rs760797899

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PP3_ModeratePP5_Moderate

The NM_000460.4(THPO):​c.112C>T​(p.Arg38Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000684 in 1,461,446 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 Pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000068 ( 0 hom. )

Consequence

THPO
NM_000460.4 missense

Scores

6
9
4

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 2.86

Publications

9 publications found
Variant links:
Genes affected
THPO (HGNC:11795): (thrombopoietin) Megakaryocytopoiesis is the cellular development process that leads to platelet production. The main functional protein encoded by this gene is a humoral growth factor that is necessary for megakaryocyte proliferation and maturation, as well as for thrombopoiesis. This protein is the ligand for MLP/C_MPL, the product of myeloproliferative leukemia virus oncogene. Mutations in this gene are the cause of thrombocythemia 1. Alternative promoter usage and differential splicing result in multiple transcript variants differing in the 5' UTR and/or coding region. Multiple AUG codons upstream of the main open reading frame (ORF) have been identified, and these upstream AUGs inhibit translation of the main ORF at different extent. [provided by RefSeq, Feb 2014]
THPO Gene-Disease associations (from GenCC):
  • thrombocythemia 1
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: ClinGen, Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • congenital amegakaryocytic thrombocytopenia
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen
  • familial thrombocytosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hereditary isolated aplastic anemia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hereditary thrombocytosis with transverse limb defect
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital amegakaryocytic thrombocytopenia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.878
PP5
Variant 3-184375917-G-A is Pathogenic according to our data. Variant chr3-184375917-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 520806.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
THPONM_000460.4 linkc.112C>T p.Arg38Cys missense_variant Exon 3 of 6 ENST00000647395.1 NP_000451.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
THPOENST00000647395.1 linkc.112C>T p.Arg38Cys missense_variant Exon 3 of 6 NM_000460.4 ENSP00000494504.1 P40225-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000796
AC:
2
AN:
251156
AF XY:
0.00000737
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000881
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.00000684
AC:
10
AN:
1461446
Hom.:
0
Cov.:
32
AF XY:
0.00000963
AC XY:
7
AN XY:
727014
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33464
American (AMR)
AF:
0.00
AC:
0
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86230
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53404
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5576
European-Non Finnish (NFE)
AF:
0.00000630
AC:
7
AN:
1111880
Other (OTH)
AF:
0.0000331
AC:
2
AN:
60344
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Pathogenic:1
Jan 20, 2019
Ambry Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Amegakaryocytic thrombocytopenia, congenital, 2 Pathogenic:1
Aug 28, 2023
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.65
BayesDel_addAF
Uncertain
0.095
D
BayesDel_noAF
Benign
-0.10
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.49
T;T;.;.;.;.;T
Eigen
Uncertain
0.44
Eigen_PC
Uncertain
0.41
FATHMM_MKL
Benign
0.71
D
LIST_S2
Uncertain
0.91
.;D;.;D;D;D;D
M_CAP
Uncertain
0.20
D
MetaRNN
Pathogenic
0.88
D;D;D;D;D;D;D
MetaSVM
Benign
-0.78
T
MutationAssessor
Uncertain
2.2
M;M;.;M;.;.;.
PhyloP100
2.9
PrimateAI
Uncertain
0.68
T
PROVEAN
Pathogenic
-5.4
D;.;.;D;D;.;.
REVEL
Pathogenic
0.76
Sift
Uncertain
0.0020
D;.;.;D;D;.;.
Sift4G
Pathogenic
0.0010
D;.;.;D;D;.;.
Polyphen
1.0
D;D;.;D;D;.;D
Vest4
0.72
MutPred
0.70
Loss of methylation at R38 (P = 0.0409);Loss of methylation at R38 (P = 0.0409);.;Loss of methylation at R38 (P = 0.0409);Loss of methylation at R38 (P = 0.0409);.;Loss of methylation at R38 (P = 0.0409);
MVP
0.78
MPC
0.94
ClinPred
0.99
D
GERP RS
3.9
PromoterAI
-0.061
Neutral
Varity_R
0.69
gMVP
0.46
Mutation Taster
=7/93
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs760797899; hg19: chr3-184093705; COSMIC: COSV52605324; COSMIC: COSV52605324; API