11-117998788-C-T
Variant summary
Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1
The NM_001558.4(IL10RA):c.884C>T(p.Pro295Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000903 in 1,614,162 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P295S) has been classified as Uncertain significance.
Frequency
Consequence
NM_001558.4 missense
Scores
Clinical Significance
Conservation
Publications
- inflammatory bowel disease 28Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
- IL10-related early-onset inflammatory bowel diseaseInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Benign. The variant received -9 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| IL10RA | NM_001558.4 | c.884C>T | p.Pro295Leu | missense_variant | Exon 7 of 7 | ENST00000227752.8 | NP_001549.2 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| IL10RA | ENST00000227752.8 | c.884C>T | p.Pro295Leu | missense_variant | Exon 7 of 7 | 1 | NM_001558.4 | ENSP00000227752.4 |
Frequencies
GnomAD3 genomes AF: 0.000703 AC: 107AN: 152168Hom.: 1 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000768 AC: 193AN: 251420 AF XY: 0.000773 show subpopulations
GnomAD4 exome AF: 0.000923 AC: 1350AN: 1461876Hom.: 1 Cov.: 31 AF XY: 0.000877 AC XY: 638AN XY: 727240 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000703 AC: 107AN: 152286Hom.: 1 Cov.: 32 AF XY: 0.000819 AC XY: 61AN XY: 74460 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Inflammatory bowel disease 28 Uncertain:3
The VUS detected here is a missense variant that leads to an exchange of the amino acid proline, which is weakly conserved at the site, for leucine. In the LOVD shared database the variant is listed as VUS or probably benign, in the ClinVar database (e.g. SCV000768990.7) the variant is evaluated as VUS. In the gnomAD population database, an allele frequency of 0.08% is reported for the variant (gnomAD; ALL). An in silico analysis of this variant using the REVEL program suggests that it may be a variant without clinical significance. -
This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 295 of the IL10RA protein (p.Pro295Leu). This variant is present in population databases (rs56143179, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with inflammatory bowel disease (PMID: 29248579, 33359885; Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 538051). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt IL10RA 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. -
This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
not provided Uncertain:1Benign:1
In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function; Identified in a patient with very onset inflammatory bowel disease (Girardelli et al., 2018); This variant is associated with the following publications: (PMID: 29248579) -
IL10RA: BP4, BS1 -
not specified Benign:1
BS1, BP4; This alteration has an allele frequency that is greater than expected for the associated disease, and is predicted to be tolerated by multiple functional prediction tools. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at