NM_004970.3:c.1779C>G

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.

The NM_004970.3(IGFALS):​c.1779C>G​(p.Asp593Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000117 in 1,586,190 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D593N) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

IGFALS
NM_004970.3 missense

Scores

2
5
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.02

Publications

0 publications found
Variant links:
Genes affected
IGFALS (HGNC:5468): (insulin like growth factor binding protein acid labile subunit) The protein encoded by this gene is a serum protein that binds insulin-like growth factors, increasing their half-life and their vascular localization. Production of the encoded protein, which contains twenty leucine-rich repeats, is stimulated by growth hormone. Defects in this gene are a cause of acid-labile subunit deficiency, which maifests itself in a delayed and slow puberty. Three transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Mar 2009]
SPSB3 (HGNC:30629): (splA/ryanodine receptor domain and SOCS box containing 3) Predicted to be involved in proteasome-mediated ubiquitin-dependent protein catabolic process. Predicted to be located in cytosol. Predicted to be part of SCF ubiquitin ligase complex. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004970.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IGFALS
NM_004970.3
MANE Select
c.1779C>Gp.Asp593Glu
missense
Exon 2 of 2NP_004961.1P35858-1
IGFALS
NM_001146006.2
c.1893C>Gp.Asp631Glu
missense
Exon 2 of 2NP_001139478.1P35858-2
IGFALS
NR_027389.1
n.1833C>G
non_coding_transcript_exon
Exon 2 of 2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IGFALS
ENST00000215539.4
TSL:1 MANE Select
c.1779C>Gp.Asp593Glu
missense
Exon 2 of 2ENSP00000215539.3P35858-1
IGFALS
ENST00000415638.3
TSL:2
c.1893C>Gp.Asp631Glu
missense
Exon 2 of 2ENSP00000416683.3P35858-2
IGFALS
ENST00000897144.1
c.1854C>Gp.Asp618Glu
missense
Exon 3 of 3ENSP00000567203.1

Frequencies

GnomAD3 genomes
AF:
0.0000460
AC:
7
AN:
152236
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000841
AC:
17
AN:
202034
AF XY:
0.0000913
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000570
Gnomad NFE exome
AF:
0.000170
Gnomad OTH exome
AF:
0.000192
GnomAD4 exome
AF:
0.000124
AC:
178
AN:
1433954
Hom.:
0
Cov.:
30
AF XY:
0.000121
AC XY:
86
AN XY:
710968
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32886
American (AMR)
AF:
0.00
AC:
0
AN:
40176
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25556
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38148
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82322
European-Finnish (FIN)
AF:
0.0000995
AC:
5
AN:
50254
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5734
European-Non Finnish (NFE)
AF:
0.000154
AC:
169
AN:
1099474
Other (OTH)
AF:
0.0000673
AC:
4
AN:
59404
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
10
20
31
41
51
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.0000460
AC:
7
AN:
152236
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74378
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41466
American (AMR)
AF:
0.00
AC:
0
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000882
AC:
6
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.511
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

Genome 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
70-75
75-80
>80
Age
Alfa
AF:
0.0000868
Hom.:
0
Bravo
AF:
0.0000491
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.0000917
AC:
11

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Short stature due to primary acid-labile subunit deficiency (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.89
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
19
DANN
Uncertain
0.98
DEOGEN2
Benign
0.14
T
Eigen
Benign
0.11
Eigen_PC
Benign
0.077
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.58
T
M_CAP
Uncertain
0.23
D
MetaRNN
Uncertain
0.53
D
MetaSVM
Benign
-0.73
T
MutationAssessor
Benign
1.9
L
PhyloP100
3.0
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.14
Sift
Benign
0.044
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.95
P
Vest4
0.66
MutPred
0.30
Loss of helix (P = 0.1299)
MVP
0.89
MPC
0.19
ClinPred
0.19
T
GERP RS
4.2
Varity_R
0.25
gMVP
0.78
Mutation Taster
=93/7
polymorphism

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: rs767802552; hg19: chr16-1840640; API