X-108736184-A-G

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BP4

The NM_001379150.1(IRS4):ā€‹c.161T>Cā€‹(p.Met54Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000497 in 1,207,392 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000090 ( 0 hom., 0 hem., cov: 21)
Exomes š‘“: 0.0000046 ( 0 hom. 1 hem. )

Consequence

IRS4
NM_001379150.1 missense

Scores

2
3
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.48
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]
IRS4-AS1 (HGNC:55650): (IRS4 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.32295185).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.161T>C p.Met54Thr missense_variant 1/2 ENST00000372129.4
IRS4NM_003604.2 linkuse as main transcriptc.161T>C p.Met54Thr missense_variant 1/1
IRS4XM_011531061.2 linkuse as main transcriptc.161T>C p.Met54Thr missense_variant 1/3
IRS4XM_006724713.4 linkuse as main transcriptc.161T>C p.Met54Thr missense_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.161T>C p.Met54Thr missense_variant 1/2 NM_001379150.1 A2
IRS4-AS1ENST00000668534.1 linkuse as main transcriptn.94A>G non_coding_transcript_exon_variant 1/3
IRS4ENST00000564206.2 linkuse as main transcriptc.161T>C p.Met54Thr missense_variant 1/1 P5
IRS4-AS1ENST00000608811.1 linkuse as main transcriptn.174A>G non_coding_transcript_exon_variant 1/24

Frequencies

GnomAD3 genomes
AF:
0.00000902
AC:
1
AN:
110915
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
33209
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:
0.0000190
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000456
AC:
5
AN:
1096477
Hom.:
0
Cov.:
32
AF XY:
0.00000276
AC XY:
1
AN XY:
362423
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:
0.00000594
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000902
AC:
1
AN:
110915
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
33209
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:
0.0000190
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113

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 18, 2023The c.161T>C (p.M54T) alteration is located in exon 1 (coding exon 1) of the IRS4 gene. This alteration results from a T to C substitution at nucleotide position 161, causing the methionine (M) at amino acid position 54 to be replaced by a threonine (T). 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
Uncertain
0.51
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
22
DANN
Benign
0.96
DEOGEN2
Benign
0.33
T
FATHMM_MKL
Benign
0.41
N
LIST_S2
Benign
0.43
T
M_CAP
Pathogenic
0.35
D
MetaRNN
Benign
0.32
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.90
L
MutationTaster
Benign
0.90
N
PrimateAI
Pathogenic
0.85
D
PROVEAN
Benign
-0.88
N
REVEL
Benign
0.078
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.0030
D
Polyphen
0.82
P
Vest4
0.49
MVP
0.24
MPC
1.5
ClinPred
0.49
T
GERP RS
1.9
Varity_R
0.64
gMVP
0.41

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: rs1466061710; hg19: chrX-107979414; API