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GeneBe

X-108732809-T-C

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001379150.1(IRS4):c.3536A>G(p.Gln1179Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000405 in 1,186,453 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 10 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00021 ( 0 hom., 4 hem., cov: 23)
Exomes 𝑓: 0.000022 ( 0 hom. 6 hem. )

Consequence

IRS4
NM_001379150.1 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.39
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.027474493).
BS2
High Hemizygotes in GnomAd at 4 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.3536A>G p.Gln1179Arg missense_variant 1/2 ENST00000372129.4
IRS4NM_003604.2 linkuse as main transcriptc.3536A>G p.Gln1179Arg missense_variant 1/1
IRS4XM_011531061.2 linkuse as main transcriptc.3536A>G p.Gln1179Arg missense_variant 1/3
IRS4XM_006724713.4 linkuse as main transcriptc.3536A>G p.Gln1179Arg missense_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.3536A>G p.Gln1179Arg missense_variant 1/2 NM_001379150.1 A2
IRS4ENST00000564206.2 linkuse as main transcriptc.3536A>G p.Gln1179Arg missense_variant 1/1 P5

Frequencies

GnomAD3 genomes
AF:
0.000214
AC:
24
AN:
112046
Hom.:
0
Cov.:
23
AF XY:
0.000117
AC XY:
4
AN XY:
34202
show subpopulations
Gnomad AFR
AF:
0.000746
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000937
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
GnomAD3 exomes
AF:
0.0000545
AC:
9
AN:
165021
Hom.:
0
AF XY:
0.0000184
AC XY:
1
AN XY:
54359
show subpopulations
Gnomad AFR exome
AF:
0.000705
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
0.0000223
AC:
24
AN:
1074407
Hom.:
0
Cov.:
31
AF XY:
0.0000173
AC XY:
6
AN XY:
346907
show subpopulations
Gnomad4 AFR exome
AF:
0.000896
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000223
GnomAD4 genome
AF:
0.000214
AC:
24
AN:
112046
Hom.:
0
Cov.:
23
AF XY:
0.000117
AC XY:
4
AN XY:
34202
show subpopulations
Gnomad4 AFR
AF:
0.000746
Gnomad4 AMR
AF:
0.0000937
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000136
Hom.:
0
Bravo
AF:
0.000242
ESP6500AA
AF:
0.00104
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000495
AC:
6

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 17, 2023The c.3536A>G (p.Q1179R) alteration is located in exon 1 (coding exon 1) of the IRS4 gene. This alteration results from a A to G substitution at nucleotide position 3536, causing the glutamine (Q) at amino acid position 1179 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.072
BayesDel_addAF
Benign
-0.81
T
BayesDel_noAF
Benign
-1.0
Cadd
Benign
0.043
Dann
Benign
0.82
DEOGEN2
Benign
0.32
T
FATHMM_MKL
Benign
0.079
N
LIST_S2
Benign
0.43
T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.027
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.7
L
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-0.49
N
REVEL
Benign
0.11
Sift
Benign
0.33
T
Sift4G
Benign
0.43
T
Polyphen
0.0020
B
Vest4
0.030
MVP
0.29
MPC
0.53
ClinPred
0.027
T
GERP RS
-2.9
Varity_R
0.068
gMVP
0.13

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: rs142845302; hg19: chrX-107976039; API