Submissions for variant NM_001018005.2(TPM1):c.493-6C>T

gnomAD frequency: 0.00001  dbSNP: rs397516374

Total submissions: 5

Submitter	RCV	SCV	Clinical significance	Condition	Last evaluated	Review status	Method	Comment
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine	RCV000036338	SCV000059990	uncertain significance	not specified	2013-02-19	criteria provided, single submitter	clinical testing	Variant classified as Uncertain Significance - Favor Benign. The 493-6C>T varian t in TPM1 has not been previously reported in the literature, but has been ident ified by our laboratory in 1 individual with HCM who also carried a pathogenic v ariant in another gene (LMM unpublished data). This variant has not been identif ied in large and broad European American and African American populations by the NHLBI Exome Sequencing Project (http://evs.gs.washington.edu/EVS), though it ma y be common in other populations. This variant is located in the 3' splice regio n. Computational tools do not suggest an impact to splicing, though this informa tion is not predictive enough to rule out pathogenicity. In addition, pathogenic splice variants have not been reported in the TPM1 gene. In summary, the availa ble information suggests that this variant is more likely benign, though additio nal information is needed to fully assess its clinical significance.
Illumina Laboratory Services, Illumina	RCV001118167	SCV001276431	uncertain significance	Hypertrophic cardiomyopathy 3	2018-01-12	criteria provided, single submitter	clinical testing	This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.
Illumina Laboratory Services, Illumina	RCV001118168	SCV001276432	uncertain significance	Dilated cardiomyopathy 1Y	2018-01-12	criteria provided, single submitter	clinical testing	This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.
Invitae	RCV002054587	SCV002398176	likely benign	Hypertrophic cardiomyopathy	2023-11-29	criteria provided, single submitter	clinical testing
Color Diagnostics, LLC DBA Color Health	RCV003531920	SCV004360787	uncertain significance	Cardiomyopathy	2023-06-20	criteria provided, single submitter	clinical testing	This variant causes a C to T nucleotide substitution at the -6 position of intron 4 of the TPM1 gene. Splice site prediction tools suggest that this variant may not impact RNA splicing. To our knowledge, functional studies have not been reported for this variant. This variant has been reported in an individual affected with hypertrophic cardiomyopathy (PMID: 25611685). This variant has been identified in 3/251442 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance.