NM_018060.4:c.1A>C

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PVS1_ModeratePM2PP5

The NM_018060.4(IARS2):​c.1A>C​(p.Met1?) variant causes a initiator codon change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000382 in 1,569,342 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000035 ( 0 hom. )

Consequence

IARS2
NM_018060.4 initiator_codon

Scores

3
3
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1

Conservation

PhyloP100: 1.82

Publications

1 publications found
Variant links:
Genes affected
IARS2 (HGNC:29685): (isoleucyl-tRNA synthetase 2, mitochondrial) Aminoacyl-tRNA synthetases catalyze the aminoacylation of tRNA by their cognate amino acid. Because of their central role in linking amino acids with nucleotide triplets contained in tRNAS, aminoacyl-tRNA synthetases are thought to be among the first proteins that appeared in evolution. Two forms of isoleucine-tRNA synthetase exist, a cytoplasmic form and a mitochondrial form. This gene encodes the mitochondrial isoleucine-tRNA synthetase which belongs to the class-I aminoacyl-tRNA synthetase family. [provided by RefSeq, Dec 2014]
BPNT1 (HGNC:1096): (3'(2'), 5'-bisphosphate nucleotidase 1) BPNT1, also called bisphosphate 3-prime-nucleotidase, or BPntase, is a member of a magnesium-dependent phosphomonoesterase family. Lithium, a major drug used to treat manic depression, acts as an uncompetitive inhibitor of BPntase. The predicted human protein is 92% identical to mouse BPntase. BPntase's physiologic role in nucleotide metabolism may be regulated by inositol signaling pathways. The inhibition of human BPntase may account for lithium-induced nephrotoxicity. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 2 pathogenic variants. Next in-frame start position is after 73 codons. Genomic position: 220094433. Lost 0.071 part of the original CDS.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 1-220094217-A-C is Pathogenic according to our data. Variant chr1-220094217-A-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 3252888.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_018060.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IARS2
NM_018060.4
MANE Select
c.1A>Cp.Met1?
initiator_codon
Exon 1 of 23NP_060530.3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IARS2
ENST00000366922.3
TSL:1 MANE Select
c.1A>Cp.Met1?
initiator_codon
Exon 1 of 23ENSP00000355889.2Q9NSE4
IARS2
ENST00000930953.1
c.1A>Cp.Met1?
initiator_codon
Exon 1 of 23ENSP00000601012.1
IARS2
ENST00000948321.1
c.1A>Cp.Met1?
initiator_codon
Exon 1 of 23ENSP00000618380.1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152112
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000155
AC:
3
AN:
194002
AF XY:
0.0000279
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000106
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000353
AC:
5
AN:
1417230
Hom.:
0
Cov.:
32
AF XY:
0.00000428
AC XY:
3
AN XY:
701488
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31492
American (AMR)
AF:
0.000129
AC:
5
AN:
38812
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23314
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38752
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80426
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4778
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1091878
Other (OTH)
AF:
0.00
AC:
0
AN:
58162
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152112
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74300
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41458
American (AMR)
AF:
0.0000655
AC:
1
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5158
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68002
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Cataract-growth hormone deficiency-sensory neuropathy-sensorineural hearing loss-skeletal dysplasia syndrome (1)
1
-
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Uncertain
0.023
T
BayesDel_noAF
Uncertain
0.010
CADD
Benign
21
DANN
Benign
0.85
DEOGEN2
Benign
0.019
T
Eigen
Benign
-0.33
Eigen_PC
Benign
-0.32
FATHMM_MKL
Benign
0.33
N
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.51
D
MetaRNN
Pathogenic
0.98
D
MetaSVM
Benign
-1.1
T
PhyloP100
1.8
PROVEAN
Benign
-1.0
N
Sift
Benign
0.32
T
Sift4G
Pathogenic
0.0
D
Polyphen
0.25
B
Vest4
0.90
MutPred
0.95
Gain of catalytic residue at M1 (P = 0.0032)
MVP
0.56
ClinPred
0.98
D
GERP RS
4.0
PromoterAI
0.025
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.72
gMVP
0.64
Mutation Taster
=21/179
disease causing

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: rs755229056; hg19: chr1-220267559; API