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X-108732657-C-A

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBA1

The NM_001379150.1(IRS4):c.3688G>T(p.Asp1230Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00483 in 1,209,955 control chromosomes in the GnomAD database, including 199 homozygotes. There are 1,566 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.025 ( 108 hom., 747 hem., cov: 23)
Exomes 𝑓: 0.0027 ( 91 hom. 819 hem. )

Consequence

IRS4
NM_001379150.1 missense

Scores

2
2
9

Clinical Significance

Benign criteria provided, single submitter B:3

Conservation

PhyloP100: 0.830
Variant links:
Genes affected
IRS4 (HGNC:6128): (insulin receptor substrate 4) IRS4 encodes the insulin receptor substrate 4, a cytoplasmic protein that contains many potential tyrosine and serine/threonine phosphorylation sites. Tyrosine-phosphorylated IRS4 protein has been shown to associate with cytoplasmic signalling molecules that contain SH2 domains. The IRS4 protein is phosphorylated by the insulin receptor tyrosine kinase upon receptor stimulation.. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0016138852).
BP6
Variant X-108732657-C-A is Benign according to our data. Variant chrX-108732657-C-A is described in ClinVar as [Benign]. Clinvar id is 777819.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chrX-108732657-C-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0844 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/2 ENST00000372129.4
IRS4NM_003604.2 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/1
IRS4XM_011531061.2 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/3
IRS4XM_006724713.4 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/2 NM_001379150.1 A2
IRS4ENST00000564206.2 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/1 P5

Frequencies

GnomAD3 genomes
AF:
0.0254
AC:
2840
AN:
111662
Hom.:
108
Cov.:
23
AF XY:
0.0221
AC XY:
748
AN XY:
33832
show subpopulations
Gnomad AFR
AF:
0.0874
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0120
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000376
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000188
Gnomad OTH
AF:
0.0167
GnomAD3 exomes
AF:
0.00742
AC:
1362
AN:
183509
Hom.:
46
AF XY:
0.00470
AC XY:
319
AN XY:
67943
show subpopulations
Gnomad AFR exome
AF:
0.0924
Gnomad AMR exome
AF:
0.00438
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000367
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000610
Gnomad OTH exome
AF:
0.00309
GnomAD4 exome
AF:
0.00274
AC:
3008
AN:
1098239
Hom.:
91
Cov.:
31
AF XY:
0.00225
AC XY:
819
AN XY:
363595
show subpopulations
Gnomad4 AFR exome
AF:
0.0937
Gnomad4 AMR exome
AF:
0.00500
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000332
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000606
Gnomad4 OTH exome
AF:
0.00616
GnomAD4 genome
AF:
0.0254
AC:
2839
AN:
111716
Hom.:
108
Cov.:
23
AF XY:
0.0220
AC XY:
747
AN XY:
33896
show subpopulations
Gnomad4 AFR
AF:
0.0872
Gnomad4 AMR
AF:
0.0119
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000377
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000188
Gnomad4 OTH
AF:
0.0165
Alfa
AF:
0.00361
Hom.:
110
Bravo
AF:
0.0295
ESP6500AA
AF:
0.0900
AC:
345
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00814
AC:
988
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeDec 31, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.67
Cadd
Benign
21
Dann
Uncertain
0.99
FATHMM_MKL
Benign
0.47
N
LIST_S2
Benign
0.52
T;T
MetaRNN
Benign
0.0016
T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
0.87
P
PrimateAI
Uncertain
0.64
T
PROVEAN
Pathogenic
-4.9
D;N
Sift
Benign
0.34
T;T
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.86
.;P
Vest4
0.095
MVP
0.40
MPC
0.61
ClinPred
0.060
T
GERP RS
3.5
Varity_R
0.15
gMVP
0.20

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: rs28546943; hg19: chrX-107975887; API