12-6773846-G-A

Variant summary

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

The NM_002286.6(LAG3):​c.356G>A​(p.Arg119His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000159 in 1,257,692 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000016 ( 0 hom. )

Consequence

LAG3
NM_002286.6 missense

Scores

1
2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.897
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=0.12906924).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAG3NM_002286.6 linkuse as main transcriptc.356G>A p.Arg119His missense_variant 3/8 ENST00000203629.3 NP_002277.4 P18627-1
LAG3NM_001414176.1 linkuse as main transcriptc.356G>A p.Arg119His missense_variant 3/8 NP_001401105.1
LAG3NM_001414177.1 linkuse as main transcriptc.356G>A p.Arg119His 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.356G>A p.Arg119His missense_variant 3/81 NM_002286.6 ENSP00000203629.2 P18627-1
LAG3ENST00000441671.6 linkuse as main transcriptc.356G>A p.Arg119His missense_variant 3/51 ENSP00000413825.2 P18627-2
LAG3ENST00000538079.1 linkuse as main transcriptn.978G>A non_coding_transcript_exon_variant 2/62

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000159
AC:
2
AN:
1257692
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
615898
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:
0.0000159
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.81e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.0000135
AC:
1

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 01, 2024The c.356G>A (p.R119H) alteration is located in exon 3 (coding exon 3) of the LAG3 gene. This alteration results from a G to A substitution at nucleotide position 356, causing the arginine (R) at amino acid position 119 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
0.14
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
.;T
Eigen
Benign
-0.68
Eigen_PC
Benign
-0.56
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.64
T;T
M_CAP
Uncertain
0.091
D
MetaRNN
Benign
0.13
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.63
N;N
PrimateAI
Pathogenic
0.81
D
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.010
Sift
Benign
0.15
T;T
Sift4G
Benign
0.30
T;T
Polyphen
0.046
.;B
Vest4
0.17
MutPred
0.43
Loss of MoRF binding (P = 0.0289);Loss of MoRF binding (P = 0.0289);
MVP
0.34
MPC
0.12
ClinPred
0.33
T
GERP RS
2.4
Varity_R
0.043
gMVP
0.42

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: rs778281775; hg19: chr12-6883012; COSMIC: COSV105062945; COSMIC: COSV105062945; API