rs767004810
Variant summary
Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM4PP5_Very_Strong
The NM_003193.5(TBCE):c.155_166delGCCACGAAGGGA(p.Ser52_Gly55del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.00000558 in 1,613,832 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_003193.5 disruptive_inframe_deletion
Scores
Clinical Significance
Conservation
Publications
- hypoparathyroidism-retardation-dysmorphism syndromeInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet
- early-onset progressive diffuse brain atrophy-microcephaly-muscle weakness-optic atrophy syndromeInheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- encephalopathy, progressive, with amyotrophy and optic atrophyInheritance: AR Classification: STRONG, LIMITED Submitted by: Ambry Genetics, G2P
- autosomal recessive Kenny-Caffey syndromeInheritance: AR Classification: MODERATE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics
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ACMG classification
Our verdict: Pathogenic. The variant received 10 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| TBCE | NM_003193.5 | c.155_166delGCCACGAAGGGA | p.Ser52_Gly55del | disruptive_inframe_deletion | Exon 3 of 17 | ENST00000642610.2 | NP_003184.1 | |
| TBCE | NM_001287801.2 | c.155_166delGCCACGAAGGGA | p.Ser52_Gly55del | disruptive_inframe_deletion | Exon 3 of 18 | NP_001274730.1 | ||
| TBCE | NM_001079515.3 | c.155_166delGCCACGAAGGGA | p.Ser52_Gly55del | disruptive_inframe_deletion | Exon 3 of 17 | NP_001072983.1 | ||
| TBCE | NM_001287802.2 | c.-210-12876_-210-12865delGCCACGAAGGGA | intron_variant | Intron 2 of 15 | NP_001274731.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| TBCE | ENST00000642610.2 | c.155_166delGCCACGAAGGGA | p.Ser52_Gly55del | disruptive_inframe_deletion | Exon 3 of 17 | NM_003193.5 | ENSP00000494796.1 | |||
| ENSG00000285053 | ENST00000647186.1 | c.155_166delGCCACGAAGGGA | p.Ser52_Gly55del | disruptive_inframe_deletion | Exon 5 of 19 | ENSP00000494775.1 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152166Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000119 AC: 3AN: 251482 AF XY: 0.0000221 show subpopulations
GnomAD4 exome AF: 0.00000479 AC: 7AN: 1461666Hom.: 0 AF XY: 0.00000688 AC XY: 5AN XY: 727128 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152166Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74336 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Hypoparathyroidism-retardation-dysmorphism syndrome Pathogenic:8
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The variant is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.001%). Inframe deletion located in a nonrepeat region: predicted to change the length of the protein and disrupt normal protein function. Functional studies provide strong evidence of the variant having a damaging effect on the gene or gene product (PMID:12389028). The variant has been observed in multiple (>3) similarly affected unrelated individuals (PMID:12389028, 20152369, 25097779, 26231322, 26336027, 30080992, 30638765). Therefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline. -
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not provided Pathogenic:4
For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 5290). This variant has been observed in individuals with hypoparathyroidism-retardation-dysmorphism syndrome (PMID: 12389028, 20152369, 26231322, 30080992). It is commonly reported in individuals of Middle Eastern ancestry (PMID: 12389028, 30080992). This variant is present in population databases (rs767004810, gnomAD 0.006%). This variant, c.155_166del, results in the deletion of 4 amino acid(s) of the TBCE protein (p.Ser52_Gly55del), but otherwise preserves the integrity of the reading frame. -
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In-frame deletion of 4 amino acids in a non-repeat region; In silico analysis supports a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 30080992, 29620724, 20152369, 26336027, 25097779, 30049826, 30638765, 26231322, 31589614, 36258138, 34374989, 35935360, 12389028) -
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TBCE-related disorder Pathogenic:1
PS3, PS4 -
Encephalopathy, progressive, with amyotrophy and optic atrophy Pathogenic:1
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Autosomal recessive Kenny-Caffey syndrome Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at