16-54931434-TCTC-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PM4_Supporting

The NM_005853.6(IRX5):​c.240_242del​(p.Ser81del) variant causes a inframe deletion change. The variant allele was found at a frequency of 0.000158 in 1,587,832 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (β˜…).

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00016 ( 1 hom. )

Consequence

IRX5
NM_005853.6 inframe_deletion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: 6.46
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM4
Nonframeshift variant in NON repetitive region in NM_005853.6. Strenght limited to Supporting due to length of the change: 1aa.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IRX5NM_005853.6 linkuse as main transcriptc.240_242del p.Ser81del inframe_deletion 1/3 ENST00000394636.9 NP_005844.4
IRX5NM_001252197.1 linkuse as main transcriptc.240_242del p.Ser81del inframe_deletion 1/3 NP_001239126.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IRX5ENST00000394636.9 linkuse as main transcriptc.240_242del p.Ser81del inframe_deletion 1/33 NM_005853.6 ENSP00000378132 A1P78411-1
IRX5ENST00000320990.9 linkuse as main transcriptc.240_242del p.Ser81del inframe_deletion 1/31 ENSP00000316250 P4P78411-2
IRX5ENST00000560154.5 linkuse as main transcriptc.240_242del p.Ser81del inframe_deletion 1/35 ENSP00000453660

Frequencies

GnomAD3 genomes
AF:
0.000164
AC:
25
AN:
152104
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.000162
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000231
AC:
48
AN:
207514
Hom.:
1
AF XY:
0.000181
AC XY:
21
AN XY:
116326
show subpopulations
Gnomad AFR exome
AF:
0.0000860
Gnomad AMR exome
AF:
0.000369
Gnomad ASJ exome
AF:
0.000653
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000260
Gnomad OTH exome
AF:
0.000943
GnomAD4 exome
AF:
0.000157
AC:
226
AN:
1435614
Hom.:
1
AF XY:
0.000167
AC XY:
119
AN XY:
713984
show subpopulations
Gnomad4 AFR exome
AF:
0.000244
Gnomad4 AMR exome
AF:
0.000321
Gnomad4 ASJ exome
AF:
0.000620
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000141
Gnomad4 OTH exome
AF:
0.000403
GnomAD4 genome
AF:
0.000164
AC:
25
AN:
152218
Hom.:
0
Cov.:
33
AF XY:
0.000134
AC XY:
10
AN XY:
74418
show subpopulations
Gnomad4 AFR
AF:
0.000120
Gnomad4 AMR
AF:
0.000327
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000162
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000261
Hom.:
0
Bravo
AF:
0.000219

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 03, 2022The c.240_242delCTC (p.S81del) alteration is located in exon 1 (coding exon 1) of the IRX5 gene. This alteration consists of an in-frame deletion of 3 nucleotides between nucleotide positions c.240 and c.242, resulting in the deletion of 1 residue. Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Craniofacial dysplasia - osteopenia syndrome Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingBaylor GeneticsMay 01, 2016Our laboratory reported dual molecular diagnoses in IRX5 (NM_005853.5:c.1362_1368delinsGT; NM_005853.5:c.240_242delCTC; in trans) and HDAC8 (NM_018486.2:c.527A>G) in an individual with delayed motor milestones, short stature, delayed speech, intellectual disability, failure to thrive, hypotonia, dysmorphic features, microcephaly, mild hearing loss, myopia, and skeletal abnormalities. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs776389982; hg19: chr16-54965346; API