NM_016123.4:c.318C>G

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_016123.4(IRAK4):​c.318C>G​(p.Pro106Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00631 in 1,612,940 control chromosomes in the GnomAD database, including 48 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0051 ( 4 hom., cov: 32)
Exomes 𝑓: 0.0064 ( 44 hom. )

Consequence

IRAK4
NM_016123.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.646

Publications

3 publications found
Variant links:
Genes affected
IRAK4 (HGNC:17967): (interleukin 1 receptor associated kinase 4) This gene encodes a kinase that activates NF-kappaB in both the Toll-like receptor (TLR) and T-cell receptor (TCR) signaling pathways. The protein is essential for most innate immune responses. Mutations in this gene result in IRAK4 deficiency and recurrent invasive pneumococcal disease. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2011]
IRAK4 Gene-Disease associations (from GenCC):
  • immunodeficiency 67
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.66).
BP6
Variant 12-43772190-C-G is Benign according to our data. Variant chr12-43772190-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 308725.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.646 with no splicing effect.
BS2
High Homozygotes in GnomAd4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IRAK4NM_016123.4 linkc.318C>G p.Pro106Pro synonymous_variant Exon 4 of 12 ENST00000613694.5 NP_057207.2 Q9NWZ3-1Q69FE3B4E359B2RAP9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IRAK4ENST00000613694.5 linkc.318C>G p.Pro106Pro synonymous_variant Exon 4 of 12 1 NM_016123.4 ENSP00000479889.3 Q9NWZ3-1

Frequencies

GnomAD3 genomes
AF:
0.00511
AC:
777
AN:
152154
Hom.:
4
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00113
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00491
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00186
Gnomad FIN
AF:
0.0115
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00753
Gnomad OTH
AF:
0.00287
GnomAD2 exomes
AF:
0.00566
AC:
1417
AN:
250398
AF XY:
0.00574
show subpopulations
Gnomad AFR exome
AF:
0.000923
Gnomad AMR exome
AF:
0.00330
Gnomad ASJ exome
AF:
0.00129
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0132
Gnomad NFE exome
AF:
0.00805
Gnomad OTH exome
AF:
0.00475
GnomAD4 exome
AF:
0.00644
AC:
9407
AN:
1460668
Hom.:
44
Cov.:
31
AF XY:
0.00636
AC XY:
4622
AN XY:
726700
show subpopulations
African (AFR)
AF:
0.000418
AC:
14
AN:
33468
American (AMR)
AF:
0.00335
AC:
150
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00138
AC:
36
AN:
26124
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39676
South Asian (SAS)
AF:
0.00205
AC:
177
AN:
86238
European-Finnish (FIN)
AF:
0.0122
AC:
644
AN:
52800
Middle Eastern (MID)
AF:
0.00139
AC:
8
AN:
5766
European-Non Finnish (NFE)
AF:
0.00721
AC:
8019
AN:
1111498
Other (OTH)
AF:
0.00593
AC:
358
AN:
60374
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.445
Heterozygous variant carriers
0
455
910
1364
1819
2274
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
288
576
864
1152
1440
<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:
0.00510
AC:
777
AN:
152272
Hom.:
4
Cov.:
32
AF XY:
0.00497
AC XY:
370
AN XY:
74450
show subpopulations
African (AFR)
AF:
0.00113
AC:
47
AN:
41560
American (AMR)
AF:
0.00490
AC:
75
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00173
AC:
6
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.00187
AC:
9
AN:
4822
European-Finnish (FIN)
AF:
0.0115
AC:
122
AN:
10596
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00753
AC:
512
AN:
68010
Other (OTH)
AF:
0.00284
AC:
6
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
41
83
124
166
207
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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
Alfa
AF:
0.00627
Hom.:
3
Bravo
AF:
0.00457
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.00567
EpiControl
AF:
0.00634

ClinVar

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

Submissions by phenotype

Immunodeficiency 67 Benign:2
Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

not provided Benign:2
May 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

IRAK4: BP4, BP7, BS2 -

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

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.66
CADD
Benign
4.6
DANN
Benign
0.82
PhyloP100
0.65
Mutation Taster
=97/3
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: rs56338336; hg19: chr12-44165993; COSMIC: COSV101471785; COSMIC: COSV101471785; API