21-44297667-T-C

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The ENST00000291582.6(AIRE):​c.1578T>C​(p.Asp526=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.434 in 1,611,030 control chromosomes in the GnomAD database, including 155,311 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.49 ( 19394 hom., cov: 33)
Exomes 𝑓: 0.43 ( 135917 hom. )

Consequence

AIRE
ENST00000291582.6 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: -1.97
Variant links:
Genes affected
AIRE (HGNC:360): (autoimmune regulator) This gene encodes a transcriptional regulator that forms nuclear bodies and interacts with the transcriptional coactivator CREB binding protein. The encoded protein plays an important role in immunity by regulating the expression of autoantigens and negative selection of autoreactive T-cells in the thymus. Mutations in this gene cause the rare autosomal-recessive systemic autoimmune disease termed autoimmune polyendocrinopathy with candidiasis and ectodermal dystrophy (APECED). [provided by RefSeq, Jun 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.72).
BP6
Variant 21-44297667-T-C is Benign according to our data. Variant chr21-44297667-T-C is described in ClinVar as [Benign]. Clinvar id is 128337.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-44297667-T-C is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.97 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.649 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AIRENM_000383.4 linkuse as main transcriptc.1578T>C p.Asp526= synonymous_variant 14/14 ENST00000291582.6 NP_000374.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AIREENST00000291582.6 linkuse as main transcriptc.1578T>C p.Asp526= synonymous_variant 14/141 NM_000383.4 ENSP00000291582 P1O43918-1

Frequencies

GnomAD3 genomes
AF:
0.492
AC:
74726
AN:
151966
Hom.:
19354
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.647
Gnomad AMI
AF:
0.395
Gnomad AMR
AF:
0.497
Gnomad ASJ
AF:
0.455
Gnomad EAS
AF:
0.667
Gnomad SAS
AF:
0.428
Gnomad FIN
AF:
0.410
Gnomad MID
AF:
0.475
Gnomad NFE
AF:
0.404
Gnomad OTH
AF:
0.466
GnomAD3 exomes
AF:
0.459
AC:
114178
AN:
248750
Hom.:
27181
AF XY:
0.450
AC XY:
60801
AN XY:
135208
show subpopulations
Gnomad AFR exome
AF:
0.652
Gnomad AMR exome
AF:
0.506
Gnomad ASJ exome
AF:
0.446
Gnomad EAS exome
AF:
0.659
Gnomad SAS exome
AF:
0.414
Gnomad FIN exome
AF:
0.406
Gnomad NFE exome
AF:
0.409
Gnomad OTH exome
AF:
0.438
GnomAD4 exome
AF:
0.428
AC:
623919
AN:
1458944
Hom.:
135917
Cov.:
40
AF XY:
0.426
AC XY:
308893
AN XY:
725868
show subpopulations
Gnomad4 AFR exome
AF:
0.657
Gnomad4 AMR exome
AF:
0.499
Gnomad4 ASJ exome
AF:
0.444
Gnomad4 EAS exome
AF:
0.653
Gnomad4 SAS exome
AF:
0.416
Gnomad4 FIN exome
AF:
0.406
Gnomad4 NFE exome
AF:
0.410
Gnomad4 OTH exome
AF:
0.446
GnomAD4 genome
AF:
0.492
AC:
74819
AN:
152086
Hom.:
19394
Cov.:
33
AF XY:
0.494
AC XY:
36738
AN XY:
74366
show subpopulations
Gnomad4 AFR
AF:
0.647
Gnomad4 AMR
AF:
0.497
Gnomad4 ASJ
AF:
0.455
Gnomad4 EAS
AF:
0.667
Gnomad4 SAS
AF:
0.428
Gnomad4 FIN
AF:
0.410
Gnomad4 NFE
AF:
0.404
Gnomad4 OTH
AF:
0.470
Alfa
AF:
0.428
Hom.:
11837
Bravo
AF:
0.505
Asia WGS
AF:
0.509
AC:
1775
AN:
3478
EpiCase
AF:
0.418
EpiControl
AF:
0.412

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanNov 12, 2023This variant is classified as Benign based on local population frequency. This variant was detected in 63% of patients studied by a panel of primary immunodeficiencies. Number of patients: 60. Only high quality variants are reported. -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJul 26, 2017- -
Polyglandular autoimmune syndrome, type 1 Benign:3
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 10, 2021- -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.098
DANN
Benign
0.65

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: rs1133779; hg19: chr21-45717550; COSMIC: COSV52392318; COSMIC: COSV52392318; API