rs56355369

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_017636.4(TRPM4):​c.1682A>C​(p.Asp561Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00589 in 1,614,014 control chromosomes in the GnomAD database, including 53 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0037 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0061 ( 52 hom. )

Consequence

TRPM4
NM_017636.4 missense

Scores

1
9
9

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:11

Conservation

PhyloP100: 1.50
Variant links:
Genes affected
TRPM4 (HGNC:17993): (transient receptor potential cation channel subfamily M member 4) The protein encoded by this gene is a calcium-activated nonselective ion channel that mediates transport of monovalent cations across membranes, thereby depolarizing the membrane. The activity of the encoded protein increases with increasing intracellular calcium concentration, but this channel does not transport calcium. [provided by RefSeq, Mar 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.013607472).
BP6
Variant 19-49183151-A-C is Benign according to our data. Variant chr19-49183151-A-C is described in ClinVar as [Likely_benign]. Clinvar id is 180563.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-49183151-A-C is described in Lovd as [Benign].
BS2
High AC in GnomAd4 at 558 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TRPM4NM_017636.4 linkc.1682A>C p.Asp561Ala missense_variant Exon 12 of 25 ENST00000252826.10 NP_060106.2 Q8TD43-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TRPM4ENST00000252826.10 linkc.1682A>C p.Asp561Ala missense_variant Exon 12 of 25 1 NM_017636.4 ENSP00000252826.4 Q8TD43-1

Frequencies

GnomAD3 genomes
AF:
0.00367
AC:
558
AN:
152122
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00118
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00183
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00151
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00666
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.00357
AC:
896
AN:
251312
Hom.:
5
AF XY:
0.00381
AC XY:
518
AN XY:
135876
show subpopulations
Gnomad AFR exome
AF:
0.00111
Gnomad AMR exome
AF:
0.00121
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00203
Gnomad FIN exome
AF:
0.00245
Gnomad NFE exome
AF:
0.00613
Gnomad OTH exome
AF:
0.00391
GnomAD4 exome
AF:
0.00612
AC:
8941
AN:
1461774
Hom.:
52
Cov.:
33
AF XY:
0.00595
AC XY:
4328
AN XY:
727188
show subpopulations
Gnomad4 AFR exome
AF:
0.000568
Gnomad4 AMR exome
AF:
0.00152
Gnomad4 ASJ exome
AF:
0.000459
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00209
Gnomad4 FIN exome
AF:
0.00260
Gnomad4 NFE exome
AF:
0.00733
Gnomad4 OTH exome
AF:
0.00606
GnomAD4 genome
AF:
0.00367
AC:
558
AN:
152240
Hom.:
1
Cov.:
32
AF XY:
0.00328
AC XY:
244
AN XY:
74434
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.00183
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.00151
Gnomad4 NFE
AF:
0.00666
Gnomad4 OTH
AF:
0.00236
Alfa
AF:
0.00474
Hom.:
6
Bravo
AF:
0.00351
TwinsUK
AF:
0.00701
AC:
26
ALSPAC
AF:
0.00519
AC:
20
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00547
AC:
47
ExAC
AF:
0.00412
AC:
500
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00573
EpiControl
AF:
0.00581

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Nov 29, 2016
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. -

Jun 09, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 11, 2019
Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Feb 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

TRPM4: BS2 -

Nov 07, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Progressive familial heart block type IB Benign:2
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Ventricular fibrillation Uncertain:1
May 07, 2014
Blueprint Genetics
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

TRPM4-related disorder Benign:1
May 22, 2019
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Arrhythmogenic right ventricular cardiomyopathy;C0878544:Cardiomyopathy Benign:1
Mar 18, 2019
Center for Advanced Laboratory Medicine, UC San Diego Health, University of California San Diego
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cardiovascular phenotype Benign:1
Jul 25, 2018
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.51
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.11
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.66
D;.
Eigen
Benign
0.074
Eigen_PC
Benign
0.0022
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.72
T;T
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.014
T;T
MetaSVM
Uncertain
-0.23
T
MutationAssessor
Uncertain
2.6
M;M
PrimateAI
Uncertain
0.49
T
PROVEAN
Pathogenic
-5.8
D;D
REVEL
Uncertain
0.49
Sift
Uncertain
0.0090
D;D
Sift4G
Benign
0.063
T;T
Polyphen
0.084
B;D
Vest4
0.47
MVP
0.94
MPC
1.1
ClinPred
0.066
T
GERP RS
4.0
Varity_R
0.48
gMVP
0.59

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: rs56355369; hg19: chr19-49686408; API