19-10285120-C-T

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_000201.3(ICAM1):​c.1432C>T​(p.Arg478Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00499 in 1,614,078 control chromosomes in the GnomAD database, including 18 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R478Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0039 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0051 ( 18 hom. )

Consequence

ICAM1
NM_000201.3 missense

Scores

1
18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: -0.747

Publications

24 publications found
Variant links:
Genes affected
ICAM1 (HGNC:5344): (intercellular adhesion molecule 1) This gene encodes a cell surface glycoprotein which is typically expressed on endothelial cells and cells of the immune system. It binds to integrins of type CD11a / CD18, or CD11b / CD18 and is also exploited by Rhinovirus as a receptor. [provided by RefSeq, Jul 2008]
LIMASI (HGNC:56357): (lncRNA inflammatory and mucous response associated, antisense to ICAM1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006729126).
BP6
Variant 19-10285120-C-T is Benign according to our data. Variant chr19-10285120-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 828004.
BS2
High Homozygotes in GnomAdExome4 at 18 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ICAM1NM_000201.3 linkc.1432C>T p.Arg478Trp missense_variant Exon 7 of 7 ENST00000264832.8 NP_000192.2 P05362A0A384MEK5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ICAM1ENST00000264832.8 linkc.1432C>T p.Arg478Trp missense_variant Exon 7 of 7 1 NM_000201.3 ENSP00000264832.2 P05362
ICAM1ENST00000423829.2 linkc.766C>T p.Arg256Trp missense_variant Exon 5 of 5 2 ENSP00000413124.2 E7ESS4
LIMASIENST00000715961.1 linkn.395+5299G>A intron_variant Intron 1 of 2
LIMASIENST00000592893.1 linkn.-12G>A upstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.00390
AC:
593
AN:
152178
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00128
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00373
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00248
Gnomad FIN
AF:
0.00584
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00592
Gnomad OTH
AF:
0.00191
GnomAD2 exomes
AF:
0.00377
AC:
947
AN:
251132
AF XY:
0.00393
show subpopulations
Gnomad AFR exome
AF:
0.000800
Gnomad AMR exome
AF:
0.00287
Gnomad ASJ exome
AF:
0.000398
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00620
Gnomad NFE exome
AF:
0.00530
Gnomad OTH exome
AF:
0.00392
GnomAD4 exome
AF:
0.00510
AC:
7454
AN:
1461782
Hom.:
18
Cov.:
33
AF XY:
0.00500
AC XY:
3637
AN XY:
727194
show subpopulations
African (AFR)
AF:
0.00134
AC:
45
AN:
33480
American (AMR)
AF:
0.00306
AC:
137
AN:
44710
Ashkenazi Jewish (ASJ)
AF:
0.000345
AC:
9
AN:
26124
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00209
AC:
180
AN:
86244
European-Finnish (FIN)
AF:
0.00580
AC:
310
AN:
53414
Middle Eastern (MID)
AF:
0.000869
AC:
5
AN:
5756
European-Non Finnish (NFE)
AF:
0.00589
AC:
6548
AN:
1111966
Other (OTH)
AF:
0.00363
AC:
219
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
416
832
1249
1665
2081
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
242
484
726
968
1210
<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:
0.00389
AC:
593
AN:
152296
Hom.:
0
Cov.:
32
AF XY:
0.00381
AC XY:
284
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.00128
AC:
53
AN:
41546
American (AMR)
AF:
0.00373
AC:
57
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.000576
AC:
2
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00248
AC:
12
AN:
4832
European-Finnish (FIN)
AF:
0.00584
AC:
62
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00592
AC:
403
AN:
68030
Other (OTH)
AF:
0.00189
AC:
4
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
33
65
98
130
163
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00427
Hom.:
2
Bravo
AF:
0.00373
TwinsUK
AF:
0.00647
AC:
24
ALSPAC
AF:
0.00597
AC:
23
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.00628
AC:
54
ExAC
AF:
0.00410
AC:
498
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.00545
EpiControl
AF:
0.00492

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Malaria, susceptibility to Benign:1
Jul 10, 2025
Center for Genomics, Ann and Robert H. Lurie Children's Hospital of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BS1, BP4 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.046
T;.
Eigen
Benign
-0.53
Eigen_PC
Benign
-0.73
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.59
T;T
M_CAP
Benign
0.0097
T
MetaRNN
Benign
0.0067
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.34
N;.
PhyloP100
-0.75
PrimateAI
Benign
0.20
T
PROVEAN
Benign
-2.0
N;N
REVEL
Benign
0.036
Sift
Benign
0.19
T;T
Sift4G
Benign
0.065
T;T
Polyphen
0.99
D;D
Vest4
0.19
MVP
0.51
MPC
0.60
ClinPred
0.037
T
GERP RS
-1.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.050
gMVP
0.48
Mutation Taster
=97/3
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: rs5030400; hg19: chr19-10395796; COSMIC: COSV99321240; COSMIC: COSV99321240; API