10-6026014-C-G

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBS1_Supporting

The NM_000417.3(IL2RA):ā€‹c.76G>Cā€‹(p.Asp26His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000836 in 1,612,860 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.00054 ( 0 hom., cov: 33)
Exomes š‘“: 0.00087 ( 0 hom. )

Consequence

IL2RA
NM_000417.3 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:5B:2

Conservation

PhyloP100: -1.83
Variant links:
Genes affected
IL2RA (HGNC:6008): (interleukin 2 receptor subunit alpha) The interleukin 2 (IL2) receptor alpha (IL2RA) and beta (IL2RB) chains, together with the common gamma chain (IL2RG), constitute the high-affinity IL2 receptor. Homodimeric alpha chains (IL2RA) result in low-affinity receptor, while homodimeric beta (IL2RB) chains produce a medium-affinity receptor. Normally an integral-membrane protein, soluble IL2RA has been isolated and determined to result from extracellular proteolyisis. Alternately-spliced IL2RA mRNAs have been isolated, but the significance of each is presently unknown. Mutations in this gene are associated with interleukin 2 receptor alpha deficiency. Patients with severe Coronavirus Disease 2019 (COVID-19), the disease caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), have significantly elevated levels of IL2R in their plasma. Similarly, serum IL-2R levels are found to be elevated in patients with different types of carcinomas. Certain IL2RA and IL2RB gene polymorphisms have been associated with lung cancer risk. [provided by RefSeq, Jul 2020]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.04989937).
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000539 (82/152126) while in subpopulation NFE AF= 0.000956 (65/68014). AF 95% confidence interval is 0.000769. There are 0 homozygotes in gnomad4. There are 34 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IL2RANM_000417.3 linkuse as main transcriptc.76G>C p.Asp26His missense_variant 2/8 ENST00000379959.8 NP_000408.1
IL2RANM_001308242.2 linkuse as main transcriptc.76G>C p.Asp26His missense_variant 2/7 NP_001295171.1
IL2RANM_001308243.2 linkuse as main transcriptc.76G>C p.Asp26His missense_variant 2/6 NP_001295172.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IL2RAENST00000379959.8 linkuse as main transcriptc.76G>C p.Asp26His missense_variant 2/81 NM_000417.3 ENSP00000369293 P1
ENST00000440436.1 linkuse as main transcriptn.37C>G non_coding_transcript_exon_variant 1/33

Frequencies

GnomAD3 genomes
AF:
0.000539
AC:
82
AN:
152126
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000956
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000569
AC:
143
AN:
251434
Hom.:
0
AF XY:
0.000567
AC XY:
77
AN XY:
135884
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000636
Gnomad ASJ exome
AF:
0.000397
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000967
Gnomad OTH exome
AF:
0.000815
GnomAD4 exome
AF:
0.000867
AC:
1266
AN:
1460734
Hom.:
0
Cov.:
32
AF XY:
0.000820
AC XY:
596
AN XY:
726688
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.000783
Gnomad4 ASJ exome
AF:
0.000727
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000580
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00105
Gnomad4 OTH exome
AF:
0.000564
GnomAD4 genome
AF:
0.000539
AC:
82
AN:
152126
Hom.:
0
Cov.:
33
AF XY:
0.000457
AC XY:
34
AN XY:
74322
show subpopulations
Gnomad4 AFR
AF:
0.000145
Gnomad4 AMR
AF:
0.000393
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000956
Gnomad4 OTH
AF:
0.000956
Alfa
AF:
0.000470
Hom.:
0
Bravo
AF:
0.000586
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000814
AC:
7
ExAC
AF:
0.000544
AC:
66
EpiCase
AF:
0.00115
EpiControl
AF:
0.000948

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:5Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Immunodeficiency due to CD25 deficiency Uncertain:4
Uncertain significance, criteria provided, single submitterclinical testingNew York Genome CenterJul 23, 2021- -
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 14, 2022This sequence change replaces aspartic acid, which is acidic and polar, with histidine, which is basic and polar, at codon 26 of the IL2RA protein (p.Asp26His). This variant is present in population databases (rs55868253, gnomAD 0.09%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with IL2RA-related conditions. ClinVar contains an entry for this variant (Variation ID: 534227). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The histidine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Uncertain significance, criteria provided, single submitterclinical testingBaylor GeneticsSep 13, 2019This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
not provided Uncertain:1Benign:2
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Uncertain significance, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.56
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
0.31
DANN
Uncertain
0.97
DEOGEN2
Uncertain
0.63
D;.;.
Eigen
Benign
-0.75
Eigen_PC
Benign
-0.96
FATHMM_MKL
Benign
0.0064
N
LIST_S2
Benign
0.54
T;T;T
M_CAP
Benign
0.0096
T
MetaRNN
Benign
0.050
T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
1.9
L;.;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.24
T
PROVEAN
Uncertain
-2.8
D;D;D
REVEL
Benign
0.035
Sift
Benign
0.074
T;D;T
Sift4G
Benign
0.19
T;T;T
Polyphen
0.48
P;D;.
Vest4
0.19
MVP
0.58
MPC
0.28
ClinPred
0.083
T
GERP RS
-3.6
Varity_R
0.18
gMVP
0.56

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs55868253; hg19: chr10-6067977; COSMIC: COSV105072565; COSMIC: COSV105072565; API