rs587777260
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Variant summary
Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_014832.5(TBC1D4):c.1087C>T(p.Arg363Ter) variant causes a stop gained change. The variant allele was found at a frequency of 0.00000682 in 1,612,950 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 Uncertain significance (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000068 ( 0 hom. )
Consequence
TBC1D4
NM_014832.5 stop_gained
NM_014832.5 stop_gained
Scores
5
1
1
Clinical Significance
Conservation
PhyloP100: 5.60
Genes affected
TBC1D4 (HGNC:19165): (TBC1 domain family member 4) This gene is a member of the Tre-2/BUB2/CDC16 domain family. The protein encoded by this gene is a Rab-GTPase-activating protein, and contains two phopshotyrosine-binding domains (PTB1 and PTB2), a calmodulin-binding domain (CBD), a Rab-GTPase domain, and multiple AKT phosphomotifs. This protein is thought to play an important role in glucose homeostasis by regulating the insulin-dependent trafficking of the glucose transporter 4 (GLUT4), important for removing glucose from the bloodstream into skeletal muscle and fat tissues. Reduced expression of this gene results in an increase in GLUT4 levels at the plasma membrane, suggesting that this protein is important in intracellular retention of GLUT4 under basal conditions. When exposed to insulin, this protein is phosphorylated, dissociates from GLUT4 vesicles, resulting in increased GLUT4 at the cell surface, and enhanced glucose transport. Phosphorylation of this protein by AKT is required for proper translocation of GLUT4 to the cell surface. Individuals homozygous for a mutation in this gene are at higher risk for type 2 diabetes and have higher levels of circulating glucose and insulin levels after glucose ingestion. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Aug 2015]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 2 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
TBC1D4 | NM_014832.5 | c.1087C>T | p.Arg363Ter | stop_gained | 3/21 | ENST00000377636.8 | NP_055647.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TBC1D4 | ENST00000377636.8 | c.1087C>T | p.Arg363Ter | stop_gained | 3/21 | 2 | NM_014832.5 | ENSP00000366863 | A1 | |
TBC1D4 | ENST00000431480.6 | c.1087C>T | p.Arg363Ter | stop_gained | 3/20 | 1 | ENSP00000395986 | P3 | ||
TBC1D4 | ENST00000377625.6 | c.1087C>T | p.Arg363Ter | stop_gained | 3/19 | 1 | ENSP00000366852 | A1 | ||
TBC1D4 | ENST00000648194.1 | c.544C>T | p.Arg182Ter | stop_gained | 4/20 | ENSP00000496983 |
Frequencies
GnomAD3 genomes AF: 0.00000658 AC: 1AN: 151996Hom.: 0 Cov.: 33
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GnomAD4 exome AF: 0.00000684 AC: 10AN: 1460954Hom.: 0 Cov.: 30 AF XY: 0.00000413 AC XY: 3AN XY: 726858
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GnomAD4 genome AF: 0.00000658 AC: 1AN: 151996Hom.: 0 Cov.: 33 AF XY: 0.0000135 AC XY: 1AN XY: 74230
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
not provided Uncertain:1
Uncertain significance, no assertion criteria provided | literature only | OMIM | Jun 09, 2009 | - - |
Computational scores
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Name
Calibrated prediction
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Prediction
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Uncertain
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Pathogenic
D
MutationTaster
Benign
A;A;A;D
Vest4
0.95, 0.89, 0.92
GERP RS
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at