rs587777175

Variant summary

Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PM1PM2PM5PP3_ModeratePP5_Very_Strong

The NM_006070.6(TFG):​c.316C>T​(p.Arg106Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000292 in 1,611,608 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R106H) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000032 ( 0 hom. )

Consequence

TFG
NM_006070.6 missense

Scores

11
4
4

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:6

Conservation

PhyloP100: 7.31
Variant links:
Genes affected
TFG (HGNC:11758): (trafficking from ER to golgi regulator) There are several documented fusion oncoproteins encoded partially by this gene. This gene also participates in several oncogenic rearrangements resulting in anaplastic lymphoma and mixoid chondrosarcoma, and may play a role in the NF-kappaB pathway. Multiple transcript variants have been found for this gene. [provided by RefSeq, Sep 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 16 ACMG points.

PM1
In a coiled_coil_region (size 27) in uniprot entity TFG_HUMAN there are 6 pathogenic changes around while only 1 benign (86%) in NM_006070.6
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr3-100728760-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 1075540.We mark this variant Likely_pathogenic, oryginal submissions are: {Likely_pathogenic=3, Pathogenic=2, Uncertain_significance=1}.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.844
PP5
Variant 3-100728759-C-T is Pathogenic according to our data. Variant chr3-100728759-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 100909.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-100728759-C-T is described in Lovd as [Pathogenic]. Variant chr3-100728759-C-T is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TFGNM_006070.6 linkuse as main transcriptc.316C>T p.Arg106Cys missense_variant 4/8 ENST00000240851.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TFGENST00000240851.9 linkuse as main transcriptc.316C>T p.Arg106Cys missense_variant 4/81 NM_006070.6 P4Q92734-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152096
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000401
AC:
10
AN:
249380
Hom.:
0
AF XY:
0.0000519
AC XY:
7
AN XY:
134908
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000885
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000315
AC:
46
AN:
1459512
Hom.:
0
Cov.:
30
AF XY:
0.0000358
AC XY:
26
AN XY:
726102
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000405
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152096
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74276
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00918
Hom.:
235
Bravo
AF:
0.00000378
ExAC
AF:
0.0000494
AC:
6
EpiCase
AF:
0.0000550
EpiControl
AF:
0.000179

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:2
Pathogenic, no assertion criteria providedclinical testingGenetic Services Laboratory, University of ChicagoMay 10, 2022DNA sequence analysis of the TGF gene demonstrated a sequence change, c.316C>T, in exon 4 that results in an amino acid change, p.Arg106Cys. The p.Arg106Cys change affects a highly conserved amino acid residue located in a domain of the TFG protein that is not known to be functional. In-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL) provide contradictory results for the p.Arg106Cys substitution. This sequence change has been described in the gnomAD database with a frequency of 0.0086% in the non-Finnish European subpopulation (dbSNP rs587777175). This pathogenic sequence change has previously been described in the homozygous state in individuals with autosomal recessive spastic paraplegia (PMID: 23479643, 27492651, 29971521). Heterozygous pathogenic variants have also been described in individuals with autosomal dominant hereditary motor and sensory neuropathy (PMID: 22883144). However, variants associated with autosomal dominant conditions appear to be located in a different region of the protein than the p.Arg106Cys substitution (PMID: 26945032). Heterozygous carriers of the p.Arg106Cys change have not been reported to be affected. The TGF cDNA reference sequence used is NM_006070.5 -
Pathogenic, criteria provided, single submitterclinical testingGeneDxJun 30, 2021Published functional studies demonstrate damaging effects on protein secretion from the endoplasmic reticulum (ER), ER morphology, and mitochondrial dysfunction (Beetz et al., 2013; Harlalka et al., 2016; Slosarek et al., 2018); Not observed at a significant frequency in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 27535533, 32488467, 30157421, 30221345, 26945032, 24954637, 27813252, 25098539, 24613659, 27601211, 27492651, 29971521, 23479643) -
Hereditary spastic paraplegia 57 Pathogenic:2
Pathogenic, no assertion criteria providedliterature onlyOMIMMar 26, 2013- -
Pathogenic, no assertion criteria providedclinical testingClinical Genetics Laboratory, University Hospital Schleswig-HolsteinOct 05, 2021- -
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingAmbry GeneticsDec 18, 2020The p.R106C variant (also known as c.316C>T), located in coding exon 3 of the TFG gene, results from a C to T substitution at nucleotide position 316. The arginine at codon 106 is replaced by cysteine, an amino acid with highly dissimilar properties. This variant was detected in the homozygous state in multiple unrelated families and segregates with autosomal recessive hereditary spastic paraplegia and optic nerve hypoplasia in affected relatives (Beetz C et al. Proc Natl Acad Sci U S A, 2013 Mar;110:5091-6; Harlalka GV et al. Hum Mutat, 2016 11;37:1157-1161; Kvarnung M et al. Clin Genet, 2018 12;94:528-537; Catania A et al. Neurogenetics, 2018 08;19:179-187). Functional studies with this alteration show impaired TFG protein oligomerization leading to abnormal ER function (Beetz C et al. Proc Natl Acad Sci U S A, 2013 Mar;110:5091-6; Harlalka GV et al. Hum Mutat, 2016 11;37:1157-1161; Slosarek EL et al. Cell Rep, 2018 08;24:2248-2260). Based on the supporting evidence, this variant is pathogenic for spastic paraplegia 57 (SPG57); however, the clinical significance for hereditary motor and sensory neuropathy, Okinawa type (HMSN-P) is unclear. -
Hereditary motor and sensory neuropathy, Okinawa type;C3714897:Hereditary spastic paraplegia 57 Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 25, 2023For these reasons, this variant has been classified as Pathogenic. Experimental studies have shown that this missense change affects TFG function (PMID: 23479643, 27492651, 30157421). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt TFG protein function. ClinVar contains an entry for this variant (Variation ID: 100909). This missense change has been observed in individuals with autosomal recessive hereditary spastic paraplegia (PMID: 23479643, 27492651, 29971521). It has also been observed to segregate with disease in related individuals. This variant is present in population databases (rs587777175, gnomAD 0.009%). This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 106 of the TFG protein (p.Arg106Cys). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.80
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Pathogenic
0.15
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.73
.;.;D;D;T;.;T;T;.
Eigen
Benign
0.081
Eigen_PC
Benign
0.21
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Pathogenic
0.98
.;.;.;D;D;D;D;D;D
M_CAP
Pathogenic
0.36
D
MetaRNN
Pathogenic
0.84
D;D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.95
T
MutationAssessor
Uncertain
2.4
M;M;M;M;.;M;.;.;M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Pathogenic
0.91
D
PROVEAN
Pathogenic
-5.6
.;D;D;D;D;D;D;D;.
REVEL
Pathogenic
0.75
Sift
Pathogenic
0.0
.;D;D;D;D;D;D;D;.
Sift4G
Uncertain
0.0030
D;D;D;D;D;D;D;D;D
Polyphen
0.014
.;.;B;B;.;.;.;.;.
Vest4
0.92
MVP
0.86
MPC
1.3
ClinPred
0.76
D
GERP RS
4.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.72
gMVP
0.72

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: rs587777175; hg19: chr3-100447603; COSMIC: COSV53749892; API