X-108736191-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001379150.1(IRS4):​c.154G>A​(p.Gly52Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000912 in 1,096,992 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 (★).

Frequency

Genomes: not found (cov: 21)
Exomes 𝑓: 9.1e-7 ( 0 hom. 1 hem. )

Consequence

IRS4
NM_001379150.1 missense

Scores

4
2
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.30
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)

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.22725055).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.154G>A p.Gly52Arg missense_variant 1/2 ENST00000372129.4
IRS4NM_003604.2 linkuse as main transcriptc.154G>A p.Gly52Arg missense_variant 1/1
IRS4XM_011531061.2 linkuse as main transcriptc.154G>A p.Gly52Arg missense_variant 1/3
IRS4XM_006724713.4 linkuse as main transcriptc.154G>A p.Gly52Arg missense_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.154G>A p.Gly52Arg missense_variant 1/2 NM_001379150.1 A2
IRS4-AS1ENST00000668534.1 linkuse as main transcriptn.101C>T non_coding_transcript_exon_variant 1/3
IRS4ENST00000564206.2 linkuse as main transcriptc.154G>A p.Gly52Arg missense_variant 1/1 P5
IRS4-AS1ENST00000608811.1 linkuse as main transcriptn.181C>T non_coding_transcript_exon_variant 1/24

Frequencies

GnomAD3 genomes
Cov.:
21
GnomAD3 exomes
AF:
0.00000559
AC:
1
AN:
178739
Hom.:
0
AF XY:
0.0000150
AC XY:
1
AN XY:
66553
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:
0.0000526
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
9.12e-7
AC:
1
AN:
1096992
Hom.:
0
Cov.:
33
AF XY:
0.00000276
AC XY:
1
AN XY:
362912
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:
0.0000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
21

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 GeneticsMay 04, 2022The c.154G>A (p.G52R) alteration is located in exon 1 (coding exon 1) of the IRS4 gene. This alteration results from a G to A substitution at nucleotide position 154, causing the glycine (G) at amino acid position 52 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
Pathogenic
0.58
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.37
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
T
FATHMM_MKL
Benign
0.30
N
LIST_S2
Benign
0.63
T
M_CAP
Pathogenic
0.79
D
MetaRNN
Benign
0.23
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.1
L
MutationTaster
Benign
0.85
N
PrimateAI
Pathogenic
0.82
D
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.14
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.012
D
Polyphen
0.028
B
Vest4
0.20
MutPred
0.31
Gain of MoRF binding (P = 0.0385);
MVP
0.29
MPC
1.5
ClinPred
0.56
D
GERP RS
3.0
Varity_R
0.35
gMVP
0.56

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: rs1233544309; hg19: chrX-107979421; API