chr12-6774670-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_002286.6(LAG3):​c.587G>A​(p.Arg196His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000112 in 1,613,988 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

LAG3
NM_002286.6 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.366
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 Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.035163224).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAG3NM_002286.6 linkuse as main transcriptc.587G>A p.Arg196His missense_variant 4/8 ENST00000203629.3 NP_002277.4
LAG3NM_001414176.1 linkuse as main transcriptc.587G>A p.Arg196His missense_variant 4/8 NP_001401105.1
LAG3NM_001414177.1 linkuse as main transcriptc.587G>A p.Arg196His 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.587G>A p.Arg196His missense_variant 4/81 NM_002286.6 ENSP00000203629 P2P18627-1
LAG3ENST00000441671.6 linkuse as main transcriptc.587G>A p.Arg196His missense_variant 4/51 ENSP00000413825 A2P18627-2
LAG3ENST00000538079.1 linkuse as main transcriptn.1209G>A non_coding_transcript_exon_variant 3/62

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152124
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000239
AC:
6
AN:
251272
Hom.:
0
AF XY:
0.0000294
AC XY:
4
AN XY:
135848
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000116
AC:
17
AN:
1461864
Hom.:
0
Cov.:
33
AF XY:
0.0000124
AC XY:
9
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000151
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000629
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152124
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74300
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113
ExAC
AF:
0.0000247
AC:
3

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.587G>A (p.R196H) alteration is located in exon 4 (coding exon 4) of the LAG3 gene. This alteration results from a G to A substitution at nucleotide position 587, causing the arginine (R) at amino acid position 196 to be replaced by a histidine (H). 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
0.10
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
15
DANN
Benign
0.81
DEOGEN2
Benign
0.10
.;T
Eigen
Benign
-0.79
Eigen_PC
Benign
-0.76
FATHMM_MKL
Benign
0.053
N
LIST_S2
Benign
0.71
T;T
M_CAP
Benign
0.0088
T
MetaRNN
Benign
0.035
T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.3
L;L
MutationTaster
Benign
0.96
N;N
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.55
N;N
REVEL
Benign
0.021
Sift
Benign
0.73
T;T
Sift4G
Benign
0.57
T;T
Polyphen
0.012
.;B
Vest4
0.12
MutPred
0.41
Gain of catalytic residue at F191 (P = 0.0095);Gain of catalytic residue at F191 (P = 0.0095);
MVP
0.33
MPC
0.38
ClinPred
0.077
T
GERP RS
-0.18
Varity_R
0.037
gMVP
0.30

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: rs748156134; hg19: chr12-6883836; API