ClinVar Miner

Submissions for variant NM_006086.4(TUBB3):c.728C>T (p.Pro243Leu)

dbSNP: rs587784506
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Genetic Services Laboratory, University of Chicago RCV000147856 SCV000195330 uncertain significance Complex cortical dysplasia with other brain malformations 1 2014-04-18 criteria provided, single submitter clinical testing
Fulgent Genetics, Fulgent Genetics RCV000764099 SCV000895063 uncertain significance Fibrosis of extraocular muscles, congenital, 3A, with or without extraocular involvement; Complex cortical dysplasia with other brain malformations 1 2018-10-31 criteria provided, single submitter clinical testing
Genetics Institute, Tel Aviv Sourasky Medical Center RCV000147856 SCV001593198 likely pathogenic Complex cortical dysplasia with other brain malformations 1 2021-05-12 criteria provided, single submitter clinical testing
GeneDx RCV001550956 SCV001771366 pathogenic not provided 2021-11-05 criteria provided, single submitter clinical testing Observed previously in a deceased fetus with a complex brain malformation and dysmorphic features and was inherited from a mother with abnormal brain imaging (Reches et al., 2018); Not observed in large population cohorts (Lek et al., 2016); Missense variants in this gene are often considered pathogenic (Stenson et al., 2014); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 32169460, 30108342, 20829227)
Victorian Clinical Genetics Services, Murdoch Childrens Research Institute RCV000147856 SCV005086573 likely pathogenic Complex cortical dysplasia with other brain malformations 1 2023-12-21 criteria provided, single submitter clinical testing Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as Likely Pathogenic. Following criteria are met: 0104 - Dominant negative is a known mechanism of disease in this gene and is associated with cortical dysplasia, complex, with other brain malformations 1 (MIM#614039) and fibrosis of extraocular muscles, congenital, 3A (MIM#600638) (PMID: 31219644). (I) 0107 - This gene is associated with autosomal dominant disease. (I) 0200 - Variant is predicted to result in a missense amino acid change from proline to leucine. (I) 0251 - This variant is heterozygous. (I) 0301 - Variant is absent from gnomAD (both v2 and v3). (SP) 0502 - Missense variant with conflicting in silico predictions and uninformative conservation. (I) 0603 - Missense variant in a region that is highly intolerant to missense variation (high constraint region in DECIPHER). (SP) 0704 - Another missense variant comparable to the one identified in this case has limited previous evidence for pathogenicity. p.(Pro243Arg) has been classified as likely pathogenic in ClinVar. (SP) 0802 - This variant has moderate previous evidence of pathogenicity in unrelated individuals. This variant has been classified as pathogenic or likely pathogenic by multiple clinical laboratories in ClinVar, and also has two older VUS classifications. This variant has also been observed in a mother and her fetus, as well as another unrelated individual with TUBB3-related symptoms (PMID: 30108342, 31269740). (SP) 1002 - This variant has moderate functional evidence supporting abnormal protein function. This variant causes reduced neuronal gene expression in C. elegans. (PMID:26441521). (SP) 1102 - Strong phenotype match for this individual. (SP) 1208 - Inheritance information for this variant is not currently available in this individual. (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign

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