X-108736226-G-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_ModerateBP6_ModerateBS2

The NM_001379150.1(IRS4):​c.119C>A​(p.Pro40Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000082 in 1,097,503 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.0000082 ( 0 hom. 3 hem. )

Consequence

IRS4
NM_001379150.1 missense

Scores

4
13

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 2.40
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 Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.123046875).
BP6
Variant X-108736226-G-T is Benign according to our data. Variant chrX-108736226-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 2661176.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.119C>A p.Pro40Gln missense_variant 1/2 ENST00000372129.4
IRS4NM_003604.2 linkuse as main transcriptc.119C>A p.Pro40Gln missense_variant 1/1
IRS4XM_011531061.2 linkuse as main transcriptc.119C>A p.Pro40Gln missense_variant 1/3
IRS4XM_006724713.4 linkuse as main transcriptc.119C>A p.Pro40Gln missense_variant 1/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.119C>A p.Pro40Gln missense_variant 1/2 NM_001379150.1 A2
IRS4-AS1ENST00000668534.1 linkuse as main transcriptn.136G>T non_coding_transcript_exon_variant 1/3
IRS4ENST00000564206.2 linkuse as main transcriptc.119C>A p.Pro40Gln missense_variant 1/1 P5
IRS4-AS1ENST00000608811.1 linkuse as main transcriptn.216G>T non_coding_transcript_exon_variant 1/24

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.0000166
AC:
3
AN:
180575
Hom.:
0
AF XY:
0.0000449
AC XY:
3
AN XY:
66861
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:
0.0000375
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000820
AC:
9
AN:
1097503
Hom.:
0
Cov.:
33
AF XY:
0.00000826
AC XY:
3
AN XY:
363291
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:
0.0000107
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22
ExAC
AF:
0.0000494
AC:
6
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenApr 01, 2023IRS4: BS2; IRS4-AS1: BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.80
CADD
Benign
22
DANN
Benign
0.96
DEOGEN2
Benign
0.20
T
FATHMM_MKL
Benign
0.27
N
LIST_S2
Benign
0.42
T
M_CAP
Uncertain
0.28
D
MetaRNN
Benign
0.12
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.90
L
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-0.22
N
REVEL
Benign
0.025
Sift
Uncertain
0.013
D
Sift4G
Uncertain
0.0090
D
Polyphen
0.20
B
Vest4
0.099
MutPred
0.17
Gain of catalytic residue at P40 (P = 0.0231);
MVP
0.082
MPC
1.1
ClinPred
0.24
T
GERP RS
1.1
Varity_R
0.056
gMVP
0.37

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs200726285; hg19: chrX-107979456; API