12-6773714-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_002286.6(LAG3):​c.224C>A​(p.Ala75Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000017 in 1,353,424 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

LAG3
NM_002286.6 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.420
Variant links:
Genes affected
LAG3 (HGNC:6476): (lymphocyte activating 3) Lymphocyte-activation protein 3 belongs to Ig superfamily and contains 4 extracellular Ig-like domains. The LAG3 gene contains 8 exons. The sequence data, exon/intron organization, and chromosomal localization all indicate a close relationship of LAG3 to CD4. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.037047327).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAG3NM_002286.6 linkuse as main transcriptc.224C>A p.Ala75Asp missense_variant 3/8 ENST00000203629.3 NP_002277.4
LAG3NM_001414176.1 linkuse as main transcriptc.224C>A p.Ala75Asp missense_variant 3/8 NP_001401105.1
LAG3NM_001414177.1 linkuse as main transcriptc.224C>A p.Ala75Asp missense_variant 3/7 NP_001401106.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LAG3ENST00000203629.3 linkuse as main transcriptc.224C>A p.Ala75Asp missense_variant 3/81 NM_002286.6 ENSP00000203629 P2P18627-1
LAG3ENST00000441671.6 linkuse as main transcriptc.224C>A p.Ala75Asp missense_variant 3/51 ENSP00000413825 A2P18627-2
LAG3ENST00000538079.1 linkuse as main transcriptn.846C>A non_coding_transcript_exon_variant 2/62

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152174
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000413
AC:
2
AN:
48448
Hom.:
0
AF XY:
0.0000363
AC XY:
1
AN XY:
27546
show subpopulations
Gnomad AFR exome
AF:
0.000296
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:
0.0000337
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000125
AC:
15
AN:
1201140
Hom.:
0
Cov.:
32
AF XY:
0.0000104
AC XY:
6
AN XY:
579552
show subpopulations
Gnomad4 AFR exome
AF:
0.000407
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000344
Gnomad4 SAS exome
AF:
0.0000227
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000101
Gnomad4 OTH exome
AF:
0.0000407
GnomAD4 genome
AF:
0.0000525
AC:
8
AN:
152284
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.000168
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000831
ExAC
AF:
0.0000196
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 16, 2022The c.224C>A (p.A75D) alteration is located in exon 3 (coding exon 3) of the LAG3 gene. This alteration results from a C to A substitution at nucleotide position 224, causing the alanine (A) at amino acid position 75 to be replaced by an aspartic acid (D). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
6.6
DANN
Benign
0.87
DEOGEN2
Benign
0.12
.;T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.0096
N
LIST_S2
Benign
0.27
T;T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.037
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.34
N;N
MutationTaster
Benign
1.0
N;N
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.6
N;N
REVEL
Benign
0.013
Sift
Benign
0.44
T;T
Sift4G
Benign
0.64
T;T
Polyphen
0.032
.;B
Vest4
0.20
MutPred
0.33
Gain of catalytic residue at G70 (P = 0.0016);Gain of catalytic residue at G70 (P = 0.0016);
MVP
0.25
MPC
0.15
ClinPred
0.012
T
GERP RS
-2.1
Varity_R
0.092
gMVP
0.36

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: rs774677549; hg19: chr12-6882880; API