11-2160956-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 6P and 1B. PM1PM2PM5BP4

The NM_000207.3(INS):ā€‹c.16C>Gā€‹(p.Arg6Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,054 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R6H) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 35)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

INS
NM_000207.3 missense

Scores

2
5
11

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.84
Variant links:
Genes affected
INS (HGNC:6081): (insulin) This gene encodes insulin, a peptide hormone that plays a vital role in the regulation of carbohydrate and lipid metabolism. After removal of the precursor signal peptide, proinsulin is post-translationally cleaved into three peptides: the B chain and A chain peptides, which are covalently linked via two disulfide bonds to form insulin, and C-peptide. Binding of insulin to the insulin receptor (INSR) stimulates glucose uptake. A multitude of mutant alleles with phenotypic effects have been identified, including insulin-dependent diabetes mellitus, permanent neonatal diabetes diabetes mellitus, maturity-onset diabetes of the young type 10 and hyperproinsulinemia. There is a read-through gene, INS-IGF2, which overlaps with this gene at the 5' region and with the IGF2 gene at the 3' region. [provided by RefSeq, May 2020]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM1
In a signal_peptide (size 23) in uniprot entity INS_HUMAN there are 7 pathogenic changes around while only 2 benign (78%) in NM_000207.3
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr11-2160956-G-A is described in ClinVar as [Likely_risk_allele]. Clinvar id is 13390.Status of the report is criteria_provided_single_submitter, 1 stars. We mark this variant Likely_pathogenic, oryginal submissions are: {Likely_risk_allele=1, not_provided=1}.
BP4
Computational evidence support a benign effect (MetaRNN=0.36569792).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
INSNM_000207.3 linkuse as main transcriptc.16C>G p.Arg6Gly missense_variant 2/3 ENST00000381330.5
INS-IGF2NR_003512.4 linkuse as main transcriptn.75C>G non_coding_transcript_exon_variant 2/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
INSENST00000381330.5 linkuse as main transcriptc.16C>G p.Arg6Gly missense_variant 2/31 NM_000207.3 P1P01308-1

Frequencies

GnomAD3 genomes
Cov.:
35
GnomAD3 exomes
AF:
0.00000406
AC:
1
AN:
246320
Hom.:
0
AF XY:
0.00000746
AC XY:
1
AN XY:
134098
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460054
Hom.:
0
Cov.:
88
AF XY:
0.00000138
AC XY:
1
AN XY:
726366
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
35
ExAC
AF:
0.00000827
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.093
BayesDel_addAF
Pathogenic
0.16
D
BayesDel_noAF
Uncertain
0.090
CADD
Benign
21
DANN
Benign
0.90
DEOGEN2
Benign
0.098
T;D;D;D;.;.
Eigen
Benign
-0.43
Eigen_PC
Benign
-0.50
FATHMM_MKL
Benign
0.41
N
LIST_S2
Uncertain
0.86
D;.;.;D;D;D
M_CAP
Pathogenic
0.52
D
MetaRNN
Benign
0.37
T;T;T;T;T;T
MetaSVM
Uncertain
0.48
D
MutationAssessor
Benign
0.55
N;.;.;.;.;.
MutationTaster
Benign
1.0
N;N;N;N;N;N
PROVEAN
Benign
-2.2
N;N;N;N;N;N
REVEL
Uncertain
0.52
Sift
Uncertain
0.0010
D;D;D;D;D;D
Sift4G
Benign
0.061
T;T;T;T;.;T
Polyphen
0.59
P;B;B;B;.;B
Vest4
0.50
MutPred
0.43
Loss of MoRF binding (P = 0.0024);Loss of MoRF binding (P = 0.0024);Loss of MoRF binding (P = 0.0024);Loss of MoRF binding (P = 0.0024);Loss of MoRF binding (P = 0.0024);Loss of MoRF binding (P = 0.0024);
MVP
0.58
MPC
0.33
ClinPred
0.28
T
GERP RS
1.7
Varity_R
0.27
gMVP
0.80

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs121908278; hg19: chr11-2182186; COSMIC: COSV99171170; COSMIC: COSV99171170; API