21-33403590-TCGCCGCCGCCGC-TCGCCGCCGCCGCCGC

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PM4_Supporting

The NM_005534.4(IFNGR2):​c.60_62dupCGC​(p.Ala21dup) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000255 in 1,369,986 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000024 ( 0 hom. )

Consequence

IFNGR2
NM_005534.4 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.346

Publications

2 publications found
Variant links:
Genes affected
IFNGR2 (HGNC:5440): (interferon gamma receptor 2) This gene (IFNGR2) encodes the non-ligand-binding beta chain of the gamma interferon receptor. Human interferon-gamma receptor is a heterodimer of IFNGR1 and IFNGR2. Defects in IFNGR2 are a cause of mendelian susceptibility to mycobacterial disease (MSMD), also known as familial disseminated atypical mycobacterial infection. MSMD is a genetically heterogeneous disease with autosomal recessive, autosomal dominant or X-linked inheritance. [provided by RefSeq, Jul 2008]
IFNGR2 Gene-Disease associations (from GenCC):
  • immunodeficiency 28
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • autosomal dominant mendelian susceptibility to mycobacterial diseases due to partial IFNgammaR2 deficiency
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive Mendelian susceptibility to mycobacterial diseases due to complete IFNgammaR2 deficiency
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive Mendelian susceptibility to mycobacterial diseases due to partial IFNgammaR2 deficiency
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_005534.4. Strenght limited to Supporting due to length of the change: 1aa.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IFNGR2NM_005534.4 linkc.60_62dupCGC p.Ala21dup disruptive_inframe_insertion Exon 1 of 7 ENST00000290219.11 NP_005525.2
IFNGR2NM_001329128.2 linkc.60_62dupCGC p.Ala21dup disruptive_inframe_insertion Exon 1 of 8 NP_001316057.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IFNGR2ENST00000290219.11 linkc.60_62dupCGC p.Ala21dup disruptive_inframe_insertion Exon 1 of 7 1 NM_005534.4 ENSP00000290219.5

Frequencies

GnomAD3 genomes
AF:
0.0000399
AC:
6
AN:
150198
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000244
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000661
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000594
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000198
AC:
1
AN:
50422
AF XY:
0.0000332
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000238
AC:
29
AN:
1219788
Hom.:
0
Cov.:
31
AF XY:
0.0000251
AC XY:
15
AN XY:
598220
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
24578
American (AMR)
AF:
0.00
AC:
0
AN:
18944
Ashkenazi Jewish (ASJ)
AF:
0.0000504
AC:
1
AN:
19830
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26094
South Asian (SAS)
AF:
0.0000523
AC:
3
AN:
57392
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
28774
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3450
European-Non Finnish (NFE)
AF:
0.0000222
AC:
22
AN:
991574
Other (OTH)
AF:
0.0000610
AC:
3
AN:
49152
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000399
AC:
6
AN:
150198
Hom.:
0
Cov.:
32
AF XY:
0.0000273
AC XY:
2
AN XY:
73312
show subpopulations
African (AFR)
AF:
0.0000244
AC:
1
AN:
40982
American (AMR)
AF:
0.0000661
AC:
1
AN:
15132
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3456
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5060
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4786
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10108
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
310
European-Non Finnish (NFE)
AF:
0.0000594
AC:
4
AN:
67394
Other (OTH)
AF:
0.00
AC:
0
AN:
2068
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.0000453

ClinVar

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

Submissions by phenotype

Immunodeficiency 28 Uncertain:1
Aug 28, 2021
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant, c.60_62dup, results in the insertion of 1 amino acid(s) to the IFNGR2 protein (p.Ala22dup), but otherwise preserves the integrity of the reading frame. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate insufficient coverage at this position in the ExAC database. This variant has not been reported in the literature in individuals affected with IFNGR2-related conditions. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In 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.

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.35
Mutation Taster
=84/16
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs765468464; hg19: chr21-34775896; API