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NM_001267550.2(TTN):c.46387G>A (p.Gly15463Arg) AND not specified

Germline classification:
Conflicting classifications of pathogenicity (3 submissions)
Last evaluated:
Apr 9, 2025
Review status:
criteria provided, conflicting classifications
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000040270.13

Allele description [Variation Report for NM_001267550.2(TTN):c.46387G>A (p.Gly15463Arg)]

NM_001267550.2(TTN):c.46387G>A (p.Gly15463Arg)

Genes:
TTN-AS1:TTN antisense RNA 1 [Gene - HGNC]
TTN:titin [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
2q31.2
Genomic location:
Preferred name:
NM_001267550.2(TTN):c.46387G>A (p.Gly15463Arg)
Other names:
p.G13822R:GGG>AGG
HGVS:
  • NC_000002.12:g.178620030C>T
  • NG_011618.3:g.215773G>A
  • NG_051363.1:g.102204C>T
  • NM_001256850.1:c.41464G>A
  • NM_001267550.2:c.46387G>AMANE SELECT
  • NM_003319.4:c.19192G>A
  • NM_133378.4:c.38683G>A
  • NM_133432.3:c.19567G>A
  • NM_133437.4:c.19768G>A
  • NP_001243779.1:p.Gly13822Arg
  • NP_001254479.2:p.Gly15463Arg
  • NP_003310.4:p.Gly6398Arg
  • NP_596869.4:p.Gly12895Arg
  • NP_597676.3:p.Gly6523Arg
  • NP_597681.4:p.Gly6590Arg
  • LRG_391t1:c.46387G>A
  • LRG_391:g.215773G>A
  • NC_000002.11:g.179484757C>T
  • NM_001267550.1:c.46387G>A
  • NM_003319.4:c.19192G>A
  • NR_038271.1:n.1882C>T
  • c.38683G>A
Protein change:
G12895R
Links:
dbSNP: rs200042932
Molecular consequence:
  • NM_001256850.1:c.41464G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001267550.2:c.46387G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_003319.4:c.19192G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_133378.4:c.38683G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_133432.3:c.19567G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_133437.4:c.19768G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NR_038271.1:n.1882C>T - non-coding transcript variant - [Sequence Ontology: SO:0001619]
Observations:
2

Condition(s)

Synonyms:
AllHighlyPenetrant
Identifiers:
MedGen: CN169374

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000063961Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
criteria provided, single submitter

(LMM Criteria)
Uncertain significance
(Mar 27, 2013)
germlineclinical testing

PubMed (2)
[See all records that cite these PMIDs]

SCV005884998Women's Health and Genetics/Laboratory Corporation of America, LabCorp
criteria provided, single submitter

(LabCorp Variant Classification Summary - May 2015)
Likely benign
(Dec 20, 2024)
germlineclinical testing

Citation Link,

SCV006068164Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute
criteria provided, single submitter

(ACMG Guidelines, 2015)
Likely benign
(Apr 9, 2025)
germlineclinical testing

PubMed (1)
[See all records that cite this PMID]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing
not providedgermlinenot provided22not providednot providednot providedclinical testing
not providedgermlinenonot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Genetic variation in titin in arrhythmogenic right ventricular cardiomyopathy-overlap syndromes.

Taylor M, Graw S, Sinagra G, Barnes C, Slavov D, Brun F, Pinamonti B, Salcedo EE, Sauer W, Pyxaras S, Anderson B, Simon B, Bogomolovas J, Labeit S, Granzier H, Mestroni L.

Circulation. 2011 Aug 23;124(8):876-85. doi: 10.1161/CIRCULATIONAHA.110.005405. Epub 2011 Aug 1.

PubMed [citation]
PMID:
21810661
PMCID:
PMC3167235

A systematic approach to assessing the clinical significance of genetic variants.

Duzkale H, Shen J, McLaughlin H, Alfares A, Kelly MA, Pugh TJ, Funke BH, Rehm HL, Lebo MS.

Clin Genet. 2013 Nov;84(5):453-63. doi: 10.1111/cge.12257.

PubMed [citation]
PMID:
24033266
PMCID:
PMC3995020
See all PubMed Citations (3)

Details of each submission

From Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine, SCV000063961.6

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not provided2not providednot providedclinical testing PubMed (2)

Description

The Gly12895Arg variant in TTN has not been reported in the literature, but has been identified by our laboratory in one individual with DCM (LMM unpublished da ta). This variant has been identified in 3/8228 European American chromosomes f rom a broad population by the NHLBI Exome Sequencing Project (http://evs.gs.wash ington.edu/EVS/; dbSNP rs200042932). Computational analyses (biochemical amino a cid properties, conservation, AlignGVGD, PolyPhen2, and SIFT) suggest that the G ly12895Arg variant may impact the protein, though this information is not predic tive enough to determine pathogenicity. In summary, additional information is ne eded to fully assess the clinical significance of the Gly12895Arg variant.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlinenot providednot providednot providednot provided2not provided2not provided

From Women's Health and Genetics/Laboratory Corporation of America, LabCorp, SCV005884998.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testingnot provided

Description

Variant summary: TTN c.38683G>A (p.Gly12895Arg) results in a non-conservative amino acid change located in the I-band domain of the encoded protein sequence. Three of four in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00029 in 246698 control chromosomes, predominantly at a frequency of 0.00051 within the Non-Finnish European subpopulation in the gnomAD database. The observed variant frequency within Non-Finnish European control individuals in the gnomAD database is approximately 1.3 fold of the estimated maximal expected allele frequency for a pathogenic variant in TTN causing Dilated Cardiomyopathy phenotype (0.00039). To our knowledge, no occurrence of c.38683G>A in individuals affected with Dilated Cardiomyopathy and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 47000). Based on the evidence outlined above, the variant was classified as likely benign.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute, SCV006068164.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlinenonot providednot providednot providednot providednot providednot providednot provided

Last Updated: Jan 11, 2026

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