12-121626779-A-T

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 2P and 3B. PM2BP4_ModerateBS1_Supporting

The NM_032790.3(ORAI1):​c.37A>T​(p.Ser13Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000266 in 1,306,246 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 10/17 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 30)
Exomes 𝑓: 0.00029 ( 0 hom. )

Consequence

ORAI1
NM_032790.3 missense

Scores

2
12

Clinical Significance

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

Conservation

PhyloP100: 0.00100
Variant links:
Genes affected
ORAI1 (HGNC:25896): (ORAI calcium release-activated calcium modulator 1) The protein encoded by this gene is a membrane calcium channel subunit that is activated by the calcium sensor STIM1 when calcium stores are depleted. This type of channel is the primary way for calcium influx into T-cells. Defects in this gene are a cause of immune dysfunction with T-cell inactivation due to calcium entry defect type 1 (IDTICED1). [provided by RefSeq, Sep 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.17531332).
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000113 (17/150110) while in subpopulation NFE AF= 0.000223 (15/67248). AF 95% confidence interval is 0.000137. There are 0 homozygotes in gnomad4. There are 5 alleles in male gnomad4 subpopulation. Median coverage is 30. 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 UniProt
ORAI1NM_032790.3 linkuse as main transcriptc.37A>T p.Ser13Cys missense_variant 1/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ORAI1ENST00000617316.2 linkuse as main transcriptc.37A>T p.Ser13Cys missense_variant 1/31 P1Q96D31-1
ORAI1ENST00000646827.1 linkuse as main transcriptn.230A>T non_coding_transcript_exon_variant 1/2
ORAI1ENST00000698901.1 linkuse as main transcriptn.271A>T non_coding_transcript_exon_variant 1/2
ORAI1ENST00000611718.1 linkuse as main transcript upstream_gene_variant 5

Frequencies

GnomAD3 genomes
AF:
0.000113
AC:
17
AN:
150110
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000487
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000223
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000629
AC:
1
AN:
15898
Hom.:
0
AF XY:
0.000117
AC XY:
1
AN XY:
8574
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000342
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000285
AC:
330
AN:
1156136
Hom.:
0
Cov.:
29
AF XY:
0.000293
AC XY:
164
AN XY:
559960
show subpopulations
Gnomad4 AFR exome
AF:
0.0000446
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000321
Gnomad4 OTH exome
AF:
0.000435
GnomAD4 genome
AF:
0.000113
AC:
17
AN:
150110
Hom.:
0
Cov.:
30
AF XY:
0.0000682
AC XY:
5
AN XY:
73274
show subpopulations
Gnomad4 AFR
AF:
0.0000487
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000223
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000106

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2018- -
Combined immunodeficiency due to ORAI1 deficiency;C4014557:Myopathy, tubular aggregate, 2 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 19, 2024This sequence change replaces serine, which is neutral and polar, with cysteine, which is neutral and slightly polar, at codon 13 of the ORAI1 protein (p.Ser13Cys). This variant is present in population databases (no rsID available, gnomAD 0.02%). This variant has not been reported in the literature in individuals affected with ORAI1-related conditions. ClinVar contains an entry for this variant (Variation ID: 652118). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
19
DANN
Benign
0.95
DEOGEN2
Benign
0.097
T
Eigen
Benign
-0.35
Eigen_PC
Benign
-0.43
FATHMM_MKL
Benign
0.24
N
LIST_S2
Benign
0.36
T
M_CAP
Pathogenic
0.35
D
MetaRNN
Benign
0.18
T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N
PrimateAI
Pathogenic
0.93
D
Polyphen
0.76
P
MutPred
0.28
Gain of catalytic residue at P17 (P = 0);
ClinPred
0.86
D
GERP RS
1.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.12
gMVP
0.54

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs1290572755; hg19: chr12-122064684; API