X-108733344-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001379150.1(IRS4):​c.3001C>T​(p.Pro1001Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000554 in 1,210,139 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 21 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000057 ( 0 hom. 20 hem. )

Consequence

IRS4
NM_001379150.1 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.08
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.086384386).
BS2
High Hemizygotes in GnomAdExome4 at 20 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.3001C>T p.Pro1001Ser missense_variant 1/2 ENST00000372129.4
IRS4NM_003604.2 linkuse as main transcriptc.3001C>T p.Pro1001Ser missense_variant 1/1
IRS4XM_011531061.2 linkuse as main transcriptc.3001C>T p.Pro1001Ser missense_variant 1/3
IRS4XM_006724713.4 linkuse as main transcriptc.3001C>T p.Pro1001Ser missense_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.3001C>T p.Pro1001Ser missense_variant 1/2 NM_001379150.1 A2
IRS4ENST00000564206.2 linkuse as main transcriptc.3001C>T p.Pro1001Ser missense_variant 1/1 P5

Frequencies

GnomAD3 genomes
AF:
0.0000357
AC:
4
AN:
111978
Hom.:
0
Cov.:
23
AF XY:
0.0000293
AC XY:
1
AN XY:
34134
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000752
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000382
AC:
7
AN:
183354
Hom.:
0
AF XY:
0.0000295
AC XY:
2
AN XY:
67802
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000856
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000574
AC:
63
AN:
1098161
Hom.:
0
Cov.:
32
AF XY:
0.0000550
AC XY:
20
AN XY:
363515
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.0000736
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000357
AC:
4
AN:
111978
Hom.:
0
Cov.:
23
AF XY:
0.0000293
AC XY:
1
AN XY:
34134
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000752
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000189
ExAC
AF:
0.0000741
AC:
9
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

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 GeneticsJan 11, 2023The c.3001C>T (p.P1001S) alteration is located in exon 1 (coding exon 1) of the IRS4 gene. This alteration results from a C to T substitution at nucleotide position 3001, causing the proline (P) at amino acid position 1001 to be replaced by a serine (S). 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
0.096
BayesDel_addAF
Benign
-0.65
T
BayesDel_noAF
Benign
-0.97
CADD
Benign
15
DANN
Benign
0.85
DEOGEN2
Benign
0.32
T
FATHMM_MKL
Benign
0.36
N
LIST_S2
Benign
0.55
T
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.086
T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
0.97
L
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-0.89
N
REVEL
Benign
0.040
Sift
Benign
0.13
T
Sift4G
Benign
0.17
T
Polyphen
0.011
B
Vest4
0.073
MutPred
0.41
Gain of phosphorylation at P1001 (P = 0.0469);
MVP
0.082
MPC
0.50
ClinPred
0.043
T
GERP RS
2.1
Varity_R
0.031
gMVP
0.43

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: rs747324384; hg19: chrX-107976574; API