rs540371915

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_001393500.2(TOMT):​c.596C>T​(p.Ala199Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000472 in 1,550,430 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00037 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00048 ( 0 hom. )

Consequence

TOMT
NM_001393500.2 missense

Scores

1
3
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: 2.19

Publications

1 publications found
Variant links:
Genes affected
TOMT (HGNC:55527): (transmembrane O-methyltransferase) This gene encodes a catechol-O-methyltransferase that catalyzes the transfer of a methyl group from S-adenosyl-L-methionine to a hydroxyl group of catechols and is essential for auditory and vestibular function. Mutations in this gene have been associated with nonsyndromic deafness. Readthrough transcription is observed across this gene and the adjacent leucine-rich repeat containing 51 gene. A third locus (GeneID:220074) is defined to represent the readthrough transcripts. [provided by RefSeq, Feb 2021]
LRTOMT (HGNC:25033): (leucine rich transmembrane and O-methyltransferase domain containing) This locus represents naturally occurring readthrough transcription between the neighboring LRRC51 (leucine-rich repeat containing 51) and TOMT (transmembrane O-methyltransferase) genes on chromosome 11. The readthrough transcript encodes a fusion protein that shares sequence identity with each individual gene product. Multiple reports implicate mutations in this gene in nonsyndromic deafness.[provided by RefSeq, Feb 2021]
ANAPC15 (HGNC:24531): (anaphase promoting complex subunit 15) Involved in regulation of mitotic cell cycle spindle assembly checkpoint. Part of anaphase-promoting complex. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06716108).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001393500.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TOMT
NM_001393500.2
MANE Select
c.596C>Tp.Ala199Val
missense
Exon 3 of 3NP_001380429.1
LRTOMT
NM_001145308.5
c.695C>Tp.Ala232Val
missense
Exon 7 of 7NP_001138780.1
LRTOMT
NM_001145309.4
c.695C>Tp.Ala232Val
missense
Exon 9 of 9NP_001138781.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TOMT
ENST00000541899.3
TSL:5 MANE Select
c.596C>Tp.Ala199Val
missense
Exon 3 of 3ENSP00000494667.1
LRTOMT
ENST00000307198.11
TSL:2
c.695C>Tp.Ala232Val
missense
Exon 7 of 7ENSP00000305742.7
LRTOMT
ENST00000427369.6
TSL:1
n.*414C>T
non_coding_transcript_exon
Exon 9 of 9ENSP00000409403.2

Frequencies

GnomAD3 genomes
AF:
0.000381
AC:
58
AN:
152234
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000617
Gnomad OTH
AF:
0.000956
GnomAD2 exomes
AF:
0.000337
AC:
52
AN:
154228
AF XY:
0.000342
show subpopulations
Gnomad AFR exome
AF:
0.000126
Gnomad AMR exome
AF:
0.000730
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000334
Gnomad OTH exome
AF:
0.00115
GnomAD4 exome
AF:
0.000484
AC:
676
AN:
1398078
Hom.:
0
Cov.:
32
AF XY:
0.000481
AC XY:
332
AN XY:
689608
show subpopulations
African (AFR)
AF:
0.0000633
AC:
2
AN:
31598
American (AMR)
AF:
0.000560
AC:
20
AN:
35692
Ashkenazi Jewish (ASJ)
AF:
0.0000397
AC:
1
AN:
25166
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35734
South Asian (SAS)
AF:
0.000328
AC:
26
AN:
79228
European-Finnish (FIN)
AF:
0.000104
AC:
5
AN:
48102
Middle Eastern (MID)
AF:
0.000351
AC:
2
AN:
5698
European-Non Finnish (NFE)
AF:
0.000548
AC:
591
AN:
1078870
Other (OTH)
AF:
0.000500
AC:
29
AN:
57990
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
38
75
113
150
188
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
22
44
66
88
110
<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:
0.000368
AC:
56
AN:
152352
Hom.:
0
Cov.:
32
AF XY:
0.000336
AC XY:
25
AN XY:
74510
show subpopulations
African (AFR)
AF:
0.000192
AC:
8
AN:
41578
American (AMR)
AF:
0.0000653
AC:
1
AN:
15314
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.000621
AC:
3
AN:
4834
European-Finnish (FIN)
AF:
0.0000941
AC:
1
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000617
AC:
42
AN:
68024
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
3
6
9
12
15
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:
0.000352
Hom.:
0
Bravo
AF:
0.000332
ExAC
AF:
0.000151
AC:
4
Asia WGS
AF:
0.00115
AC:
4
AN:
3478

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
1
not provided (4)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.32
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.24
T
Eigen
Benign
-0.066
Eigen_PC
Benign
0.094
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.72
T
M_CAP
Benign
0.059
D
MetaRNN
Benign
0.067
T
MetaSVM
Benign
-0.71
T
MutationAssessor
Benign
2.0
M
PhyloP100
2.2
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-2.3
N
REVEL
Benign
0.16
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.040
D
Polyphen
0.0010
B
Vest4
0.083
MVP
0.76
MPC
0.12
ClinPred
0.070
T
GERP RS
4.6
Varity_R
0.092
gMVP
0.46
Mutation Taster
=96/4
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: rs540371915; hg19: chr11-71819790; API