rs732609

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001206744.2(TPO):​c.2173A>C​(p.Thr725Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.418 in 1,612,876 control chromosomes in the GnomAD database, including 144,001 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.47 ( 17340 hom., cov: 33)
Exomes 𝑓: 0.41 ( 126661 hom. )

Consequence

TPO
NM_001206744.2 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 2.92

Publications

53 publications found
Variant links:
Genes affected
TPO (HGNC:12015): (thyroid peroxidase) This gene encodes a membrane-bound glycoprotein. The encoded protein acts as an enzyme and plays a central role in thyroid gland function. The protein functions in the iodination of tyrosine residues in thyroglobulin and phenoxy-ester formation between pairs of iodinated tyrosines to generate the thyroid hormones, thyroxine and triiodothyronine. Mutations in this gene are associated with several disorders of thyroid hormonogenesis, including congenital hypothyroidism, congenital goiter, and thyroid hormone organification defect IIA. Multiple transcript variants encoding distinct isoforms have been identified for this gene, but the full-length nature of some variants has not been determined. [provided by RefSeq, May 2011]
TPO Gene-Disease associations (from GenCC):
  • thyroid dyshormonogenesis 2A
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • familial thyroid dyshormonogenesis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.2536894E-5).
BP6
Variant 2-1496155-A-C is Benign according to our data. Variant chr2-1496155-A-C is described in ClinVar as Benign. ClinVar VariationId is 256611.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.601 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TPONM_001206744.2 linkc.2173A>C p.Thr725Pro missense_variant Exon 12 of 17 ENST00000329066.9 NP_001193673.1 P07202-1Q502Y3Q6P534

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TPOENST00000329066.9 linkc.2173A>C p.Thr725Pro missense_variant Exon 12 of 17 1 NM_001206744.2 ENSP00000329869.4 P07202-1

Frequencies

GnomAD3 genomes
AF:
0.468
AC:
71154
AN:
152012
Hom.:
17306
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.606
Gnomad AMI
AF:
0.401
Gnomad AMR
AF:
0.473
Gnomad ASJ
AF:
0.375
Gnomad EAS
AF:
0.418
Gnomad SAS
AF:
0.499
Gnomad FIN
AF:
0.420
Gnomad MID
AF:
0.373
Gnomad NFE
AF:
0.398
Gnomad OTH
AF:
0.473
GnomAD2 exomes
AF:
0.429
AC:
107012
AN:
249642
AF XY:
0.426
show subpopulations
Gnomad AFR exome
AF:
0.605
Gnomad AMR exome
AF:
0.446
Gnomad ASJ exome
AF:
0.364
Gnomad EAS exome
AF:
0.411
Gnomad FIN exome
AF:
0.413
Gnomad NFE exome
AF:
0.389
Gnomad OTH exome
AF:
0.412
GnomAD4 exome
AF:
0.413
AC:
603712
AN:
1460746
Hom.:
126661
Cov.:
78
AF XY:
0.415
AC XY:
301409
AN XY:
726548
show subpopulations
African (AFR)
AF:
0.625
AC:
20926
AN:
33466
American (AMR)
AF:
0.449
AC:
20002
AN:
44586
Ashkenazi Jewish (ASJ)
AF:
0.367
AC:
9591
AN:
26122
East Asian (EAS)
AF:
0.451
AC:
17885
AN:
39658
South Asian (SAS)
AF:
0.501
AC:
43101
AN:
86088
European-Finnish (FIN)
AF:
0.412
AC:
21972
AN:
53306
Middle Eastern (MID)
AF:
0.383
AC:
2200
AN:
5748
European-Non Finnish (NFE)
AF:
0.398
AC:
442258
AN:
1111442
Other (OTH)
AF:
0.427
AC:
25777
AN:
60330
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.455
Heterozygous variant carriers
0
22912
45823
68735
91646
114558
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
13924
27848
41772
55696
69620
<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:
0.468
AC:
71243
AN:
152130
Hom.:
17340
Cov.:
33
AF XY:
0.468
AC XY:
34844
AN XY:
74376
show subpopulations
African (AFR)
AF:
0.607
AC:
25183
AN:
41498
American (AMR)
AF:
0.473
AC:
7230
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.375
AC:
1299
AN:
3468
East Asian (EAS)
AF:
0.418
AC:
2153
AN:
5156
South Asian (SAS)
AF:
0.498
AC:
2403
AN:
4824
European-Finnish (FIN)
AF:
0.420
AC:
4451
AN:
10600
Middle Eastern (MID)
AF:
0.378
AC:
111
AN:
294
European-Non Finnish (NFE)
AF:
0.398
AC:
27054
AN:
67978
Other (OTH)
AF:
0.470
AC:
994
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1914
3828
5742
7656
9570
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
652
1304
1956
2608
3260
<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:
0.417
Hom.:
45840
Bravo
AF:
0.474
TwinsUK
AF:
0.395
AC:
1464
ALSPAC
AF:
0.396
AC:
1527
ESP6500AA
AF:
0.607
AC:
2676
ESP6500EA
AF:
0.400
AC:
3441
ExAC
AF:
0.429
AC:
52123
Asia WGS
AF:
0.471
AC:
1637
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Deficiency of iodide peroxidase Benign:3
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.040
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
12
DANN
Benign
0.12
DEOGEN2
Benign
0.29
T;T;.;.;.;.;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.028
N
LIST_S2
Benign
0.025
T;.;T;T;T;T;T
MetaRNN
Benign
0.000013
T;T;T;T;T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
-2.2
N;N;.;N;.;.;.
PhyloP100
2.9
PrimateAI
Benign
0.40
T
PROVEAN
Benign
6.0
N;N;N;N;N;N;N
REVEL
Benign
0.26
Sift
Benign
1.0
T;T;T;T;T;T;T
Sift4G
Benign
1.0
T;T;T;T;T;T;T
Polyphen
0.0
B;B;B;B;B;.;.
Vest4
0.047
MPC
0.21
ClinPred
0.0052
T
GERP RS
4.4
Varity_R
0.093
gMVP
0.68
Mutation Taster
=99/1
polymorphism (auto)

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: rs732609; hg19: chr2-1499927; COSMIC: COSV61099932; API