ClinVar Miner

Submissions for variant NM_001267550.2(TTN):c.69422_69426delinsAAAAGGACCC (p.Gly23141fs)

dbSNP: rs2046539116
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Total submissions: 2
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV001063107 SCV001227941 likely pathogenic Dilated cardiomyopathy 1G; Autosomal recessive limb-girdle muscular dystrophy type 2J 2021-09-10 criteria provided, single submitter clinical testing
Ambry Genetics RCV002327339 SCV002630341 likely pathogenic Cardiovascular phenotype 2021-01-27 criteria provided, single submitter clinical testing The c.42227_42231delGCCCTins10 variant, located in coding exon 152 of the TTN gene, results from the deletion of 5 nucleotides and insertion of 10 nucleotides (AAAAGGACCC) causing a translational frameshift with a predicted alternate stop codon (p.G14076Efs*38). This exon is located in the A-band region of the N2-B isoform of the titin protein and is constitutively expressed in TTN transcripts (percent spliced in or PSI 100%). This variant (referred to as NM_001267550:c.69422_69426delinsAAAAGGACCC, p.Gly23141Glufs*38) has been detected in an individual from a dilated cardiomyopathy (DCM) cohort (Ramchand J et al. J Am Heart Assoc. 2020 01;9(2):e013346). This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. While truncating variants in TTN are present in 1-3% of the general population, truncating variants in the A-band are the most common cause of DCM (Herman DS et al. N. Engl. J. Med., 2012 Feb;366:619-28; Roberts AM et al. Sci Transl Med, 2015 Jan;7:270ra6). TTN truncating variants encoded in constitutive exons (PSI >90%) have been found to be significantly associated with DCM regardless of their position in titin (Schafer S et al. Nat. Genet., 2017 01;49:46-53). As such, this alteration is classified as likely pathogenic.

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