16-1790776-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_004970.3(IGFALS):​c.1642C>T​(p.Arg548Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0186 in 1,583,154 control chromosomes in the GnomAD database, including 2,959 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R548Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.076 ( 1372 hom., cov: 33)
Exomes 𝑓: 0.012 ( 1587 hom. )

Consequence

IGFALS
NM_004970.3 missense

Scores

1
2
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.174
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 Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00459978).
BP6
Variant 16-1790776-G-A is Benign according to our data. Variant chr16-1790776-G-A is described in ClinVar as [Benign]. Clinvar id is 318235.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-1790776-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.251 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IGFALSNM_004970.3 linkuse as main transcriptc.1642C>T p.Arg548Trp missense_variant 2/2 ENST00000215539.4
IGFALSNM_001146006.2 linkuse as main transcriptc.1756C>T p.Arg586Trp missense_variant 2/2
IGFALSNR_027389.1 linkuse as main transcriptn.1696C>T 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.1642C>T p.Arg548Trp missense_variant 2/21 NM_004970.3 P1P35858-1
IGFALSENST00000415638.3 linkuse as main transcriptc.1756C>T p.Arg586Trp missense_variant 2/22 P35858-2
SPSB3ENST00000569769.1 linkuse as main transcriptc.-13+2861C>T intron_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0757
AC:
11511
AN:
152146
Hom.:
1368
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.255
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0266
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00115
Gnomad SAS
AF:
0.0695
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.00141
Gnomad OTH
AF:
0.0511
GnomAD3 exomes
AF:
0.0295
AC:
5716
AN:
194064
Hom.:
492
AF XY:
0.0280
AC XY:
2943
AN XY:
105038
show subpopulations
Gnomad AFR exome
AF:
0.273
Gnomad AMR exome
AF:
0.0136
Gnomad ASJ exome
AF:
0.00111
Gnomad EAS exome
AF:
0.00185
Gnomad SAS exome
AF:
0.0794
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00104
Gnomad OTH exome
AF:
0.0154
GnomAD4 exome
AF:
0.0125
AC:
17881
AN:
1430892
Hom.:
1587
Cov.:
30
AF XY:
0.0136
AC XY:
9649
AN XY:
709394
show subpopulations
Gnomad4 AFR exome
AF:
0.268
Gnomad4 AMR exome
AF:
0.0152
Gnomad4 ASJ exome
AF:
0.00102
Gnomad4 EAS exome
AF:
0.000928
Gnomad4 SAS exome
AF:
0.0745
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000716
Gnomad4 OTH exome
AF:
0.0243
GnomAD4 genome
AF:
0.0758
AC:
11548
AN:
152262
Hom.:
1372
Cov.:
33
AF XY:
0.0742
AC XY:
5527
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.255
Gnomad4 AMR
AF:
0.0266
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00116
Gnomad4 SAS
AF:
0.0702
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00141
Gnomad4 OTH
AF:
0.0510
Alfa
AF:
0.0137
Hom.:
339
Bravo
AF:
0.0844
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.238
AC:
1035
ESP6500EA
AF:
0.00164
AC:
14
ExAC
AF:
0.0311
AC:
3685
Asia WGS
AF:
0.0610
AC:
211
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

IGFALS-related disorder Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesNov 06, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Short stature due to primary acid-labile subunit deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.68
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
1.9
DANN
Benign
0.93
DEOGEN2
Uncertain
0.54
D;.
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.78
T;T
MetaRNN
Benign
0.0046
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.5
L;.
MutationTaster
Benign
0.99
P;P
PrimateAI
Benign
0.41
T
PROVEAN
Uncertain
-2.8
D;D
REVEL
Benign
0.051
Sift
Benign
0.10
T;T
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.40
B;.
Vest4
0.16
MPC
0.053
ClinPred
0.035
T
GERP RS
-2.2
Varity_R
0.081
gMVP
0.80

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: rs9282731; hg19: chr16-1840777; COSMIC: COSV51906865; COSMIC: COSV51906865; API