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NM_004614.5(TK2):c.323C>T (p.Thr108Met) AND Mitochondrial DNA depletion syndrome

Germline classification:
Pathogenic (1 submission)
Last evaluated:
Feb 23, 2024
Review status:
1 star out of maximum of 4 stars
criteria provided, single submitter
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:
RCV003993743.1

Allele description [Variation Report for NM_004614.5(TK2):c.323C>T (p.Thr108Met)]

NM_004614.5(TK2):c.323C>T (p.Thr108Met)

Gene:
TK2:thymidine kinase 2 [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
16q21
Genomic location:
Preferred name:
NM_004614.5(TK2):c.323C>T (p.Thr108Met)
Other names:
p.T108M:ACG>ATG
HGVS:
  • NC_000016.10:g.66531432G>A
  • NG_016862.1:g.23981C>T
  • NM_001172643.1:c.230C>T
  • NM_001172644.2:c.248C>T
  • NM_001172645.2:c.269C>T
  • NM_001271934.2:c.176C>T
  • NM_001271935.1:c.230C>T
  • NM_001272050.2:c.32C>T
  • NM_004614.5:c.323C>TMANE SELECT
  • NP_001166114.1:p.Thr77Met
  • NP_001166115.1:p.Thr83Met
  • NP_001166116.1:p.Thr90Met
  • NP_001258863.1:p.Thr59Met
  • NP_001258864.1:p.Thr77Met
  • NP_001258979.1:p.Thr11Met
  • NP_004605.4:p.Thr108Met
  • NC_000016.9:g.66565335G>A
  • NM_001271934.2:c.176C>T
  • NM_004614.4:c.323C>T
  • NR_073520.2:n.1312C>T
  • O00142:p.Thr108Met
Protein change:
T108M; THR108MET
Links:
UniProtKB: O00142#VAR_019420; OMIM: 188250.0003; dbSNP: rs137854431
NCBI 1000 Genomes Browser:
rs137854431
Molecular consequence:
  • NM_001172643.1:c.230C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001172644.2:c.248C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001172645.2:c.269C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001271934.2:c.176C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001271935.1:c.230C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001272050.2:c.32C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_004614.5:c.323C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NR_073520.2:n.1312C>T - non-coding transcript variant - [Sequence Ontology: SO:0001619]

Condition(s)

Name:
Mitochondrial DNA depletion syndrome
Synonyms:
mitochondrial DNA depletion
Identifiers:
MONDO: MONDO:0018158; MedGen: C0342782; OMIM: PS603041

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV004814035Women's Health and Genetics/Laboratory Corporation of America, LabCorp
criteria provided, single submitter

(LabCorp Variant Classification Summary - May 2015)
Pathogenic
(Feb 23, 2024)
germlineclinical testing

PubMed (2)
[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

Citations

PubMed

Severe TK2 enzyme activity deficiency in patients with mild forms of myopathy.

Cámara Y, Carreño-Gago L, Martín MA, Melià MJ, Blázquez A, Delmiro A, Garrabou G, Morén C, Díaz-Manera J, Gallardo E, Bornstein B, López-Gallardo E, Hernández-Lain A, San Millán B, Cancho E, Rodríguez-Vico JS, Martí R, García-Arumí E.

Neurology. 2015 Jun 2;84(22):2286-8. doi: 10.1212/WNL.0000000000001644. Epub 2015 May 6. No abstract available.

PubMed [citation]
PMID:
25948719

Molecular insight into mitochondrial DNA depletion syndrome in two patients with novel mutations in the deoxyguanosine kinase and thymidine kinase 2 genes.

Wang L, Limongelli A, Vila MR, Carrara F, Zeviani M, Eriksson S.

Mol Genet Metab. 2005 Jan;84(1):75-82.

PubMed [citation]
PMID:
15639197

Details of each submission

From Women's Health and Genetics/Laboratory Corporation of America, LabCorp, SCV004814035.1

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

Description

Variant summary: TK2 c.323C>T (p.Thr108Met) results in a non-conservative amino acid change located in the deoxynucleoside kinase domain (IPR031314) of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4.4e-05 in 251080 control chromosomes (gnomAD). This frequency is not significantly higher than estimated for a pathogenic variant in TK2 causing TK2-Related Mitochondrial DNA Depletion Syndrome (4.4e-05 vs 0.0011), allowing no conclusion about variant significance. c.323C>T has been reported in the literature in multiple homozygous and compound heterozygous individuals affected with TK2-Related Mitochondrial DNA Depletion Syndrome (e.g. Wang_2005, Camara_2015). These data indicate that the variant is very likely to be associated with disease. At least one publication reports experimental evidence evaluating an impact on protein function (Wang_2005). The most pronounced variant effect results in <10% of enzyme activity versus the WT protein. The following publications have been ascertained in the context of this evaluation (PMID: 25948719, 15639197). ClinVar contains an entry for this variant (Variation ID: 12710). Based on the evidence outlined above, the variant was classified as pathogenic.

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

Last Updated: Oct 20, 2024