2-203936855-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_012092.4(ICOS):​c.41G>A​(p.Arg14His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000432 in 1,458,154 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000043 ( 0 hom. )

Consequence

ICOS
NM_012092.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.320
Variant links:
Genes affected
ICOS (HGNC:5351): (inducible T cell costimulator) The protein encoded by this gene belongs to the CD28 and CTLA-4 cell-surface receptor family. It forms homodimers and plays an important role in cell-cell signaling, immune responses, and regulation of cell proliferation. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.06528354).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ICOSNM_012092.4 linkuse as main transcriptc.41G>A p.Arg14His missense_variant 1/5 ENST00000316386.11 NP_036224.1
LOC101927840XR_427213.4 linkuse as main transcriptn.314+462C>T intron_variant, non_coding_transcript_variant
ICOSXR_007073112.1 linkuse as main transcriptn.93G>A non_coding_transcript_exon_variant 1/6
ICOSXM_047444022.1 linkuse as main transcript upstream_gene_variant XP_047299978.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ICOSENST00000316386.11 linkuse as main transcriptc.41G>A p.Arg14His missense_variant 1/51 NM_012092.4 ENSP00000319476 P2Q9Y6W8-1
ICOSENST00000435193.1 linkuse as main transcriptc.41G>A p.Arg14His missense_variant 1/41 ENSP00000415951 A2Q9Y6W8-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000279
AC:
7
AN:
250878
Hom.:
0
AF XY:
0.0000369
AC XY:
5
AN XY:
135672
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000352
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000432
AC:
63
AN:
1458154
Hom.:
0
Cov.:
29
AF XY:
0.0000455
AC XY:
33
AN XY:
725628
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000766
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.0000189
Gnomad4 NFE exome
AF:
0.0000442
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378
ExAC
AF:
0.0000330
AC:
4

ClinVar

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

Submissions by phenotype

Immunodeficiency, common variable, 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 18, 2022In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The histidine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. ClinVar contains an entry for this variant (Variation ID: 1382633). This variant has not been reported in the literature in individuals affected with ICOS-related conditions. This variant is present in population databases (rs776057192, gnomAD 0.01%). This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 14 of the ICOS protein (p.Arg14His). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.091
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
17
DANN
Benign
0.40
DEOGEN2
Benign
0.22
T;.
Eigen
Benign
-1.0
Eigen_PC
Benign
-0.91
FATHMM_MKL
Benign
0.0070
N
LIST_S2
Benign
0.43
T;T
M_CAP
Benign
0.0037
T
MetaRNN
Benign
0.065
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N;N
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.25
N;N
REVEL
Benign
0.019
Sift
Benign
0.16
T;T
Sift4G
Benign
0.12
T;T
Polyphen
0.018
B;B
Vest4
0.11
MutPred
0.41
Loss of MoRF binding (P = 0.0381);Loss of MoRF binding (P = 0.0381);
MVP
0.061
MPC
0.43
ClinPred
0.038
T
GERP RS
1.7
Varity_R
0.027
gMVP
0.66

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: rs776057192; hg19: chr2-204801578; COSMIC: COSV57029570; API