21-44297667-T-C

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000383.4(AIRE):​c.1578T>C​(p.Asp526Asp) 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
NM_000383.4 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -1.97

Publications

23 publications found
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]
AIRE Gene-Disease associations (from GenCC):
  • autoimmune polyendocrine syndrome type 1
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, PanelApp Australia, Ambry Genetics, Myriad Women’s Health, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • familial isolated hypoparathyroidism due to impaired PTH secretion
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

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=-0.72).
BP6
Variant 21-44297667-T-C is Benign according to our data. Variant chr21-44297667-T-C is described in ClinVar as Benign. ClinVar VariationId is 128337.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
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 rank MANE Protein UniProt
AIRENM_000383.4 linkc.1578T>C p.Asp526Asp synonymous_variant Exon 14 of 14 ENST00000291582.6 NP_000374.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AIREENST00000291582.6 linkc.1578T>C p.Asp526Asp synonymous_variant Exon 14 of 14 1 NM_000383.4 ENSP00000291582.5

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
GnomAD2 exomes
AF:
0.459
AC:
114178
AN:
248750
AF XY:
0.450
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 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
African (AFR)
AF:
0.657
AC:
21986
AN:
33452
American (AMR)
AF:
0.499
AC:
22314
AN:
44706
Ashkenazi Jewish (ASJ)
AF:
0.444
AC:
11595
AN:
26132
East Asian (EAS)
AF:
0.653
AC:
25930
AN:
39682
South Asian (SAS)
AF:
0.416
AC:
35874
AN:
86236
European-Finnish (FIN)
AF:
0.406
AC:
20984
AN:
51638
Middle Eastern (MID)
AF:
0.493
AC:
2838
AN:
5760
European-Non Finnish (NFE)
AF:
0.410
AC:
455470
AN:
1110994
Other (OTH)
AF:
0.446
AC:
26928
AN:
60344
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
19321
38642
57963
77284
96605
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
14418
28836
43254
57672
72090
<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:
0.492
AC:
74819
AN:
152086
Hom.:
19394
Cov.:
33
AF XY:
0.494
AC XY:
36738
AN XY:
74366
show subpopulations
African (AFR)
AF:
0.647
AC:
26840
AN:
41492
American (AMR)
AF:
0.497
AC:
7609
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.455
AC:
1578
AN:
3470
East Asian (EAS)
AF:
0.667
AC:
3444
AN:
5162
South Asian (SAS)
AF:
0.428
AC:
2061
AN:
4816
European-Finnish (FIN)
AF:
0.410
AC:
4345
AN:
10588
Middle Eastern (MID)
AF:
0.473
AC:
139
AN:
294
European-Non Finnish (NFE)
AF:
0.404
AC:
27455
AN:
67950
Other (OTH)
AF:
0.470
AC:
989
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1862
3724
5587
7449
9311
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
658
1316
1974
2632
3290
<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:
0.441
Hom.:
20341
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
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 26, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

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. -

Nov 12, 2023
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

Polyglandular autoimmune syndrome, type 1 Benign:3
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.098
DANN
Benign
0.65
PhyloP100
-2.0
Mutation Taster
=97/3
polymorphism (auto)

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