16-27345014-G-A

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM1BP4_Strong

The NM_000418.4(IL4R):​c.355G>A​(p.Glu119Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0004 in 1,586,516 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00041 ( 1 hom. )

Consequence

IL4R
NM_000418.4 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.16

Publications

2 publications found
Variant links:
Genes affected
IL4R (HGNC:6015): (interleukin 4 receptor) This gene encodes the alpha chain of the interleukin-4 receptor, a type I transmembrane protein that can bind interleukin 4 and interleukin 13 to regulate IgE production. The encoded protein also can bind interleukin 4 to promote differentiation of Th2 cells. A soluble form of the encoded protein can be produced by proteolysis of the membrane-bound protein, and this soluble form can inhibit IL4-mediated cell proliferation and IL5 upregulation by T-cells. Allelic variations in this gene have been associated with atopy, a condition that can manifest itself as allergic rhinitis, sinusitus, asthma, or eczema. Polymorphisms in this gene are also associated with resistance to human immunodeficiency virus type-1 infection. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Apr 2012]
IL4R Gene-Disease associations (from GenCC):
  • IgE responsiveness, atopic
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM1
In a mutagenesis_site No effect on IL4 binding. (size 0) in uniprot entity IL4RA_HUMAN
BP4
Computational evidence support a benign effect (MetaRNN=0.02783522).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IL4RNM_000418.4 linkc.355G>A p.Glu119Lys missense_variant Exon 5 of 11 ENST00000395762.7 NP_000409.1 P24394-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IL4RENST00000395762.7 linkc.355G>A p.Glu119Lys missense_variant Exon 5 of 11 1 NM_000418.4 ENSP00000379111.2 P24394-1

Frequencies

GnomAD3 genomes
AF:
0.000304
AC:
46
AN:
151454
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000960
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000590
Gnomad OTH
AF:
0.000480
GnomAD2 exomes
AF:
0.000300
AC:
75
AN:
250352
AF XY:
0.000295
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000599
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000410
AC:
588
AN:
1435062
Hom.:
1
Cov.:
41
AF XY:
0.000404
AC XY:
288
AN XY:
713562
show subpopulations
African (AFR)
AF:
0.0000610
AC:
2
AN:
32802
American (AMR)
AF:
0.000182
AC:
8
AN:
43872
Ashkenazi Jewish (ASJ)
AF:
0.0000396
AC:
1
AN:
25254
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38070
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86008
European-Finnish (FIN)
AF:
0.0000598
AC:
3
AN:
50160
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5600
European-Non Finnish (NFE)
AF:
0.000511
AC:
559
AN:
1094574
Other (OTH)
AF:
0.000238
AC:
14
AN:
58722
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
32
64
95
127
159
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000304
AC:
46
AN:
151454
Hom.:
0
Cov.:
32
AF XY:
0.000257
AC XY:
19
AN XY:
73958
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41352
American (AMR)
AF:
0.000197
AC:
3
AN:
15208
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5138
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4766
European-Finnish (FIN)
AF:
0.0000960
AC:
1
AN:
10412
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.000590
AC:
40
AN:
67812
Other (OTH)
AF:
0.000480
AC:
1
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000589
Hom.:
0
Bravo
AF:
0.000325
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000228
AC:
1
ESP6500EA
AF:
0.000814
AC:
7
ExAC
AF:
0.000354
AC:
43
EpiCase
AF:
0.000709
EpiControl
AF:
0.000415

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Oct 06, 2021
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.355G>A (p.E119K) alteration is located in exon 5 (coding exon 3) of the IL4R gene. This alteration results from a G to A substitution at nucleotide position 355, causing the glutamic acid (E) at amino acid position 119 to be replaced by a lysine (K). 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
0.15
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
3.4
DANN
Benign
0.91
DEOGEN2
Benign
0.072
.;T;T;.;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.012
N
LIST_S2
Benign
0.74
.;.;T;T;T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.028
T;T;T;T;T
MetaSVM
Benign
-1.0
T
PhyloP100
-1.2
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-1.6
N;N;N;N;.
REVEL
Benign
0.13
Sift
Benign
0.25
T;T;T;T;.
Sift4G
Benign
0.43
T;T;T;T;T
Polyphen
0.10
.;B;B;.;.
Vest4
0.11, 0.10, 0.095
MVP
0.39
MPC
0.15
ClinPred
0.026
T
GERP RS
-6.2
PromoterAI
0.032
Neutral
Varity_R
0.13
gMVP
0.44
Mutation Taster
=87/13
polymorphism

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

Other links and lift over

dbSNP: rs141903283; hg19: chr16-27356335; API