rs786205098

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 4P and 1B. PM2PP5_ModerateBP3

The ENST00000252029.8(TYMP):​c.1193_1198delCGCTGG​(p.Ala398_Leu399del) variant causes a disruptive inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000336 in 1,489,956 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000035 ( 0 hom. )

Consequence

TYMP
ENST00000252029.8 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Likely pathogenic criteria provided, single submitter P:3

Conservation

PhyloP100: 2.85

Publications

0 publications found
Variant links:
Genes affected
TYMP (HGNC:3148): (thymidine phosphorylase) This gene encodes an angiogenic factor which promotes angiogenesis in vivo and stimulates the in vitro growth of a variety of endothelial cells. It has a highly restricted target cell specificity acting only on endothelial cells. Mutations in this gene have been associated with mitochondrial neurogastrointestinal encephalomyopathy. Multiple alternatively spliced transcript variants have been identified. [provided by RefSeq, Apr 2012]
SCO2 (HGNC:10604): (synthesis of cytochrome C oxidase 2) Cytochrome c oxidase (COX) catalyzes the transfer of electrons from cytochrome c to molecular oxygen, which helps to maintain the proton gradient across the inner mitochondrial membrane that is necessary for aerobic ATP production. Human COX is a multimeric protein complex that requires several assembly factors; this gene encodes one of the COX assembly factors. The encoded protein is a metallochaperone that is involved in the biogenesis of cytochrome c oxidase subunit II. Mutations in this gene are associated with fatal infantile encephalocardiomyopathy and myopia 6. [provided by RefSeq, Oct 2014]
SCO2 Gene-Disease associations (from GenCC):
  • cardioencephalomyopathy, fatal infantile, due to cytochrome c oxidase deficiency 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • Leigh syndrome
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • myopia 6
    Inheritance: AD Classification: STRONG Submitted by: G2P
  • autosomal recessive axonal charcot-marie-tooth disease due to copper metabolism defect
    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 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 22-50526102-ACCAGCG-A is Pathogenic according to our data. Variant chr22-50526102-ACCAGCG-A is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 16659.Status of the report is criteria_provided_single_submitter, 1 stars.
BP3
Nonframeshift variant in repetitive region in ENST00000252029.8

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000252029.8. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TYMP
NM_001953.5
MANE Select
c.1193_1198delCGCTGGp.Ala398_Leu399del
disruptive_inframe_deletion
Exon 9 of 10NP_001944.1
TYMP
NM_001257989.1
c.1208_1213delCGCTGGp.Ala403_Leu404del
disruptive_inframe_deletion
Exon 9 of 10NP_001244918.1
TYMP
NM_001113755.3
c.1193_1198delCGCTGGp.Ala398_Leu399del
disruptive_inframe_deletion
Exon 9 of 10NP_001107227.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TYMP
ENST00000252029.8
TSL:1 MANE Select
c.1193_1198delCGCTGGp.Ala398_Leu399del
disruptive_inframe_deletion
Exon 9 of 10ENSP00000252029.3
TYMP
ENST00000395681.6
TSL:1
c.1208_1213delCGCTGGp.Ala403_Leu404del
disruptive_inframe_deletion
Exon 9 of 10ENSP00000379038.1
TYMP
ENST00000395678.7
TSL:1
c.1193_1198delCGCTGGp.Ala398_Leu399del
disruptive_inframe_deletion
Exon 9 of 10ENSP00000379036.3

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152048
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000116
AC:
1
AN:
86072
AF XY:
0.0000205
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:
0.0000319
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000351
AC:
47
AN:
1337908
Hom.:
0
AF XY:
0.0000364
AC XY:
24
AN XY:
659574
show subpopulations
African (AFR)
AF:
0.0000372
AC:
1
AN:
26866
American (AMR)
AF:
0.00
AC:
0
AN:
29884
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23354
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30280
South Asian (SAS)
AF:
0.00
AC:
0
AN:
74328
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33044
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4328
European-Non Finnish (NFE)
AF:
0.0000424
AC:
45
AN:
1060092
Other (OTH)
AF:
0.0000179
AC:
1
AN:
55732
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
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:
0.0000197
AC:
3
AN:
152048
Hom.:
0
Cov.:
34
AF XY:
0.0000269
AC XY:
2
AN XY:
74266
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000241
AC:
1
AN:
41422
American (AMR)
AF:
0.00
AC:
0
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10574
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
67972
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.0338994), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.392
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000471
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

ClinVar submissions as Germline

Significance:Likely pathogenic
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
3
-
-
Mitochondrial DNA depletion syndrome 1 (3)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
2.9
Mutation Taster
=23/177
disease causing (ClinVar)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs786205098; hg19: chr22-50964531; API