20-34412548-T-C
Variant names: 
Variant summary
Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1
The NM_031483.7(ITCH):c.246T>C(p.Arg82Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00345 in 1,604,096 control chromosomes in the GnomAD database, including 248 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).
Frequency
 Genomes: 𝑓 0.0041   (  25   hom.,  cov: 32) 
 Exomes 𝑓:  0.0034   (  223   hom.  ) 
Consequence
 ITCH
NM_031483.7 synonymous
NM_031483.7 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  0.182  
Publications
4 publications found 
Genes affected
 ITCH  (HGNC:13890):  (itchy E3 ubiquitin protein ligase) This gene encodes a member of the Nedd4 family of HECT domain E3 ubiquitin ligases. HECT domain E3 ubiquitin ligases transfer ubiquitin from E2 ubiquitin-conjugating enzymes to protein substrates, thus targeting specific proteins for lysosomal degradation. The encoded protein plays a role in multiple cellular processes including erythroid and lymphoid cell differentiation and the regulation of immune responses. Mutations in this gene are a cause of syndromic multisystem autoimmune disease. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Mar 2012] 
ITCH Gene-Disease associations (from GenCC):
- syndromic multisystem autoimmune disease due to ITCH deficiencyInheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -21 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.48). 
BP6
Variant 20-34412548-T-C is Benign according to our data. Variant chr20-34412548-T-C is described in ClinVar as Benign. ClinVar VariationId is 538759.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BP7
Synonymous conserved (PhyloP=0.182 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0914  is higher than 0.05. 
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| ITCH | ENST00000374864.10 | c.246T>C | p.Arg82Arg | synonymous_variant | Exon 5 of 25 | 1 | NM_031483.7 | ENSP00000363998.4 | ||
| ENSG00000289720 | ENST00000696979.1 | n.246T>C | non_coding_transcript_exon_variant | Exon 5 of 28 | ENSP00000513014.1 | 
Frequencies
GnomAD3 genomes  0.00405  AC: 616AN: 152228Hom.:  25  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
616
AN: 
152228
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
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Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.00854  AC: 2146AN: 251202 AF XY:  0.00765   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
2146
AN: 
251202
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.00339  AC: 4916AN: 1451750Hom.:  223  Cov.: 27 AF XY:  0.00323  AC XY: 2333AN XY: 723006 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
4916
AN: 
1451750
Hom.: 
Cov.: 
27
 AF XY: 
AC XY: 
2333
AN XY: 
723006
show subpopulations 
African (AFR) 
 AF: 
AC: 
7
AN: 
33226
American (AMR) 
 AF: 
AC: 
26
AN: 
44710
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26058
East Asian (EAS) 
 AF: 
AC: 
4017
AN: 
39534
South Asian (SAS) 
 AF: 
AC: 
203
AN: 
86042
European-Finnish (FIN) 
 AF: 
AC: 
46
AN: 
53382
Middle Eastern (MID) 
 AF: 
AC: 
1
AN: 
5750
European-Non Finnish (NFE) 
 AF: 
AC: 
224
AN: 
1102984
Other (OTH) 
 AF: 
AC: 
392
AN: 
60064
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.476 
Heterozygous variant carriers
 0 
 220 
 440 
 659 
 879 
 1099 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 78 
 156 
 234 
 312 
 390 
 <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  0.00406  AC: 618AN: 152346Hom.:  25  Cov.: 32 AF XY:  0.00471  AC XY: 351AN XY: 74500 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
618
AN: 
152346
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
351
AN XY: 
74500
show subpopulations 
African (AFR) 
 AF: 
AC: 
13
AN: 
41580
American (AMR) 
 AF: 
AC: 
19
AN: 
15306
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
511
AN: 
5188
South Asian (SAS) 
 AF: 
AC: 
18
AN: 
4832
European-Finnish (FIN) 
 AF: 
AC: 
6
AN: 
10616
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
40
AN: 
68032
Other (OTH) 
 AF: 
AC: 
11
AN: 
2114
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.499 
Heterozygous variant carriers
 0 
 32 
 63 
 95 
 126 
 158 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 20 
 40 
 60 
 80 
 100 
 <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: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
154
AN: 
3478
EpiCase 
 AF: 
EpiControl 
 AF: 
ClinVar
Significance: Benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Syndromic multisystem autoimmune disease due to ITCH deficiency    Benign:1 
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
not provided    Benign:1 
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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