chr12-6774646-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 4P and 1B. PM1PM2BP4

The NM_002286.6(LAG3):ā€‹c.563A>Gā€‹(p.Asn188Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000041 in 1,461,830 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000041 ( 0 hom. )

Consequence

LAG3
NM_002286.6 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.67
Variant links:
Genes affected
LAG3 (HGNC:6476): (lymphocyte activating 3) Lymphocyte-activation protein 3 belongs to Ig superfamily and contains 4 extracellular Ig-like domains. The LAG3 gene contains 8 exons. The sequence data, exon/intron organization, and chromosomal localization all indicate a close relationship of LAG3 to CD4. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM1
In a glycosylation_site N-linked (GlcNAc...) asparagine (size 0) in uniprot entity LAG3_HUMAN
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3824759).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAG3NM_002286.6 linkuse as main transcriptc.563A>G p.Asn188Ser missense_variant 4/8 ENST00000203629.3 NP_002277.4
LAG3NM_001414176.1 linkuse as main transcriptc.563A>G p.Asn188Ser missense_variant 4/8 NP_001401105.1
LAG3NM_001414177.1 linkuse as main transcriptc.563A>G p.Asn188Ser missense_variant 4/7 NP_001401106.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LAG3ENST00000203629.3 linkuse as main transcriptc.563A>G p.Asn188Ser missense_variant 4/81 NM_002286.6 ENSP00000203629 P2P18627-1
LAG3ENST00000441671.6 linkuse as main transcriptc.563A>G p.Asn188Ser missense_variant 4/51 ENSP00000413825 A2P18627-2
LAG3ENST00000538079.1 linkuse as main transcriptn.1185A>G non_coding_transcript_exon_variant 3/62

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251154
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135790
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:
0.00000881
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000410
AC:
6
AN:
1461830
Hom.:
0
Cov.:
33
AF XY:
0.00000688
AC XY:
5
AN XY:
727222
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:
0.00000540
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

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 GeneticsAug 17, 2022The c.563A>G (p.N188S) alteration is located in exon 4 (coding exon 4) of the LAG3 gene. This alteration results from a A to G substitution at nucleotide position 563, causing the asparagine (N) at amino acid position 188 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
0.16
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.097
.;T
Eigen
Benign
0.10
Eigen_PC
Benign
0.069
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.82
T;T
M_CAP
Benign
0.0091
T
MetaRNN
Benign
0.38
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
L;L
MutationTaster
Benign
0.62
D;D
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.5
N;N
REVEL
Benign
0.094
Sift
Benign
0.29
T;T
Sift4G
Uncertain
0.052
T;D
Polyphen
0.94
.;P
Vest4
0.32
MutPred
0.41
Gain of disorder (P = 0.0358);Gain of disorder (P = 0.0358);
MVP
0.48
MPC
0.36
ClinPred
0.55
D
GERP RS
4.5
Varity_R
0.098
gMVP
0.21

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: rs752254125; hg19: chr12-6883812; API