16-1790623-C-T

Variant summary

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

The NM_004970.3(IGFALS):​c.1795G>A​(p.Glu599Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000324 in 1,573,294 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. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000029 ( 0 hom. )

Consequence

IGFALS
NM_004970.3 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.38
Variant links:
Genes affected
IGFALS (HGNC:5468): (insulin like growth factor binding protein acid labile subunit) The protein encoded by this gene is a serum protein that binds insulin-like growth factors, increasing their half-life and their vascular localization. Production of the encoded protein, which contains twenty leucine-rich repeats, is stimulated by growth hormone. Defects in this gene are a cause of acid-labile subunit deficiency, which maifests itself in a delayed and slow puberty. Three transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Mar 2009]
SPSB3 (HGNC:30629): (splA/ryanodine receptor domain and SOCS box containing 3) Predicted to be involved in proteasome-mediated ubiquitin-dependent protein catabolic process. Predicted to be located in cytosol. Predicted to be part of SCF ubiquitin ligase complex. [provided by Alliance of Genome Resources, Apr 2022]

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=0.09409067).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IGFALSNM_004970.3 linkuse as main transcriptc.1795G>A p.Glu599Lys missense_variant 2/2 ENST00000215539.4
IGFALSNM_001146006.2 linkuse as main transcriptc.1909G>A p.Glu637Lys missense_variant 2/2
IGFALSNR_027389.1 linkuse as main transcriptn.1849G>A non_coding_transcript_exon_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IGFALSENST00000215539.4 linkuse as main transcriptc.1795G>A p.Glu599Lys missense_variant 2/21 NM_004970.3 P1P35858-1
IGFALSENST00000415638.3 linkuse as main transcriptc.1909G>A p.Glu637Lys missense_variant 2/22 P35858-2
SPSB3ENST00000569769.1 linkuse as main transcriptc.-13+3014G>A intron_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152188
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000578
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000820
AC:
15
AN:
183028
Hom.:
0
AF XY:
0.000101
AC XY:
10
AN XY:
98906
show subpopulations
Gnomad AFR exome
AF:
0.0000992
Gnomad AMR exome
AF:
0.000220
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000301
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000517
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000289
AC:
41
AN:
1421106
Hom.:
0
Cov.:
30
AF XY:
0.0000341
AC XY:
24
AN XY:
703482
show subpopulations
Gnomad4 AFR exome
AF:
0.0000307
Gnomad4 AMR exome
AF:
0.000183
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000134
Gnomad4 SAS exome
AF:
0.0000247
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000229
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000657
AC:
10
AN:
152188
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74342
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000578
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000666
Hom.:
0
Bravo
AF:
0.0000869
ExAC
AF:
0.0000335
AC:
4

ClinVar

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

Submissions by phenotype

Short stature due to primary acid-labile subunit deficiency Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
18
DANN
Uncertain
0.97
DEOGEN2
Benign
0.16
T;.
Eigen
Benign
-0.47
Eigen_PC
Benign
-0.60
FATHMM_MKL
Benign
0.37
N
LIST_S2
Benign
0.77
T;T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.094
T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
1.7
L;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-1.4
N;N
REVEL
Benign
0.10
Sift
Benign
0.030
D;D
Sift4G
Benign
0.12
T;T
Polyphen
0.91
P;.
Vest4
0.18
MutPred
0.55
Gain of ubiquitination at E599 (P = 0.0104);.;
MVP
0.78
MPC
0.062
ClinPred
0.047
T
GERP RS
3.2
Varity_R
0.22
gMVP
0.71

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: rs771980337; hg19: chr16-1840624; COSMIC: COSV99031758; COSMIC: COSV99031758; API