rs762076391

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BS1_SupportingBS2

The NM_001379200.1(TBX1):​c.1484C>A​(p.Pro495Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000229 in 1,569,900 control chromosomes in the GnomAD database, with no homozygous occurrence. 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. P495L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000019 ( 0 hom. )

Consequence

TBX1
NM_001379200.1 missense

Scores

3
8
5

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.821

Publications

6 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, STRONG Submitted by: PanelApp Australia, 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: Likely_benign. The variant received -5 ACMG points.

BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.0000592 (9/152058) while in subpopulation AFR AF = 0.000145 (6/41418). AF 95% confidence interval is 0.0000629. There are 0 homozygotes in GnomAd4. There are 7 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 9 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001379200.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TBX1
NM_001379200.1
MANE Select
c.1484C>Ap.Pro495Gln
missense
Exon 7 of 7NP_001366129.1A0A3B3IS18
TBX1
NM_080647.1
c.1457C>Ap.Pro486Gln
missense
Exon 9 of 9NP_542378.1O43435-3
TBX1
NM_080646.2
c.1009+834C>A
intron
N/ANP_542377.1O43435-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TBX1
ENST00000649276.2
MANE Select
c.1484C>Ap.Pro495Gln
missense
Exon 7 of 7ENSP00000497003.1A0A3B3IS18
TBX1
ENST00000332710.8
TSL:1
c.1457C>Ap.Pro486Gln
missense
Exon 9 of 9ENSP00000331791.4O43435-3
TBX1
ENST00000329705.11
TSL:1
c.1009+834C>A
intron
N/AENSP00000331176.7O43435-1

Frequencies

GnomAD3 genomes
AF:
0.0000592
AC:
9
AN:
152058
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000462
AC:
9
AN:
194830
AF XY:
0.0000362
show subpopulations
Gnomad AFR exome
AF:
0.000223
Gnomad AMR exome
AF:
0.000131
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000335
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000190
AC:
27
AN:
1417842
Hom.:
0
Cov.:
33
AF XY:
0.0000170
AC XY:
12
AN XY:
705812
show subpopulations
African (AFR)
AF:
0.000267
AC:
8
AN:
29940
American (AMR)
AF:
0.000144
AC:
6
AN:
41588
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25082
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36454
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83222
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37194
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5084
European-Non Finnish (NFE)
AF:
0.0000118
AC:
13
AN:
1100530
Other (OTH)
AF:
0.00
AC:
0
AN:
58748
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
2
4
6
8
10
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
AF:
0.0000592
AC:
9
AN:
152058
Hom.:
0
Cov.:
33
AF XY:
0.0000942
AC XY:
7
AN XY:
74284
show subpopulations
African (AFR)
AF:
0.000145
AC:
6
AN:
41418
American (AMR)
AF:
0.000131
AC:
2
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5162
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67972
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.00
Hom.:
0
Bravo
AF:
0.000106
ExAC
AF:
0.0000448
AC:
5

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Cardiovascular phenotype (1)
-
1
-
DiGeorge syndrome (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.12
CADD
Uncertain
24
DANN
Uncertain
0.99
Eigen
Uncertain
0.30
Eigen_PC
Uncertain
0.24
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Benign
0.51
T
M_CAP
Pathogenic
0.99
D
MetaRNN
Uncertain
0.45
T
MetaSVM
Uncertain
0.17
D
PhyloP100
0.82
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
-0.78
N
REVEL
Uncertain
0.41
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.015
D
Vest4
0.43
MVP
0.58
MPC
1.4
ClinPred
0.92
D
GERP RS
3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2
gMVP
0.44
Mutation Taster
=87/13
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: rs762076391; hg19: chr22-19754359; API