rs45458802

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_003673.4(TCAP):​c.191C>T​(p.Ser64Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000694 in 1,607,660 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. S64S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0039 ( 5 hom., cov: 32)
Exomes 𝑓: 0.00036 ( 4 hom. )

Consequence

TCAP
NM_003673.4 missense

Scores

1
10
7

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 4.33
Variant links:
Genes affected
TCAP (HGNC:11610): (titin-cap) Sarcomere assembly is regulated by the muscle protein titin. Titin is a giant elastic protein with kinase activity that extends half the length of a sarcomere. It serves as a scaffold to which myofibrils and other muscle related proteins are attached. This gene encodes a protein found in striated and cardiac muscle that binds to the titin Z1-Z2 domains and is a substrate of titin kinase, interactions thought to be critical to sarcomere assembly. Mutations in this gene are associated with limb-girdle muscular dystrophy type 2G. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.019053161).
BP6
Variant 17-39665796-C-T is Benign according to our data. Variant chr17-39665796-C-T is described in ClinVar as [Benign]. Clinvar id is 44705.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-39665796-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00389 (592/152296) while in subpopulation AFR AF= 0.0135 (563/41552). AF 95% confidence interval is 0.0126. There are 5 homozygotes in gnomad4. There are 274 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 5 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TCAPNM_003673.4 linkuse as main transcriptc.191C>T p.Ser64Leu missense_variant 2/2 ENST00000309889.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TCAPENST00000309889.3 linkuse as main transcriptc.191C>T p.Ser64Leu missense_variant 2/21 NM_003673.4 P1
TCAPENST00000578283.1 linkuse as main transcriptc.174+17C>T intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.00389
AC:
592
AN:
152178
Hom.:
5
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0136
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.000805
AC:
192
AN:
238518
Hom.:
2
AF XY:
0.000617
AC XY:
80
AN XY:
129760
show subpopulations
Gnomad AFR exome
AF:
0.0117
Gnomad AMR exome
AF:
0.000269
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000339
Gnomad FIN exome
AF:
0.0000494
Gnomad NFE exome
AF:
0.0000281
Gnomad OTH exome
AF:
0.000342
GnomAD4 exome
AF:
0.000359
AC:
523
AN:
1455364
Hom.:
4
Cov.:
30
AF XY:
0.000311
AC XY:
225
AN XY:
723478
show subpopulations
Gnomad4 AFR exome
AF:
0.0135
Gnomad4 AMR exome
AF:
0.000318
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000586
Gnomad4 FIN exome
AF:
0.0000385
Gnomad4 NFE exome
AF:
0.00000992
Gnomad4 OTH exome
AF:
0.000665
GnomAD4 genome
AF:
0.00389
AC:
592
AN:
152296
Hom.:
5
Cov.:
32
AF XY:
0.00368
AC XY:
274
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.0135
Gnomad4 AMR
AF:
0.00131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00157
Hom.:
1
Bravo
AF:
0.00420
ESP6500AA
AF:
0.0102
AC:
45
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000998
AC:
121
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:8
Benign, criteria provided, single submitterresearchBiesecker Lab/Clinical Genomics Section, National Institutes of HealthJun 24, 2013- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineApr 17, 2012Ser64Leu in Exon 02 of TCAP: This variant is not expected to have clinical signi ficance because it has been identified in 1.2% (43/3730) of African American chr omosomes from a broad population by the NHLBI Exome Sequencing Project (http://e vs.gs.washington.edu/EVS; dbSNP rs45458802). -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsSep 16, 2020- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 05, 2013This 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. -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 14, 2014- -
Hypertrophic cardiomyopathy;C0023976:Long QT syndrome Benign:1
Benign, criteria provided, single submitterclinical testingCenter for Advanced Laboratory Medicine, UC San Diego Health, University of California San DiegoJun 03, 2019- -
Cardiomyopathy Benign:1
Benign, criteria provided, single submitterclinical testingCHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern OntarioOct 12, 2016- -
Cardiovascular phenotype Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsDec 16, 2015This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Primary familial hypertrophic cardiomyopathy;C4225408:Hypertrophic cardiomyopathy 25 Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.27
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.84
D
Eigen
Benign
0.12
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.87
D
MetaRNN
Benign
0.019
T
MetaSVM
Uncertain
-0.21
T
MutationAssessor
Uncertain
2.1
M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.51
T
PROVEAN
Uncertain
-3.5
D
REVEL
Uncertain
0.41
Sift
Benign
0.070
T
Sift4G
Uncertain
0.037
D
Polyphen
0.74
P
Vest4
0.49
MVP
0.97
MPC
0.36
ClinPred
0.020
T
GERP RS
5.7
Varity_R
0.43
gMVP
0.60

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs45458802; hg19: chr17-37822049; API