs41316640; hg19: chr6-32010189; COSMIC: COSV64486373; COSMIC: COSV64486373; API