rs864321697

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_004817.4(TJP2):​c.817delG​(p.Ala273ProfsTer38) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000007 in 1,428,446 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★). Synonymous variant affecting the same amino acid position (i.e. A273A) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.0e-7 ( 0 hom. )

Consequence

TJP2
NM_004817.4 frameshift

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 0.116

Publications

7 publications found
Variant links:
Genes affected
TJP2 (HGNC:11828): (tight junction protein 2) This gene encodes a zonula occluden that is a member of the membrane-associated guanylate kinase homolog family. The encoded protein functions as a component of the tight junction barrier in epithelial and endothelial cells and is necessary for proper assembly of tight junctions. Mutations in this gene have been identified in patients with hypercholanemia, and genomic duplication of a 270 kb region including this gene causes autosomal dominant deafness-51. Alternatively spliced transcripts encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Nov 2011]
TJP2 Gene-Disease associations (from GenCC):
  • cholestasis, progressive familial intrahepatic, 4
    Inheritance: AR Classification: STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • autosomal dominant nonsyndromic hearing loss
    Inheritance: AD Classification: SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Orphanet
  • familial hypercholanemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • nonsyndromic genetic hearing loss
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • hypercholanemia, familial 1
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 12 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 9-69221357-CG-C is Pathogenic according to our data. Variant chr9-69221357-CG-C is described in ClinVar as Pathogenic. ClinVar VariationId is 219197.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004817.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TJP2
NM_004817.4
MANE Select
c.817delGp.Ala273ProfsTer38
frameshift
Exon 5 of 23NP_004808.2
TJP2
NM_001170416.2
c.910delGp.Ala304ProfsTer38
frameshift
Exon 5 of 23NP_001163887.1
TJP2
NM_001369875.1
c.829delGp.Ala277ProfsTer38
frameshift
Exon 5 of 23NP_001356804.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TJP2
ENST00000377245.9
TSL:1 MANE Select
c.817delGp.Ala273ProfsTer38
frameshift
Exon 5 of 23ENSP00000366453.4
ENSG00000285130
ENST00000642889.1
c.1204delGp.Ala402ProfsTer38
frameshift
Exon 7 of 25ENSP00000493780.1
TJP2
ENST00000348208.9
TSL:1
c.817delGp.Ala273ProfsTer38
frameshift
Exon 5 of 21ENSP00000345893.4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
7.00e-7
AC:
1
AN:
1428446
Hom.:
0
Cov.:
33
AF XY:
0.00000141
AC XY:
1
AN XY:
707946
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32810
American (AMR)
AF:
0.00
AC:
0
AN:
40004
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25460
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37872
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82774
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49446
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5718
European-Non Finnish (NFE)
AF:
9.13e-7
AC:
1
AN:
1095328
Other (OTH)
AF:
0.00
AC:
0
AN:
59034
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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.:
33

ClinVar

ClinVar submissions as Germline

Significance:Pathogenic
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Cholestasis, progressive familial intrahepatic, 4 (1)
1
-
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.12
Mutation Taster
=0/200
disease causing (ClinVar)

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: rs864321697; hg19: chr9-71836273; API