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NM_001267550.2(TTN):c.44077C>T (p.Arg14693Cys) AND not specified

Germline classification:
Conflicting classifications of pathogenicity (2 submissions)
Last evaluated:
Jun 10, 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:
RCV000219227.13

Allele description [Variation Report for NM_001267550.2(TTN):c.44077C>T (p.Arg14693Cys)]

NM_001267550.2(TTN):c.44077C>T (p.Arg14693Cys)

Gene:
TTN:titin [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
2q31.2
Genomic location:
Preferred name:
NM_001267550.2(TTN):c.44077C>T (p.Arg14693Cys)
Other names:
p.R12125C:CGC>TGC
HGVS:
  • NC_000002.12:g.178630881G>A
  • NG_011618.3:g.204922C>T
  • NM_001256850.1:c.39154C>T
  • NM_001267550.2:c.44077C>TMANE SELECT
  • NM_003319.4:c.16882C>T
  • NM_133378.4:c.36373C>T
  • NM_133432.3:c.17257C>T
  • NM_133437.4:c.17458C>T
  • NP_001243779.1:p.Arg13052Cys
  • NP_001254479.2:p.Arg14693Cys
  • NP_003310.4:p.Arg5628Cys
  • NP_596869.4:p.Arg12125Cys
  • NP_597676.3:p.Arg5753Cys
  • NP_597681.4:p.Arg5820Cys
  • LRG_391:g.204922C>T
  • NC_000002.11:g.179495608G>A
Protein change:
R12125C
Links:
dbSNP: rs200445568
Molecular consequence:
  • NM_001256850.1:c.39154C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001267550.2:c.44077C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_003319.4:c.16882C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_133378.4:c.36373C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_133432.3:c.17257C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_133437.4:c.17458C>T - missense variant - [Sequence Ontology: SO:0001583]
Observations:
1

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
SCV000272647Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
criteria provided, single submitter

(LMM Criteria)
Uncertain significance
(Jan 28, 2015)
germlineclinical testing

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

SCV001448485Women's Health and Genetics/Laboratory Corporation of America, LabCorp
criteria provided, single submitter

(LabCorp Variant Classification Summary - May 2015)
Likely benign
(Jun 10, 2025)
germlineclinical testing

PubMed (5)
[See all records that cite these PMIDs]

Citation Link

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing
not providedgermlinenot provided11not providednot providednot providedclinical testing

Citations

PubMed

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

Functional Genomic Landscape of Human Breast Cancer Drivers, Vulnerabilities, and Resistance.

Marcotte R, Sayad A, Brown KR, Sanchez-Garcia F, Reimand J, Haider M, Virtanen C, Bradner JE, Bader GD, Mills GB, Pe'er D, Moffat J, Neel BG.

Cell. 2016 Jan 14;164(1-2):293-309. doi: 10.1016/j.cell.2015.11.062.

PubMed [citation]
PMID:
26771497
PMCID:
PMC4724865
See all PubMed Citations (6)

Details of each submission

From Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine, SCV000272647.3

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not provided1not providednot providedclinical testing PubMed (1)

Description

Variant classified as Uncertain Significance - Favor Benign. The p.Arg12125Cys v ariant in TTN has not been previously reported in individuals with cardiomyopath y, but has been identified in 0.2% (20/9970) of African chromosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.org; dbSNP rs200445568 ). Computational prediction tools and conservation analysis suggest that this va riant may impact the protein, though this information is not predictive enough t o determine pathogenicity. In summary, while the clinical significance of the p. Arg12125Cys variant is uncertain, its frequency suggests that it is more likely to be benign.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlinenot providednot providednot providednot provided1not provided1not provided

From Women's Health and Genetics/Laboratory Corporation of America, LabCorp, SCV001448485.2

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (5)

Description

Variant summary: TTN c.36373C>T (p.Arg12125Cys) results in a non-conservative amino acid change in the encoded protein sequence. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change. The variant allele was found at a frequency of 0.00017 in 248510 control chromosomes, predominantly at a frequency of 0.0022 within the African or African-American subpopulation in the gnomAD database. The observed variant frequency within African or African-American control individuals in the gnomAD database is approximately 5.63 fold of the estimated maximal expected allele frequency for a pathogenic variant in TTN causing Dilated Cardiomyopathy phenotype (0.00039). c.36373C>T has been reported in the literature in one individual affected with sudden cardiac death (Campuzano_2018). These report(s) do not provide unequivocal conclusions about association of the variant with TTN-related conditions. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 30086531, 34598035, 27302369, 27149842, 26771497). ClinVar contains an entry for this variant (Variation ID: 194910). 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

Last Updated: Jul 28, 2025

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