X-108732657-C-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

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
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

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 -20 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_multiple_submitters_no_conflicts, 2 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 Protein UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/2 ENST00000372129.4 NP_001366079.1
IRS4NM_003604.2 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/1 NP_003595.1 O14654
IRS4XM_011531061.2 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/3 XP_011529363.1
IRS4XM_006724713.4 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/2 XP_006724776.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/26 NM_001379150.1 ENSP00000361202.3 A0A804CF45
IRS4ENST00000564206.2 linkuse as main transcriptc.3688G>T p.Asp1230Tyr missense_variant 1/16 ENSP00000505547.1 O14654

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:4
Revision: criteria provided, multiple submitters, no conflicts
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:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

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
DEOGEN2
Benign
0.36
.;T
FATHMM_MKL
Benign
0.47
N
LIST_S2
Benign
0.52
T;T
MetaRNN
Benign
0.0016
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
.;L
PrimateAI
Uncertain
0.64
T
PROVEAN
Pathogenic
-4.9
D;N
REVEL
Benign
0.12
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