NM_006005.3:c.1726G>A

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BA1

The NM_006005.3(WFS1):​c.1726G>A​(p.Gly576Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00462 in 1,613,806 control chromosomes in the GnomAD database, including 213 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G576C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.011 ( 25 hom., cov: 34)
Exomes 𝑓: 0.0040 ( 188 hom. )

Consequence

WFS1
NM_006005.3 missense

Scores

1
7
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications B:12O:1

Conservation

PhyloP100: 5.88

Publications

25 publications found
Variant links:
Genes affected
WFS1 (HGNC:12762): (wolframin ER transmembrane glycoprotein) This gene encodes a transmembrane protein, which is located primarily in the endoplasmic reticulum and ubiquitously expressed with highest levels in brain, pancreas, heart, and insulinoma beta-cell lines. Mutations in this gene are associated with Wolfram syndrome, also called DIDMOAD (Diabetes Insipidus, Diabetes Mellitus, Optic Atrophy, and Deafness), an autosomal recessive disorder. The disease affects the brain and central nervous system. Mutations in this gene can also cause autosomal dominant deafness 6 (DFNA6), also known as DFNA14 or DFNA38. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2009]
WFS1 Gene-Disease associations (from GenCC):
  • Wolfram-like syndrome
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), G2P, Genomics England PanelApp, Ambry Genetics, ClinGen, Orphanet
  • Wolfram syndrome
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • autosomal dominant nonsyndromic hearing loss 6
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • cataract 41
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • Wolfram syndrome 1
    Inheritance: AR Classification: STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • autosomal dominant nonsyndromic hearing loss
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • early-onset nuclear cataract
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • type 2 diabetes mellitus
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005336702).
BP6
Variant 4-6301521-G-A is Benign according to our data. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439. Variant chr4-6301521-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 45439.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0652 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WFS1NM_006005.3 linkc.1726G>A p.Gly576Ser missense_variant Exon 8 of 8 ENST00000226760.5 NP_005996.2 O76024A0A0S2Z4V6
WFS1NM_001145853.1 linkc.1726G>A p.Gly576Ser missense_variant Exon 8 of 8 NP_001139325.1 O76024A0A0S2Z4V6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WFS1ENST00000226760.5 linkc.1726G>A p.Gly576Ser missense_variant Exon 8 of 8 1 NM_006005.3 ENSP00000226760.1 O76024

Frequencies

GnomAD3 genomes
AF:
0.0110
AC:
1672
AN:
152208
Hom.:
25
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0244
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0148
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0712
Gnomad SAS
AF:
0.00227
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.0110
GnomAD2 exomes
AF:
0.00954
AC:
2397
AN:
251166
AF XY:
0.00806
show subpopulations
Gnomad AFR exome
AF:
0.0242
Gnomad AMR exome
AF:
0.0191
Gnomad ASJ exome
AF:
0.000397
Gnomad EAS exome
AF:
0.0670
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.000246
Gnomad OTH exome
AF:
0.00522
GnomAD4 exome
AF:
0.00396
AC:
5789
AN:
1461478
Hom.:
188
Cov.:
99
AF XY:
0.00374
AC XY:
2721
AN XY:
727078
show subpopulations
African (AFR)
AF:
0.0235
AC:
788
AN:
33480
American (AMR)
AF:
0.0185
AC:
827
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.000268
AC:
7
AN:
26136
East Asian (EAS)
AF:
0.0877
AC:
3482
AN:
39700
South Asian (SAS)
AF:
0.00195
AC:
168
AN:
86254
European-Finnish (FIN)
AF:
0.0000189
AC:
1
AN:
53030
Middle Eastern (MID)
AF:
0.00121
AC:
7
AN:
5768
European-Non Finnish (NFE)
AF:
0.000224
AC:
249
AN:
1111994
Other (OTH)
AF:
0.00431
AC:
260
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
446
893
1339
1786
2232
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
88
176
264
352
440
<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:
0.0110
AC:
1674
AN:
152328
Hom.:
25
Cov.:
34
AF XY:
0.0112
AC XY:
837
AN XY:
74486
show subpopulations
African (AFR)
AF:
0.0244
AC:
1014
AN:
41572
American (AMR)
AF:
0.0148
AC:
227
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.0712
AC:
368
AN:
5172
South Asian (SAS)
AF:
0.00248
AC:
12
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.000412
AC:
28
AN:
68028
Other (OTH)
AF:
0.0109
AC:
23
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
89
179
268
358
447
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
22
44
66
88
110
<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:
0.00313
Hom.:
2
Bravo
AF:
0.0135
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.0186
AC:
82
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00892
AC:
1083
Asia WGS
AF:
0.0230
AC:
82
AN:
3478
EpiCase
AF:
0.000327
EpiControl
AF:
0.000237

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Benign:12Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:5
Jul 23, 2015
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 04, 2013
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Nov 06, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 07, 2012
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Gly576Ser in Exon 08 of WFS1: This variant is not expected to have clinical sign ificance because it has been identified in 1.9% (72/3738) of African American ch romosomes from a broad population by the NHLBI Exome Sequencing Project (http:// evs.gs.washington.edu/EVS; dbSNP rs1805069). -

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

- -

not provided Benign:4
Nov 22, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely 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

- -

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

- -

WFS1-Related Spectrum Disorders Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Monogenic diabetes Benign:1
Feb 08, 2019
Personalized Diabetes Medicine Program, University of Maryland School of Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

ACMG criteria: BA1 (6.7% in gnomAD SA, 2.3% in gnomAD African), BS2 (62 homozygotes in gnomAD)=Benign (REVEL 0.534 + precictor evidence not consistent, not using) -

Autosomal dominant nonsyndromic hearing loss 6 Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Wolfram syndrome 1 Other:1
-
Clinical Genomics, Uppaluri K&H Personalized Medicine Clinic
Significance:Uncertain risk allele
Review Status:criteria provided, single submitter
Collection Method:research

Potent mutations in WFS1 gene are associated with Wolfram's syndrome, an autosomal recessive condition, which cause diabetes mellitus, diabetes insipidus, deafness and optic atrophy.However no sufficient evidence is found to ascertain the role of this particular variant rs1805069 yet. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.28
T;T
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.55
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.67
.;T
MetaRNN
Benign
0.0053
T;T
MetaSVM
Benign
-0.68
T
MutationAssessor
Uncertain
2.5
M;M
PhyloP100
5.9
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-1.8
N;N
REVEL
Uncertain
0.54
Sift
Benign
0.031
D;D
Sift4G
Uncertain
0.022
D;D
Polyphen
0.88
P;P
Vest4
0.65
MVP
0.99
ClinPred
0.027
T
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.24
gMVP
0.76
Mutation Taster
=88/12
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: rs1805069; hg19: chr4-6303248; COSMIC: COSV56987506; COSMIC: COSV56987506; API