rs606231455

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 3P and 4B. PP3_ModeratePP5BS2

The NM_001114748.2(TMEM240):​c.511C>T​(p.Arg171Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000904 in 1,549,298 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).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000079 ( 0 hom. )

Consequence

TMEM240
NM_001114748.2 missense

Scores

7
6
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:1

Conservation

PhyloP100: 1.59

Publications

3 publications found
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]
TMEM240 Gene-Disease associations (from GenCC):
  • spinocerebellar ataxia type 21
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.881
PP5
Variant 1-1535370-G-A is Pathogenic according to our data. Variant chr1-1535370-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 161196.
BS2
High AC in GnomAdExome4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TMEM240NM_001114748.2 linkc.511C>T p.Arg171Trp missense_variant Exon 4 of 4 ENST00000378733.9 NP_001108220.1 Q5SV17

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TMEM240ENST00000378733.9 linkc.511C>T p.Arg171Trp missense_variant Exon 4 of 4 2 NM_001114748.2 ENSP00000368007.4 Q5SV17

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152022
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:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.000478
GnomAD4 exome
AF:
0.00000787
AC:
11
AN:
1397276
Hom.:
0
Cov.:
33
AF XY:
0.00000435
AC XY:
3
AN XY:
689220
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31444
American (AMR)
AF:
0.00
AC:
0
AN:
35648
Ashkenazi Jewish (ASJ)
AF:
0.0000398
AC:
1
AN:
25128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35670
South Asian (SAS)
AF:
0.0000126
AC:
1
AN:
79134
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48284
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5696
European-Non Finnish (NFE)
AF:
0.00000742
AC:
8
AN:
1078340
Other (OTH)
AF:
0.0000173
AC:
1
AN:
57932
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152022
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74252
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41402
American (AMR)
AF:
0.00
AC:
0
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5164
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.0000943
AC:
1
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67970
Other (OTH)
AF:
0.000478
AC:
1
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000312
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:2Uncertain:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Neurodevelopmental disorder Pathogenic:1
Apr 06, 2020
Laboratory of Molecular Genetics (Pr. Bezieau's lab), CHU de Nantes
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Spinocerebellar ataxia type 21 Pathogenic:1
Oct 01, 2014
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

not provided Uncertain:1
Dec 14, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is not present in population databases (gnomAD no frequency). This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 171 of the TMEM240 protein (p.Arg171Trp). This missense change has been observed in individual(s) with autosomal dominant spinocerebellar ataxia (PMID: 25070513). ClinVar contains an entry for this variant (Variation ID: 161196). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). In 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.63
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Uncertain
-0.020
CADD
Pathogenic
30
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.66
D;D
Eigen
Benign
0.14
Eigen_PC
Benign
0.093
FATHMM_MKL
Benign
0.74
D
LIST_S2
Uncertain
0.96
.;D
M_CAP
Pathogenic
0.98
D
MetaRNN
Pathogenic
0.88
D;D
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
0.81
L;L
PhyloP100
1.6
PrimateAI
Pathogenic
0.90
D
PROVEAN
Uncertain
-3.5
D;D
REVEL
Pathogenic
0.69
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.90
MutPred
0.28
Loss of solvent accessibility (P = 0.0036);Loss of solvent accessibility (P = 0.0036);
MVP
0.46
ClinPred
0.92
D
GERP RS
1.9
Varity_R
0.38
gMVP
0.53
Mutation Taster
=6/94
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs606231455; hg19: chr1-1470750; COSMIC: COSV59235425; COSMIC: COSV59235425; API