rs5743781

Variant summary

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

The NM_016562.4(TLR7):​c.1343C>T​(p.Ala448Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00416 in 1,208,256 control chromosomes in the GnomAD database, including 24 homozygotes. There are 1,602 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.0028 ( 1 hom., 71 hem., cov: 23)
Exomes 𝑓: 0.0043 ( 23 hom. 1531 hem. )

Consequence

TLR7
NM_016562.4 missense

Scores

1
16

Clinical Significance

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

Conservation

PhyloP100: 0.592
Variant links:
Genes affected
TLR7 (HGNC:15631): (toll like receptor 7) The protein encoded by this gene is a member of the Toll-like receptor (TLR) family which plays a fundamental role in pathogen recognition and activation of innate immunity. TLRs are highly conserved from Drosophila to humans and share structural and functional similarities. The human TLR family comprises 11 members. They recognize pathogen-associated molecular patterns (PAMPs) that are expressed on infectious agents, and mediate the production of cytokines necessary for the development of effective immunity. For the recognition of structural components in foreign microorganisms, the various TLRs exhibit different patterns of expression as well; in this way for example, TLR-3, -7, and -8 are essential in the recognition of single-stranded RNA viruses. TLR7 senses single-stranded RNA oligonucleotides containing guanosine- and uridine-rich sequences from RNA viruses, a recognition occuring in the endosomes of plasmacytoid dendritic cells and B cells. This gene is predominantly expressed in lung, placenta, and spleen, and is phylogenetically related and lies in close proximity to another family member, TLR8, on chromosome X. [provided by RefSeq, Aug 2020]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0049847364).
BP6
Variant X-12886851-C-T is Benign according to our data. Variant chrX-12886851-C-T is described in ClinVar as [Benign]. Clinvar id is 787154.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-12886851-C-T is described in Lovd as [Likely_benign].
BS2
High Hemizygotes in GnomAd4 at 71 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TLR7NM_016562.4 linkuse as main transcriptc.1343C>T p.Ala448Val missense_variant 3/3 ENST00000380659.4 NP_057646.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TLR7ENST00000380659.4 linkuse as main transcriptc.1343C>T p.Ala448Val missense_variant 3/31 NM_016562.4 ENSP00000370034 P1

Frequencies

GnomAD3 genomes
AF:
0.00284
AC:
317
AN:
111780
Hom.:
1
Cov.:
23
AF XY:
0.00209
AC XY:
71
AN XY:
33992
show subpopulations
Gnomad AFR
AF:
0.000618
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00295
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00167
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00468
Gnomad OTH
AF:
0.00532
GnomAD3 exomes
AF:
0.00290
AC:
525
AN:
181053
Hom.:
3
AF XY:
0.00270
AC XY:
180
AN XY:
66687
show subpopulations
Gnomad AFR exome
AF:
0.000479
Gnomad AMR exome
AF:
0.00327
Gnomad ASJ exome
AF:
0.000539
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00157
Gnomad NFE exome
AF:
0.00465
Gnomad OTH exome
AF:
0.00539
GnomAD4 exome
AF:
0.00429
AC:
4708
AN:
1096425
Hom.:
23
Cov.:
32
AF XY:
0.00423
AC XY:
1531
AN XY:
361869
show subpopulations
Gnomad4 AFR exome
AF:
0.000569
Gnomad4 AMR exome
AF:
0.00322
Gnomad4 ASJ exome
AF:
0.000671
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000186
Gnomad4 FIN exome
AF:
0.00195
Gnomad4 NFE exome
AF:
0.00514
Gnomad4 OTH exome
AF:
0.00350
GnomAD4 genome
AF:
0.00283
AC:
317
AN:
111831
Hom.:
1
Cov.:
23
AF XY:
0.00208
AC XY:
71
AN XY:
34053
show subpopulations
Gnomad4 AFR
AF:
0.000617
Gnomad4 AMR
AF:
0.00295
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00167
Gnomad4 NFE
AF:
0.00468
Gnomad4 OTH
AF:
0.00526
Alfa
AF:
0.00414
Hom.:
60
Bravo
AF:
0.00268
TwinsUK
AF:
0.00566
AC:
21
ALSPAC
AF:
0.00346
AC:
10
ESP6500AA
AF:
0.000783
AC:
3
ESP6500EA
AF:
0.00402
AC:
27
ExAC
AF:
0.00314
AC:
381
EpiCase
AF:
0.00545
EpiControl
AF:
0.00462

ClinVar

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

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024TLR7: BP4, BS1, BS2 -
TLR7-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJan 04, 2024This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.79
T
BayesDel_noAF
Benign
-0.90
CADD
Benign
1.8
DANN
Benign
0.91
DEOGEN2
Benign
0.11
T
FATHMM_MKL
Benign
0.36
N
LIST_S2
Benign
0.56
T
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.0050
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.73
N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.21
T
PROVEAN
Benign
-0.74
N
REVEL
Benign
0.029
Sift
Benign
0.32
T
Sift4G
Benign
0.29
T
Polyphen
0.023
B
Vest4
0.021
MVP
0.38
MPC
0.70
ClinPred
0.0018
T
GERP RS
3.1
Varity_R
0.067
gMVP
0.41

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: rs5743781; hg19: chrX-12904970; API