rs606231454

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2

The NM_001114748.2(TMEM240):​c.239C>T​(p.Thr80Met) variant causes a missense change. The variant allele was found at a frequency of 0.0000626 in 1,550,376 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 Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. T80T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000065 ( 0 hom. )

Consequence

TMEM240
NM_001114748.2 missense

Scores

2
9
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:3

Conservation

PhyloP100: 5.62
Variant links:
Genes affected
TMEM240 (HGNC:25186): (transmembrane protein 240) This gene encodes a transmembrane-domain containing protein found in the brain and cerebellum. Mutations in this gene result in spinocerebellar ataxia 21. [provided by RefSeq, Dec 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.803
BS2
High AC in GnomAd4 at 6 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TMEM240NM_001114748.2 linkuse as main transcriptc.239C>T p.Thr80Met missense_variant 3/4 ENST00000378733.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TMEM240ENST00000378733.9 linkuse as main transcriptc.239C>T p.Thr80Met missense_variant 3/42 NM_001114748.2 P1

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152178
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:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000385
AC:
6
AN:
155928
Hom.:
0
AF XY:
0.0000483
AC XY:
4
AN XY:
82792
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000405
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000878
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000500
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000651
AC:
91
AN:
1398198
Hom.:
0
Cov.:
33
AF XY:
0.0000595
AC XY:
41
AN XY:
689652
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000841
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000631
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000714
Gnomad4 OTH exome
AF:
0.000104
GnomAD4 genome
AF:
0.0000394
AC:
6
AN:
152178
Hom.:
0
Cov.:
32
AF XY:
0.0000538
AC XY:
4
AN XY:
74338
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:
0.0000882
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000386
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.0000377
AC:
1

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:2Uncertain:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Spinocerebellar ataxia type 21 Pathogenic:2
Pathogenic, no assertion criteria providedliterature onlyOMIMOct 01, 2014- -
Pathogenic, criteria provided, single submitterresearchMolecular Medicine for Neurodegenerative and Neuromuscular Diseases Unit, IRCCS Fondazione Stella MarisJan 04, 2021- -
not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024TMEM240: PM2, PS4:Moderate, PS3:Supporting -
Uncertain significance, criteria provided, single submitterclinical testingInvitaeSep 11, 2023In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. ClinVar contains an entry for this variant (Variation ID: 161195). This missense change has been observed in individual(s) with spinocerebellar ataxia (PMID: 25070513). In at least one individual the variant was observed to be de novo. This variant is present in population databases (rs606231454, gnomAD 0.009%). This sequence change replaces threonine, which is neutral and polar, with methionine, which is neutral and non-polar, at codon 80 of the TMEM240 protein (p.Thr80Met). -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCenter for Genomic Medicine, Rigshospitalet, Copenhagen University HospitalFeb 06, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.25
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.65
D;D
Eigen
Benign
-0.21
Eigen_PC
Benign
-0.24
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Uncertain
0.93
.;D
M_CAP
Pathogenic
0.47
D
MetaRNN
Pathogenic
0.80
D;D
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
0.55
N;N
MutationTaster
Benign
0.89
D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-4.0
D;D
REVEL
Uncertain
0.41
Sift
Uncertain
0.023
D;D
Sift4G
Uncertain
0.036
D;D
Polyphen
0.97
D;D
Vest4
0.88
MVP
0.081
ClinPred
0.27
T
GERP RS
2.4
Varity_R
0.10
gMVP
0.71

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs606231454; hg19: chr1-1471103; COSMIC: COSV105195846; COSMIC: COSV105195846; API