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GeneBe

5-1878609-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_016358.3(IRX4):c.920C>G(p.Ser307Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000615 in 1,563,456 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00065 ( 0 hom. )

Consequence

IRX4
NM_016358.3 missense

Scores

1
3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.81
Variant links:
Genes affected
IRX4 (HGNC:6129): (iroquois homeobox 4) Predicted to enable DNA-binding transcription factor activity, RNA polymerase II-specific and RNA polymerase II cis-regulatory region sequence-specific DNA binding activity. Predicted to be involved in cell development; neuron differentiation; and regulation of transcription by RNA polymerase II. Predicted to act upstream of or within heart development. Predicted to be part of chromatin. Predicted to be active in nucleus. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.07002714).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IRX4NM_016358.3 linkuse as main transcriptc.920C>G p.Ser307Cys missense_variant 5/5 ENST00000231357.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IRX4ENST00000231357.7 linkuse as main transcriptc.920C>G p.Ser307Cys missense_variant 5/51 NM_016358.3 P1P78413-1

Frequencies

GnomAD3 genomes
AF:
0.000302
AC:
46
AN:
152214
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
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:
0.000529
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000175
AC:
28
AN:
159728
Hom.:
0
AF XY:
0.000218
AC XY:
19
AN XY:
87316
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000189
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000362
Gnomad OTH exome
AF:
0.000225
GnomAD4 exome
AF:
0.000648
AC:
915
AN:
1411242
Hom.:
0
Cov.:
33
AF XY:
0.000654
AC XY:
456
AN XY:
697672
show subpopulations
Gnomad4 AFR exome
AF:
0.000125
Gnomad4 AMR exome
AF:
0.000186
Gnomad4 ASJ exome
AF:
0.0000395
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000621
Gnomad4 NFE exome
AF:
0.000816
Gnomad4 OTH exome
AF:
0.000205
GnomAD4 genome
AF:
0.000302
AC:
46
AN:
152214
Hom.:
0
Cov.:
34
AF XY:
0.000242
AC XY:
18
AN XY:
74356
show subpopulations
Gnomad4 AFR
AF:
0.000169
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000529
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000855
Hom.:
0
Bravo
AF:
0.000378
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000385
AC:
3
ExAC
AF:
0.000185
AC:
21

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 27, 2022The c.920C>G (p.S307C) alteration is located in exon 5 (coding exon 5) of the IRX4 gene. This alteration results from a C to G substitution at nucleotide position 920, causing the serine (S) at amino acid position 307 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.41
Cadd
Benign
22
Dann
Benign
0.68
DEOGEN2
Benign
0.32
T;T;.;.;T
Eigen
Benign
-0.41
Eigen_PC
Benign
-0.49
FATHMM_MKL
Uncertain
0.87
D
M_CAP
Benign
0.039
D
MetaRNN
Benign
0.070
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.81
L;L;.;.;L
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Pathogenic
0.82
D
PROVEAN
Benign
-1.5
N;N;.;.;N
REVEL
Benign
0.11
Sift
Uncertain
0.0090
D;D;.;.;D
Sift4G
Uncertain
0.026
D;D;D;D;D
Polyphen
0.89
P;P;.;.;P
Vest4
0.21
MVP
0.82
MPC
0.87
ClinPred
0.069
T
GERP RS
2.6
Varity_R
0.17
gMVP
0.18

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: rs367939020; hg19: chr5-1878723; API