12-121626791-C-T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS1

The ENST00000617316.2(ORAI1):​c.49C>T​(p.Pro17Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00032 in 1,360,592 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 11/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. P17P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0014 ( 0 hom., cov: 30)
Exomes 𝑓: 0.00019 ( 0 hom. )

Consequence

ORAI1
ENST00000617316.2 missense

Scores

2
11

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.510

Publications

0 publications found
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]
ORAI1 Gene-Disease associations (from GenCC):
  • tubular aggregate myopathy
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • myopathy, tubular aggregate, 2
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • combined immunodeficiency due to ORAI1 deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • Stormorken syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0074937046).
BP6
Variant 12-121626791-C-T is Benign according to our data. Variant chr12-121626791-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 541945.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00136 (205/150772) while in subpopulation AFR AF = 0.00452 (187/41374). AF 95% confidence interval is 0.00399. There are 0 homozygotes in GnomAd4. There are 93 alleles in the male GnomAd4 subpopulation. Median coverage is 30. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ORAI1NR_186857.1 linkn.262C>T non_coding_transcript_exon_variant Exon 1 of 2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ORAI1ENST00000617316.2 linkc.49C>T p.Pro17Ser missense_variant Exon 1 of 3 1 ENSP00000482568.2

Frequencies

GnomAD3 genomes
AF:
0.00137
AC:
206
AN:
150664
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00456
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000989
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:
0.0000297
Gnomad OTH
AF:
0.000485
GnomAD2 exomes
AF:
0.0000857
AC:
2
AN:
23338
AF XY:
0.0000779
show subpopulations
Gnomad AFR exome
AF:
0.00575
Gnomad AMR exome
AF:
0.000533
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000190
AC:
230
AN:
1209820
Hom.:
0
Cov.:
29
AF XY:
0.000181
AC XY:
107
AN XY:
590592
show subpopulations
African (AFR)
AF:
0.00515
AC:
118
AN:
22920
American (AMR)
AF:
0.000286
AC:
3
AN:
10486
Ashkenazi Jewish (ASJ)
AF:
0.0000631
AC:
1
AN:
15836
East Asian (EAS)
AF:
0.0000387
AC:
1
AN:
25818
South Asian (SAS)
AF:
0.0000399
AC:
2
AN:
50142
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
41840
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3618
European-Non Finnish (NFE)
AF:
0.0000818
AC:
81
AN:
990546
Other (OTH)
AF:
0.000494
AC:
24
AN:
48614
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
15
30
46
61
76
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00136
AC:
205
AN:
150772
Hom.:
0
Cov.:
30
AF XY:
0.00126
AC XY:
93
AN XY:
73704
show subpopulations
African (AFR)
AF:
0.00452
AC:
187
AN:
41374
American (AMR)
AF:
0.000988
AC:
15
AN:
15184
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5122
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10156
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000297
AC:
2
AN:
67370
Other (OTH)
AF:
0.000480
AC:
1
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
13
26
38
51
64
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000143
Hom.:
0
Bravo
AF:
0.00141
ExAC
AF:
0.000227
AC:
3

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

ORAI1-related disorder Benign:1
Jul 25, 2022
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications).

not provided Benign:1
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Combined immunodeficiency due to ORAI1 deficiency;C4014557:Myopathy, tubular aggregate, 2 Benign:1
Jan 14, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
15
DANN
Benign
0.91
DEOGEN2
Benign
0.057
T
Eigen
Benign
-0.68
Eigen_PC
Benign
-0.62
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.48
T
M_CAP
Pathogenic
0.76
D
MetaRNN
Benign
0.0075
T
MetaSVM
Benign
-1.0
T
PhyloP100
0.51
PrimateAI
Pathogenic
0.92
D
ClinPred
0.046
T
GERP RS
2.9
PromoterAI
-0.13
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.045
gMVP
0.69
Mutation Taster
=97/3
polymorphism

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

Other links and lift over

dbSNP: rs568054544; hg19: chr12-122064696; API