rs750782563

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001365276.2(TNXB):​c.2741G>C​(p.Arg914Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000042 in 1,427,630 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R914W) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000042 ( 0 hom. )

Consequence

TNXB
NM_001365276.2 missense

Scores

3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.00100

Publications

0 publications found
Variant links:
Genes affected
TNXB (HGNC:11976): (tenascin XB) This gene encodes a member of the tenascin family of extracellular matrix glycoproteins. The tenascins have anti-adhesive effects, as opposed to fibronectin which is adhesive. This protein is thought to function in matrix maturation during wound healing, and its deficiency has been associated with the connective tissue disorder Ehlers-Danlos syndrome. This gene localizes to the major histocompatibility complex (MHC) class III region on chromosome 6. It is one of four genes in this cluster which have been duplicated. The duplicated copy of this gene is incomplete and is a pseudogene which is transcribed but does not encode a protein. The structure of this gene is unusual in that it overlaps the CREBL1 and CYP21A2 genes at its 5' and 3' ends, respectively. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
TNXB Gene-Disease associations (from GenCC):
  • Ehlers-Danlos syndrome
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • Ehlers-Danlos syndrome due to tenascin-X deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Illumina, PanelApp Australia, Orphanet
  • familial vesicoureteral reflux
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • vesicoureteral reflux 8
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.16211343).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TNXBNM_001365276.2 linkc.2741G>C p.Arg914Pro missense_variant Exon 6 of 44 ENST00000644971.2 NP_001352205.1
TNXBNM_001428335.1 linkc.2741G>C p.Arg914Pro missense_variant Exon 6 of 45 NP_001415264.1
TNXBNM_019105.8 linkc.2741G>C p.Arg914Pro missense_variant Exon 6 of 44 NP_061978.6 P22105-1O95680Q9Y464O95681

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TNXBENST00000644971.2 linkc.2741G>C p.Arg914Pro missense_variant Exon 6 of 44 NM_001365276.2 ENSP00000496448.1 P22105-3
TNXBENST00000647633.1 linkc.2741G>C p.Arg914Pro missense_variant Exon 6 of 45 ENSP00000497649.1 A0A3B3ISX9
TNXBENST00000375244.7 linkc.2741G>C p.Arg914Pro missense_variant Exon 6 of 44 5 ENSP00000364393.3 P22105-3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000200
AC:
4
AN:
200168
AF XY:
0.0000186
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000138
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000420
AC:
6
AN:
1427630
Hom.:
0
Cov.:
32
AF XY:
0.00000283
AC XY:
2
AN XY:
706944
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32856
American (AMR)
AF:
0.000126
AC:
5
AN:
39708
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25424
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81030
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50126
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5704
European-Non Finnish (NFE)
AF:
9.13e-7
AC:
1
AN:
1095528
Other (OTH)
AF:
0.00
AC:
0
AN:
59078
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
1
2
2
3
4
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
Cov.:
32
Alfa
AF:
0.0000225
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000831
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Cardiovascular phenotype Uncertain:1
Jan 11, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.R914P variant (also known as c.2741G>C), located in coding exon 5 of the TNXB gene, results from a G to C substitution at nucleotide position 2741. The arginine at codon 914 is replaced by proline, an amino acid with dissimilar properties. This amino acid position is conserved. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.083
T;.;T;.
Eigen
Benign
-0.024
Eigen_PC
Benign
-0.072
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.68
.;T;T;T
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.16
T;T;T;T
MetaSVM
Benign
-1.1
T
PhyloP100
0.0010
PrimateAI
Benign
0.45
T
PROVEAN
Uncertain
-3.2
.;.;D;.
REVEL
Benign
0.22
Sift
Benign
0.26
.;.;T;.
Sift4G
Uncertain
0.016
.;.;D;T
Vest4
0.18
MutPred
0.52
Loss of MoRF binding (P = 0.0121);Loss of MoRF binding (P = 0.0121);Loss of MoRF binding (P = 0.0121);.;
MVP
0.21
ClinPred
0.76
D
GERP RS
2.5
Varity_R
0.55
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: rs750782563; hg19: chr6-32056600; API