4-1004285-C-T
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -3 ACMG points: 2P and 5B. PM2BP4_ModerateBP6_ModerateBP7
The NM_000203.5(IDUA):c.1854C>T(p.Tyr618Tyr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000343 in 1,458,626 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  0.0000034   (  0   hom.  ) 
Consequence
 IDUA
NM_000203.5 synonymous
NM_000203.5 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  0.529  
Publications
1 publications found 
Genes affected
 IDUA  (HGNC:5391):  (alpha-L-iduronidase) This gene encodes an enzyme that hydrolyzes the terminal alpha-L-iduronic acid residues of two glycosaminoglycans, dermatan sulfate and heparan sulfate. This hydrolysis is required for the lysosomal degradation of these glycosaminoglycans. Mutations in this gene that result in enzymatic deficiency lead to the autosomal recessive disease mucopolysaccharidosis type I (MPS I). [provided by RefSeq, Jul 2008] 
IDUA Gene-Disease associations (from GenCC):
- mucopolysaccharidosis type 1Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen, Myriad Women’s Health
- Scheie syndromeInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae), Orphanet
- Hurler syndromeInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, PanelApp Australia
- Hurler-Scheie syndromeInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -3 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.39). 
BP6
Variant 4-1004285-C-T is Benign according to our data. Variant chr4-1004285-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 2869277.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP7
Synonymous conserved (PhyloP=0.529 with no splicing effect.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| IDUA | NM_000203.5 | c.1854C>T | p.Tyr618Tyr | synonymous_variant | Exon 14 of 14 | ENST00000514224.2 | NP_000194.2 | |
| IDUA | NM_001363576.1 | c.1458C>T | p.Tyr486Tyr | synonymous_variant | Exon 13 of 13 | NP_001350505.1 | ||
| IDUA | NR_110313.1 | n.1946C>T | non_coding_transcript_exon_variant | Exon 14 of 14 | ||||
| IDUA | XM_047415650.1 | c.*293C>T | downstream_gene_variant | XP_047271606.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| IDUA | ENST00000514224.2 | c.1854C>T | p.Tyr618Tyr | synonymous_variant | Exon 14 of 14 | 2 | NM_000203.5 | ENSP00000425081.2 | ||
| IDUA | ENST00000247933.9 | c.1854C>T | p.Tyr618Tyr | synonymous_variant | Exon 14 of 14 | 1 | ENSP00000247933.4 | |||
| IDUA | ENST00000514698.5 | n.1965C>T | non_coding_transcript_exon_variant | Exon 11 of 11 | 5 | |||||
| IDUA | ENST00000652070.1 | n.1910C>T | non_coding_transcript_exon_variant | Exon 13 of 13 | 
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
32
GnomAD2 exomes  AF:  0.00000403  AC: 1AN: 247976 AF XY:  0.00000742   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1
AN: 
247976
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.00000343  AC: 5AN: 1458626Hom.:  0  Cov.: 32 AF XY:  0.00000413  AC XY: 3AN XY: 725782 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
5
AN: 
1458626
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
3
AN XY: 
725782
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33480
American (AMR) 
 AF: 
AC: 
0
AN: 
44722
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26134
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39700
South Asian (SAS) 
 AF: 
AC: 
5
AN: 
86258
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
50214
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5766
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111984
Other (OTH) 
 AF: 
AC: 
0
AN: 
60368
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.465 
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
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 
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 >80 
Age
GnomAD4 genome  
GnomAD4 genome 
Cov.: 
32
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Mucopolysaccharidosis type 1    Benign:1 
Jan 05, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
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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