12-6773717-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_002286.6(LAG3):​c.227C>A​(p.Pro76His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000005 in 1,199,750 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000050 ( 0 hom. )

Consequence

LAG3
NM_002286.6 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.608
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 Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.18340936).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAG3NM_002286.6 linkuse as main transcriptc.227C>A p.Pro76His missense_variant 3/8 ENST00000203629.3 NP_002277.4
LAG3NM_001414176.1 linkuse as main transcriptc.227C>A p.Pro76His missense_variant 3/8 NP_001401105.1
LAG3NM_001414177.1 linkuse as main transcriptc.227C>A p.Pro76His 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.227C>A p.Pro76His missense_variant 3/81 NM_002286.6 ENSP00000203629 P2P18627-1
LAG3ENST00000441671.6 linkuse as main transcriptc.227C>A p.Pro76His missense_variant 3/51 ENSP00000413825 A2P18627-2
LAG3ENST00000538079.1 linkuse as main transcriptn.849C>A non_coding_transcript_exon_variant 2/62

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000500
AC:
6
AN:
1199750
Hom.:
0
Cov.:
32
AF XY:
0.00000346
AC XY:
2
AN XY:
578682
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000346
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000505
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsOct 25, 2022The c.227C>A (p.P76H) 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 227, causing the proline (P) at amino acid position 76 to be replaced by a histidine (H). 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
0.13
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
14
DANN
Uncertain
0.98
DEOGEN2
Benign
0.16
.;T
Eigen
Benign
-0.62
Eigen_PC
Benign
-0.87
FATHMM_MKL
Benign
0.043
N
LIST_S2
Benign
0.34
T;T
M_CAP
Benign
0.0038
T
MetaRNN
Benign
0.18
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
2.0
M;M
MutationTaster
Benign
1.0
N;N
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-1.6
N;N
REVEL
Benign
0.048
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0070
D;D
Polyphen
0.98
.;D
Vest4
0.18
MutPred
0.32
Gain of catalytic residue at P71 (P = 0.0016);Gain of catalytic residue at P71 (P = 0.0016);
MVP
0.58
MPC
0.20
ClinPred
0.36
T
GERP RS
0.22
Varity_R
0.11
gMVP
0.33

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr12-6882883; API