16-54932513-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_005853.6(IRX5):​c.265C>A​(p.His89Asn) variant causes a missense change. The variant allele was found at a frequency of 0.000000685 in 1,459,802 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

IRX5
NM_005853.6 missense

Scores

2
7
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.95
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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IRX5NM_005853.6 linkuse as main transcriptc.265C>A p.His89Asn missense_variant 2/3 ENST00000394636.9 NP_005844.4
IRX5NM_001252197.1 linkuse as main transcriptc.265C>A p.His89Asn missense_variant 2/3 NP_001239126.1
IRX5XM_011522809.1 linkuse as main transcriptc.55C>A p.His19Asn missense_variant 2/3 XP_011521111.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IRX5ENST00000394636.9 linkuse as main transcriptc.265C>A p.His89Asn missense_variant 2/33 NM_005853.6 ENSP00000378132 A1P78411-1
IRX5ENST00000320990.9 linkuse as main transcriptc.265C>A p.His89Asn missense_variant 2/31 ENSP00000316250 P4P78411-2
IRX5ENST00000558597.1 linkuse as main transcriptn.442C>A non_coding_transcript_exon_variant 1/21
IRX5ENST00000560154.5 linkuse as main transcriptc.405+304C>A intron_variant 5 ENSP00000453660

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1459802
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
726082
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 14, 2023The c.265C>A (p.H89N) alteration is located in exon 2 (coding exon 2) of the IRX5 gene. This alteration results from a C to A substitution at nucleotide position 265, causing the histidine (H) at amino acid position 89 to be replaced by an asparagine (N). 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
0.16
BayesDel_addAF
Benign
-0.038
T
BayesDel_noAF
Benign
-0.29
CADD
Pathogenic
32
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.44
T;.
Eigen
Uncertain
0.55
Eigen_PC
Uncertain
0.54
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.86
D;D
M_CAP
Benign
0.024
T
MetaRNN
Uncertain
0.63
D;D
MetaSVM
Benign
-0.68
T
MutationAssessor
Benign
1.8
L;L
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Pathogenic
0.93
D
PROVEAN
Pathogenic
-4.6
D;D
REVEL
Benign
0.21
Sift
Benign
0.044
D;T
Sift4G
Benign
0.17
T;T
Polyphen
0.96
D;.
Vest4
0.60
MutPred
0.26
Gain of glycosylation at T90 (P = 0.14);Gain of glycosylation at T90 (P = 0.14);
MVP
0.75
ClinPred
0.99
D
GERP RS
4.7
Varity_R
0.69
gMVP
0.90

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr16-54966425; API