rs772437766

Variant summary

Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PM1PM2PM5PP5

The NM_153704.6(TMEM67):​c.245C>G​(p.Pro82Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000783 in 1,277,496 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P82S) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 30)
Exomes 𝑓: 7.8e-7 ( 0 hom. )

Consequence

TMEM67
NM_153704.6 missense

Scores

2
8
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:3U:1

Conservation

PhyloP100: 3.24

Publications

5 publications found
Variant links:
Genes affected
TMEM67 (HGNC:28396): (transmembrane protein 67) The protein encoded by this gene localizes to the primary cilium and to the plasma membrane. The gene functions in centriole migration to the apical membrane and formation of the primary cilium. Multiple transcript variants encoding different isoforms have been found for this gene. Defects in this gene are a cause of Meckel syndrome type 3 (MKS3) and Joubert syndrome type 6 (JBTS6). [provided by RefSeq, Nov 2008]
TMEM67 Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, ClinGen
  • COACH syndrome 1
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • Meckel syndrome, type 3
    Inheritance: AR Classification: DEFINITIVE Submitted by: Ambry Genetics
  • nephronophthisis 11
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • COACH syndrome 1
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet
  • Joubert syndrome 6
    Inheritance: AR Classification: STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • Joubert syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Meckel syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Senior-Boichis syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 7 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 7 uncertain in NM_153704.6
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr8-93755798-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 217715.
PP5
Variant 8-93755799-C-G is Pathogenic according to our data. Variant chr8-93755799-C-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 217714.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_153704.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM67
NM_153704.6
MANE Select
c.245C>Gp.Pro82Arg
missense
Exon 2 of 28NP_714915.3
TMEM67
NM_001142301.1
c.-62+662C>G
intron
N/ANP_001135773.1Q5HYA8
TMEM67
NR_024522.2
n.266C>G
non_coding_transcript_exon
Exon 2 of 29

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TMEM67
ENST00000453321.8
TSL:1 MANE Select
c.245C>Gp.Pro82Arg
missense
Exon 2 of 28ENSP00000389998.3Q5HYA8
TMEM67
ENST00000452276.6
TSL:1
c.245C>Gp.Pro82Arg
missense
Exon 2 of 27ENSP00000388671.2C9JRQ8
TMEM67
ENST00000474944.5
TSL:1
n.265C>G
non_coding_transcript_exon
Exon 2 of 17

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD4 exome
AF:
7.83e-7
AC:
1
AN:
1277496
Hom.:
0
Cov.:
26
AF XY:
0.00
AC XY:
0
AN XY:
640562
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
28624
American (AMR)
AF:
0.00
AC:
0
AN:
40592
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23656
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36846
South Asian (SAS)
AF:
0.00
AC:
0
AN:
75874
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51216
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4648
European-Non Finnish (NFE)
AF:
0.00000104
AC:
1
AN:
963028
Other (OTH)
AF:
0.00
AC:
0
AN:
53012
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
30
Alfa
AF:
0.0000468
Hom.:
0

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
1
-
Joubert syndrome 6 (2)
1
-
-
Meckel-Gruber syndrome;C5979921:Joubert syndrome (1)
1
-
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Pathogenic
0.30
D
BayesDel_noAF
Pathogenic
0.19
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.41
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.84
T
M_CAP
Benign
0.039
D
MetaRNN
Uncertain
0.57
D
MetaSVM
Benign
-0.35
T
MutationAssessor
Uncertain
2.3
M
PhyloP100
3.2
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-2.2
N
REVEL
Uncertain
0.40
Sift
Benign
0.068
T
Sift4G
Benign
0.32
T
Polyphen
0.086
B
Vest4
0.92
MutPred
0.64
Gain of solvent accessibility (P = 0.1045)
MVP
0.86
MPC
0.20
ClinPred
0.76
D
GERP RS
5.0
Varity_R
0.14
gMVP
0.81
Mutation Taster
=27/73
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
Splicevardb
2.0
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: rs772437766; hg19: chr8-94768027; API