chr12-6774730-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_002286.6(LAG3):ā€‹c.647C>Gā€‹(p.Ser216Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,180 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 33)

Consequence

LAG3
NM_002286.6 missense

Scores

1
7
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.68
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]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LAG3NM_002286.6 linkuse as main transcriptc.647C>G p.Ser216Cys missense_variant 4/8 ENST00000203629.3 NP_002277.4
LAG3NM_001414176.1 linkuse as main transcriptc.647C>G p.Ser216Cys missense_variant 4/8 NP_001401105.1
LAG3NM_001414177.1 linkuse as main transcriptc.647C>G p.Ser216Cys 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.647C>G p.Ser216Cys missense_variant 4/81 NM_002286.6 ENSP00000203629 P2P18627-1
LAG3ENST00000441671.6 linkuse as main transcriptc.647C>G p.Ser216Cys missense_variant 4/51 ENSP00000413825 A2P18627-2
LAG3ENST00000538079.1 linkuse as main transcriptn.1269C>G non_coding_transcript_exon_variant 3/62

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152180
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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
GnomAD4 exome
Cov.:
33
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152180
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74328
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
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

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 18, 2023The c.647C>G (p.S216C) alteration is located in exon 4 (coding exon 4) of the LAG3 gene. This alteration results from a C to G substitution at nucleotide position 647, causing the serine (S) at amino acid position 216 to be replaced by a cysteine (C). 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
Uncertain
0.50
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.40
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.69
.;D
Eigen
Uncertain
0.27
Eigen_PC
Benign
0.13
FATHMM_MKL
Benign
0.27
N
LIST_S2
Benign
0.74
T;T
M_CAP
Benign
0.012
T
MetaRNN
Uncertain
0.70
D;D
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
L;L
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.40
T
PROVEAN
Uncertain
-2.9
D;D
REVEL
Benign
0.15
Sift
Uncertain
0.0080
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
.;D
Vest4
0.67
MutPred
0.38
Loss of disorder (P = 0.0094);Loss of disorder (P = 0.0094);
MVP
0.66
MPC
0.46
ClinPred
0.95
D
GERP RS
4.5
Varity_R
0.30
gMVP
0.51

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: rs749445166; hg19: chr12-6883896; API