rs753613632

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001379200.1(TBX1):​c.1424C>T​(p.Ala475Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000534 in 1,480,198 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A475T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000073 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000051 ( 1 hom. )

Consequence

TBX1
NM_001379200.1 missense

Scores

2
4
11

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 3.12

Publications

1 publications found
Variant links:
Genes affected
TBX1 (HGNC:11592): (T-box transcription factor 1) This gene is a member of a phylogenetically conserved family of genes that share a common DNA-binding domain, the T-box. T-box genes encode transcription factors involved in the regulation of developmental processes. This gene product shares 98% amino acid sequence identity with the mouse ortholog. DiGeorge syndrome (DGS)/velocardiofacial syndrome (VCFS), a common congenital disorder characterized by neural-crest-related developmental defects, has been associated with deletions of chromosome 22q11.2, where this gene has been mapped. Studies using mouse models of DiGeorge syndrome suggest a major role for this gene in the molecular etiology of DGS/VCFS. Several alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]
TBX1 Gene-Disease associations (from GenCC):
  • conotruncal heart malformations
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • DiGeorge syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • velocardiofacial syndrome
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
  • 22q11.2 deletion syndrome
    Inheritance: AD 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=0.009757906).
BP6
Variant 22-19766776-C-T is Benign according to our data. Variant chr22-19766776-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 431834.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.0000726 (11/151494) while in subpopulation AMR AF = 0.000721 (11/15252). AF 95% confidence interval is 0.000404. There are 0 homozygotes in GnomAd4. There are 6 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High AC in GnomAd4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TBX1NM_001379200.1 linkc.1424C>T p.Ala475Val missense_variant Exon 7 of 7 ENST00000649276.2 NP_001366129.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TBX1ENST00000649276.2 linkc.1424C>T p.Ala475Val missense_variant Exon 7 of 7 NM_001379200.1 ENSP00000497003.1 A0A3B3IS18
TBX1ENST00000332710.8 linkc.1397C>T p.Ala466Val missense_variant Exon 9 of 9 1 ENSP00000331791.4 O43435-3
TBX1ENST00000329705.11 linkc.1009+774C>T intron_variant Intron 8 of 8 1 ENSP00000331176.7 O43435-1
TBX1ENST00000359500.7 linkc.1009+774C>T intron_variant Intron 8 of 9 1 ENSP00000352483.3 O43435-2

Frequencies

GnomAD3 genomes
AF:
0.0000726
AC:
11
AN:
151494
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000721
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000624
AC:
59
AN:
94532
AF XY:
0.000472
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00492
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:
0.000417
GnomAD4 exome
AF:
0.0000512
AC:
68
AN:
1328704
Hom.:
1
Cov.:
33
AF XY:
0.0000502
AC XY:
33
AN XY:
657790
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26054
American (AMR)
AF:
0.00286
AC:
65
AN:
22698
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
21910
East Asian (EAS)
AF:
0.00
AC:
0
AN:
31484
South Asian (SAS)
AF:
0.00
AC:
0
AN:
71424
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33512
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4484
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1062398
Other (OTH)
AF:
0.0000548
AC:
3
AN:
54740
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.664
Heterozygous variant carriers
0
2
4
7
9
11
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:
0.0000726
AC:
11
AN:
151494
Hom.:
0
Cov.:
33
AF XY:
0.0000811
AC XY:
6
AN XY:
73968
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41210
American (AMR)
AF:
0.000721
AC:
11
AN:
15252
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3462
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5138
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4814
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10526
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67790
Other (OTH)
AF:
0.00
AC:
0
AN:
2078
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.530
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

Genome 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
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.000189
ExAC
AF:
0.000417
AC:
41

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

DiGeorge syndrome Benign:1
Jan 06, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

TBX1-related disorder Benign:1
Feb 16, 2021
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

not provided Benign:1
Nov 04, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Mar 06, 2022
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
23
DANN
Uncertain
1.0
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.17
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.52
T;T
M_CAP
Pathogenic
0.96
D
MetaRNN
Benign
0.0098
T;T
MetaSVM
Benign
-0.51
T
PhyloP100
3.1
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-0.34
N;.
REVEL
Uncertain
0.30
Sift
Benign
0.071
T;.
Sift4G
Uncertain
0.020
D;.
Vest4
0.41
MutPred
0.32
Gain of catalytic residue at A466 (P = 0.0235);.;
MVP
0.54
MPC
0.57
ClinPred
0.22
T
GERP RS
3.1
gMVP
0.50
Mutation Taster
=90/10
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs753613632; hg19: chr22-19754299; API