5-139477397-C-T

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_198282.4(STING1):​c.878G>A​(p.Arg293Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.163 in 1,613,894 control chromosomes in the GnomAD database, including 25,689 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R293W) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.20 ( 3698 hom., cov: 32)
Exomes 𝑓: 0.16 ( 21991 hom. )

Consequence

STING1
NM_198282.4 missense

Scores

6
1
11

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 3.38

Publications

129 publications found
Variant links:
Genes affected
STING1 (HGNC:27962): (stimulator of interferon response cGAMP interactor 1) This gene encodes a five transmembrane protein that functions as a major regulator of the innate immune response to viral and bacterial infections. The encoded protein is a pattern recognition receptor that detects cytosolic nucleic acids and transmits signals that activate type I interferon responses. The encoded protein has also been shown to play a role in apoptotic signaling by associating with type II major histocompatibility complex. Mutations in this gene are the cause of infantile-onset STING-associated vasculopathy. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Sep 2014]
STING1 Gene-Disease associations (from GenCC):
  • STING-associated vasculopathy with onset in infancy
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Orphanet
  • familial chilblain lupus
    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 -18 ACMG points.

PM1
In a helix (size 20) in uniprot entity STING_HUMAN there are 4 pathogenic changes around while only 1 benign (80%) in NM_198282.4
BP4
Computational evidence support a benign effect (MetaRNN=0.0029341578).
BP6
Variant 5-139477397-C-T is Benign according to our data. Variant chr5-139477397-C-T is described in ClinVar as Benign. ClinVar VariationId is 1166567.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.4 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
STING1NM_198282.4 linkc.878G>A p.Arg293Gln missense_variant Exon 7 of 8 ENST00000330794.9 NP_938023.1 Q86WV6
STING1NM_001367258.1 linkc.521G>A p.Arg174Gln missense_variant Exon 6 of 7 NP_001354187.1
STING1NM_001301738.2 linkc.759+873G>A intron_variant Intron 6 of 6 NP_001288667.1 J3QTB1V5V0K2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
STING1ENST00000330794.9 linkc.878G>A p.Arg293Gln missense_variant Exon 7 of 8 1 NM_198282.4 ENSP00000331288.4 Q86WV6

Frequencies

GnomAD3 genomes
AF:
0.204
AC:
31037
AN:
152006
Hom.:
3678
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.266
Gnomad AMI
AF:
0.0877
Gnomad AMR
AF:
0.299
Gnomad ASJ
AF:
0.204
Gnomad EAS
AF:
0.414
Gnomad SAS
AF:
0.236
Gnomad FIN
AF:
0.153
Gnomad MID
AF:
0.225
Gnomad NFE
AF:
0.136
Gnomad OTH
AF:
0.211
GnomAD2 exomes
AF:
0.212
AC:
53352
AN:
251290
AF XY:
0.203
show subpopulations
Gnomad AFR exome
AF:
0.267
Gnomad AMR exome
AF:
0.361
Gnomad ASJ exome
AF:
0.206
Gnomad EAS exome
AF:
0.417
Gnomad FIN exome
AF:
0.151
Gnomad NFE exome
AF:
0.137
Gnomad OTH exome
AF:
0.191
GnomAD4 exome
AF:
0.159
AC:
231692
AN:
1461770
Hom.:
21991
Cov.:
33
AF XY:
0.159
AC XY:
115587
AN XY:
727180
show subpopulations
African (AFR)
AF:
0.266
AC:
8915
AN:
33472
American (AMR)
AF:
0.354
AC:
15844
AN:
44706
Ashkenazi Jewish (ASJ)
AF:
0.207
AC:
5401
AN:
26134
East Asian (EAS)
AF:
0.433
AC:
17190
AN:
39684
South Asian (SAS)
AF:
0.223
AC:
19230
AN:
86248
European-Finnish (FIN)
AF:
0.156
AC:
8321
AN:
53414
Middle Eastern (MID)
AF:
0.198
AC:
1139
AN:
5762
European-Non Finnish (NFE)
AF:
0.130
AC:
145016
AN:
1111956
Other (OTH)
AF:
0.176
AC:
10636
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
10357
20713
31070
41426
51783
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
5658
11316
16974
22632
28290
<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:
0.204
AC:
31097
AN:
152124
Hom.:
3698
Cov.:
32
AF XY:
0.209
AC XY:
15571
AN XY:
74354
show subpopulations
African (AFR)
AF:
0.266
AC:
11048
AN:
41470
American (AMR)
AF:
0.300
AC:
4592
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.204
AC:
708
AN:
3470
East Asian (EAS)
AF:
0.415
AC:
2145
AN:
5172
South Asian (SAS)
AF:
0.236
AC:
1137
AN:
4824
European-Finnish (FIN)
AF:
0.153
AC:
1625
AN:
10596
Middle Eastern (MID)
AF:
0.221
AC:
65
AN:
294
European-Non Finnish (NFE)
AF:
0.136
AC:
9244
AN:
67990
Other (OTH)
AF:
0.215
AC:
453
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1237
2473
3710
4946
6183
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
318
636
954
1272
1590
<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:
0.164
Hom.:
8820
Bravo
AF:
0.218
TwinsUK
AF:
0.141
AC:
524
ALSPAC
AF:
0.129
AC:
497
ESP6500AA
AF:
0.266
AC:
1172
ESP6500EA
AF:
0.141
AC:
1214
ExAC
AF:
0.204
AC:
24822
Asia WGS
AF:
0.336
AC:
1169
AN:
3478
EpiCase
AF:
0.149
EpiControl
AF:
0.148

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
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 46% of patients studied by a panel of primary immunodeficiencies. Number of patients: 44. Only high quality variants are reported. -

not provided Benign:1
Aug 21, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 29632140, 30368497, 24204993, 27927967, 21248775) -

Autoinflammatory syndrome Benign:1
Jan 14, 2022
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

STING-associated vasculopathy with onset in infancy Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.29
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.30
T
Eigen
Pathogenic
0.73
Eigen_PC
Pathogenic
0.69
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.83
T
MetaRNN
Benign
0.0029
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Pathogenic
2.9
M
PhyloP100
3.4
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-2.1
N
REVEL
Benign
0.22
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.12
MPC
0.86
ClinPred
0.041
T
GERP RS
5.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.88
Mutation Taster
=84/16
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs7380824; hg19: chr5-138856982; COSMIC: COSV58172454; COSMIC: COSV58172454; API