16-54931364-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The NM_005853.6(IRX5):​c.166G>A​(p.Ala56Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000106 in 1,606,316 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00011 ( 1 hom. )

Consequence

IRX5
NM_005853.6 missense

Scores

2
4
13

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 3.23
Variant links:
Genes affected
IRX5 (HGNC:14361): (iroquois homeobox 5) This gene encodes a member of the iroquois homeobox gene family, which are involved in several embryonic developmental processes. Knockout mice lacking this gene show that it is required for retinal cone bipolar cell differentiation, and that it negatively regulates potassium channel gene expression in the heart to ensure coordinated cardiac repolarization. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2011]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.018190354).
BP6
Variant 16-54931364-G-A is Benign according to our data. Variant chr16-54931364-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 3530146.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IRX5NM_005853.6 linkc.166G>A p.Ala56Thr missense_variant Exon 1 of 3 ENST00000394636.9 NP_005844.4 P78411-1
IRX5NM_001252197.1 linkc.166G>A p.Ala56Thr missense_variant Exon 1 of 3 NP_001239126.1 P78411-2
IRX5XM_011522809.1 linkc.-807G>A upstream_gene_variant XP_011521111.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IRX5ENST00000394636.9 linkc.166G>A p.Ala56Thr missense_variant Exon 1 of 3 3 NM_005853.6 ENSP00000378132.4 P78411-1
IRX5ENST00000320990.9 linkc.166G>A p.Ala56Thr missense_variant Exon 1 of 3 1 ENSP00000316250.5 P78411-2
IRX5ENST00000560154.5 linkc.166G>A p.Ala56Thr missense_variant Exon 1 of 3 5 ENSP00000453660.1 H0YML8

Frequencies

GnomAD3 genomes
AF:
0.0000789
AC:
12
AN:
152166
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00227
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000287
AC:
68
AN:
237332
Hom.:
1
AF XY:
0.000344
AC XY:
45
AN XY:
130708
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000566
Gnomad SAS exome
AF:
0.00207
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000279
Gnomad OTH exome
AF:
0.000169
GnomAD4 exome
AF:
0.000110
AC:
160
AN:
1454042
Hom.:
1
Cov.:
32
AF XY:
0.000160
AC XY:
116
AN XY:
723672
show subpopulations
Gnomad4 AFR exome
AF:
0.0000300
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00178
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.0000665
GnomAD4 genome
AF:
0.0000657
AC:
10
AN:
152274
Hom.:
0
Cov.:
33
AF XY:
0.0000940
AC XY:
7
AN XY:
74466
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00186
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000139
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.000299
AC:
36
Asia WGS
AF:
0.00174
AC:
8
AN:
3466
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Aug 01, 2024
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.35
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T;.;T;.
Eigen
Uncertain
0.26
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.85
D;D;D;D
M_CAP
Pathogenic
0.70
D
MetaRNN
Benign
0.018
T;T;T;T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
1.2
L;.;.;L
PrimateAI
Pathogenic
0.88
D
PROVEAN
Benign
-1.8
N;D;.;N
REVEL
Benign
0.082
Sift
Benign
0.036
D;D;.;D
Sift4G
Uncertain
0.026
D;T;D;D
Polyphen
0.87
P;.;P;.
Vest4
0.58
MutPred
0.24
Gain of glycosylation at A56 (P = 0.004);Gain of glycosylation at A56 (P = 0.004);Gain of glycosylation at A56 (P = 0.004);Gain of glycosylation at A56 (P = 0.004);
MVP
0.55
ClinPred
0.11
T
GERP RS
3.6
Varity_R
0.15
gMVP
0.62

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: rs559165317; hg19: chr16-54965276; COSMIC: COSV58059828; COSMIC: COSV58059828; API