ClinVar Miner

Submissions for variant NM_018006.5(TRMU):c.249-2A>G

gnomAD frequency: 0.00002  dbSNP: rs768299416
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV001378485 SCV001576061 likely pathogenic not provided 2020-07-13 criteria provided, single submitter clinical testing In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic. Donor and acceptor splice site variants typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in TRMU are known to be pathogenic (PMID: 19732863, 23625533). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site, but this prediction has not been confirmed by published transcriptional studies. This variant has not been reported in the literature in individuals with TRMU-related conditions. This variant is present in population databases (rs768299416, ExAC 0.01%). This sequence change affects an acceptor splice site in intron 2 of the TRMU gene. It is expected to disrupt RNA splicing and likely results in an absent or disrupted protein product.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV001826140 SCV002571934 likely pathogenic Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteins 2022-08-10 criteria provided, single submitter clinical testing Variant summary: TRMU c.249-2A>G is located in a canonical splice-site and is predicted to affect mRNA splicing resulting in a significantly altered protein due to either exon skipping, shortening, or inclusion of intronic material. Several computational tools predict a significant impact on normal splicing: Four predict the variant abolishes the canonical 3' acceptor site. Two predict the variant creates a cryptic 5' donor site. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 1.6e-05 in 249714 control chromosomes (gnomAD). To our knowledge, no occurrence of c.249-2A>G in individuals affected with Liver Failure Acute Infantile, Transient and no experimental evidence demonstrating its impact on protein function have been reported. Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 and all classified the variant as likely pathogenic. Based on the evidence outlined above, the variant was classified as likely pathogenic.
Fulgent Genetics, Fulgent Genetics RCV002499781 SCV002813631 likely pathogenic Aminoglycoside-induced deafness; Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteins 2022-03-15 criteria provided, single submitter clinical testing
Baylor Genetics RCV003473909 SCV004204395 likely pathogenic Aminoglycoside-induced deafness 2022-12-30 criteria provided, single submitter clinical testing
Natera, Inc. RCV001826140 SCV002076152 likely pathogenic Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteins 2021-05-28 no assertion criteria provided clinical testing

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