rs6755258

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_020458.4(TTC7A):​c.1633G>A​(p.Val545Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000145 in 1,605,468 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign 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. V545V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00065 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000092 ( 0 hom. )

Consequence

TTC7A
NM_020458.4 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 0.604

Publications

5 publications found
Variant links:
Genes affected
TTC7A (HGNC:19750): (tetratricopeptide repeat domain 7A) This gene encodes a protein containing tetratricopeptide repeats. Mutations in this gene disrupt intestinal development and can cause early onset inflammatory bowel disease and intestinal atresia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jun 2014]
TTC7A Gene-Disease associations (from GenCC):
  • gastrointestinal defects and immunodeficiency syndrome 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • multiple intestinal atresia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00999558).
BP6
Variant 2-47024351-G-A is Benign according to our data. Variant chr2-47024351-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 528460.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000651 (99/152190) while in subpopulation AFR AF = 0.00222 (92/41512). AF 95% confidence interval is 0.00185. There are 0 homozygotes in GnomAd4. There are 43 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TTC7ANM_020458.4 linkc.1633G>A p.Val545Ile missense_variant Exon 14 of 20 ENST00000319190.11 NP_065191.2 Q9ULT0-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TTC7AENST00000319190.11 linkc.1633G>A p.Val545Ile missense_variant Exon 14 of 20 2 NM_020458.4 ENSP00000316699.5 Q9ULT0-1

Frequencies

GnomAD3 genomes
AF:
0.000651
AC:
99
AN:
152072
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00222
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
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:
0.0000441
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000216
AC:
52
AN:
240204
AF XY:
0.000131
show subpopulations
Gnomad AFR exome
AF:
0.00274
Gnomad AMR exome
AF:
0.0000611
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000457
Gnomad OTH exome
AF:
0.000175
GnomAD4 exome
AF:
0.0000922
AC:
134
AN:
1453278
Hom.:
0
Cov.:
31
AF XY:
0.0000886
AC XY:
64
AN XY:
722752
show subpopulations
African (AFR)
AF:
0.00246
AC:
81
AN:
32898
American (AMR)
AF:
0.0000456
AC:
2
AN:
43880
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25900
East Asian (EAS)
AF:
0.0000523
AC:
2
AN:
38268
South Asian (SAS)
AF:
0.0000823
AC:
7
AN:
85022
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53308
Middle Eastern (MID)
AF:
0.000174
AC:
1
AN:
5752
European-Non Finnish (NFE)
AF:
0.0000280
AC:
31
AN:
1108198
Other (OTH)
AF:
0.000167
AC:
10
AN:
60052
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
6
12
19
25
31
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000651
AC:
99
AN:
152190
Hom.:
0
Cov.:
32
AF XY:
0.000578
AC XY:
43
AN XY:
74404
show subpopulations
African (AFR)
AF:
0.00222
AC:
92
AN:
41512
American (AMR)
AF:
0.000196
AC:
3
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
67990
Other (OTH)
AF:
0.000473
AC:
1
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
5
10
14
19
24
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000324
Hom.:
0
Bravo
AF:
0.000710
ESP6500AA
AF:
0.00227
AC:
10
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000239
AC:
29
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Multiple gastrointestinal atresias Uncertain:1Benign:1
Aug 03, 2020
Center for Genomics, Ann and Robert H. Lurie Children's Hospital of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

TTC7A NM_020458.3 exon 14 p.Val545Ile (c.1633G>A): This variant has not been reported in the literature but is present in 0.2% (57/24038) of African alleles in the Genome Aggregation Database (https://gnomad.broadinstitute.org/variant/2-47251490-G-A?dataset=gnomad_r2_1). This variant is present in ClinVar (Variation ID:528460). This variant amino acid Isoleucine (Ile) is present in 3 species (Chimp, White Rhino, Opossum) and is not well conserved among evolutionarily distant species; this suggests that this variant may not impact the protein. Additional computational prediction tools do not suggest an impact. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. -

Jan 24, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
Mar 08, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.1633G>A (p.V545I) alteration is located in exon 14 (coding exon 14) of the TTC7A gene. This alteration results from a G to A substitution at nucleotide position 1633, causing the valine (V) at amino acid position 545 to be replaced by an isoleucine (I). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Gastrointestinal defects and immunodeficiency syndrome 1 Uncertain:1
Mar 30, 2021
Center for Genomics, Ann and Robert H. Lurie Children's Hospital of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

TTC7A NM_020458.3 exon 14 p.Val545Ile (c.1633G>A): This variant has not been reported in the literature but is present in 0.2% (57/24038) of African alleles in the Genome Aggregation Database (https://gnomad.broadinstitute.org/variant/2-47251490-G-A?dataset=gnomad_r2_1). This variant is present in ClinVar (Variation ID:528460). This variant amino acid Isoleucine (Ile) is present in 3 species (Chimp, White Rhino, Opossum) and is not well conserved among evolutionarily distant species; this suggests that this variant may not impact the protein. Additional computational prediction tools do not suggest an impact. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
16
DANN
Benign
0.96
DEOGEN2
Benign
0.037
.;T;.
Eigen
Benign
-0.80
Eigen_PC
Benign
-0.73
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.59
T;T;T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.010
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.3
.;L;L
PhyloP100
0.60
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.29
N;N;N
REVEL
Benign
0.037
Sift
Benign
0.16
T;T;T
Sift4G
Benign
0.47
T;T;T
Polyphen
0.083
B;P;.
Vest4
0.22
MVP
0.27
MPC
0.076
ClinPred
0.0042
T
GERP RS
1.6
Varity_R
0.022
gMVP
0.13
Mutation Taster
=92/8
polymorphism

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: rs6755258; hg19: chr2-47251490; API