chr11-299372-G-A
Variant summary
Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PM2PM5PP3_StrongPP5_Very_Strong
The NM_001025295.3(IFITM5):c.119C>T(p.Ser40Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S40W) has been classified as Likely pathogenic.
Frequency
Consequence
NM_001025295.3 missense
Scores
Clinical Significance
Conservation
Publications
- osteogenesis imperfecta type 5Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 16 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_001025295.3. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| IFITM5 | NM_001025295.3 | MANE Select | c.119C>T | p.Ser40Leu | missense | Exon 1 of 2 | NP_001020466.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| IFITM5 | ENST00000382614.2 | TSL:1 MANE Select | c.119C>T | p.Ser40Leu | missense | Exon 1 of 2 | ENSP00000372059.2 |
Frequencies
GnomAD3 genomes Cov.: 31
GnomAD4 exome Data not reliable, filtered out with message: AC0 AF: 0.00 AC: 0AN: 1443964Hom.: 0 Cov.: 33 AF XY: 0.00 AC XY: 0AN XY: 717030
GnomAD4 genome Cov.: 31
ClinVar
Submissions by phenotype
Osteogenesis imperfecta type 5 Pathogenic:5
A known missense variant, c.119C>T in exon 1 of IFITM5 was observed in a heterozygous state in the proband (Farber et al., 2014). Sanger validation and segregation analysis showed that the variant was present in heterozygous state in the proband and absent in her parents. The variant is absent in gnomAD (v4.1.0) and our in-house database of 3419 exomes.
The variant is not observed in the gnomAD v4.1.0 dataset. Predicted Consequence/Location: Missense variant. Missense changes are a common disease-causing mechanism. In silico tool predictions suggest damaging effect of the variant on gene or gene product [REVEL: 0.96 (>=0.6, sensitivity 0.68 and specificity 0.92); 3Cnet: 0.12 (>=0.6, sensitivity 0.72 and precision 0.9)]. The same nucleotide change resulting in the same amino acid change has been previously reported as pathogenic/likely pathogenic with strong evidence (ClinVar ID: VCV000183677 /PMID: 24478195). A different missense change at the same codon (p.Ser40Trp) has been reported as pathogenic/likely pathogenic with strong evidence (ClinVar ID: VCV000689498 /PMID: 30985308). Therefore, this variant is classified as Pathogenic according to the recommendation of ACMG/AMP guideline.
Variant summary: IFITM5 c.119C>T (p.Ser40Leu) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant was absent in 217238 control chromosomes. c.119C>T has been reported in the literature, arising de novo in at-least two individuals affected with Osteogenesis Imperfecta (example, Chandler_2018, Yap_2024). These data indicate that the variant may be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 29595812, 37799085). ClinVar contains an entry for this variant (Variation ID: 183677). Based on the evidence outlined above, the variant was classified as pathogenic.
The p.(Ser40Leu) variant in the IFITM5 gene was seen de novo in a fetus with OI type 5.
not provided Pathogenic:2
This sequence change replaces serine, which is neutral and polar, with leucine, which is neutral and non-polar, at codon 40 of the IFITM5 protein (p.Ser40Leu). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with osteogenesis imperfecta (PMID: 24478195, 24519609, 29595812). In at least one individual the variant was observed to be de novo. ClinVar contains an entry for this variant (Variation ID: 183677). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. For these reasons, this variant has been classified as Pathogenic.
Not observed in large population cohorts (gnomAD); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 24293101, 28232077, 24519609, 24478195, 30039845, 28880886, 28548288, 27914223, 27678411, 27579219, 25387264, 30289614, 24715519, 29595812, 28319678, 31994750, 33942288, 33726816)
IFITM5-related disorder Pathogenic:1
The IFITM5 c.119C>T variant is predicted to result in the amino acid substitution p.Ser40Leu. This variant is a known pathogenic variant that has been reported as de novo in multiple individuals with osteogenesis imperfecta (Guillén-Navarro et al. 2014. PubMed ID: 24478195; Hoyer-Kuhn et al. 2014. PubMed ID: 24293101; Farber et al. 2014. PubMed ID: 24519609; Rodriguez Celin et al. 2018. PubMed ID: 30039845; Han et al. 2020. PubMed ID: 31994750) and is classified as pathogenic in ClinVar. This variant has not been reported in a large population database, indicating this variant is rare. We interpret this variant to be pathogenic.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at