chr16-85918486-C-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_002163.4(IRF8):​c.671C>T​(p.Pro224Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000748 in 1,591,170 control chromosomes in the GnomAD database, with no homozygous occurrence. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000079 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000074 ( 0 hom. )

Consequence

IRF8
NM_002163.4 missense

Scores

3
6
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts P:1U:2

Conservation

PhyloP100: 1.94
Variant links:
Genes affected
IRF8 (HGNC:5358): (interferon regulatory factor 8) Interferon consensus sequence-binding protein (ICSBP) is a transcription factor of the interferon (IFN) regulatory factor (IRF) family. Proteins of this family are composed of a conserved DNA-binding domain in the N-terminal region and a divergent C-terminal region that serves as the regulatory domain. The IRF family proteins bind to the IFN-stimulated response element (ISRE) and regulate expression of genes stimulated by type I IFNs, namely IFN-alpha and IFN-beta. IRF family proteins also control expression of IFN-alpha and IFN-beta-regulated genes that are induced by viral infection. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAd4 at 12 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IRF8NM_002163.4 linkuse as main transcriptc.671C>T p.Pro224Leu missense_variant 7/9 ENST00000268638.10 NP_002154.1
IRF8NM_001363907.1 linkuse as main transcriptc.701C>T p.Pro234Leu missense_variant 7/9 NP_001350836.1
IRF8NM_001363908.1 linkuse as main transcriptc.59C>T p.Pro20Leu missense_variant 5/7 NP_001350837.1
IRF8XM_047434052.1 linkuse as main transcriptc.701C>T p.Pro234Leu missense_variant 8/10 XP_047290008.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IRF8ENST00000268638.10 linkuse as main transcriptc.671C>T p.Pro224Leu missense_variant 7/91 NM_002163.4 ENSP00000268638 P1

Frequencies

GnomAD3 genomes
AF:
0.0000788
AC:
12
AN:
152258
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000719
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:
0.0000521
AC:
12
AN:
230238
Hom.:
0
AF XY:
0.0000554
AC XY:
7
AN XY:
126450
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000205
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:
0.0000469
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000744
AC:
107
AN:
1438912
Hom.:
0
Cov.:
31
AF XY:
0.0000657
AC XY:
47
AN XY:
714924
show subpopulations
Gnomad4 AFR exome
AF:
0.0000301
Gnomad4 AMR exome
AF:
0.000180
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:
0.0000849
Gnomad4 OTH exome
AF:
0.0000670
GnomAD4 genome
AF:
0.0000788
AC:
12
AN:
152258
Hom.:
0
Cov.:
33
AF XY:
0.000121
AC XY:
9
AN XY:
74384
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000719
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
Alfa
AF:
0.000176
Hom.:
0
Bravo
AF:
0.000178
ExAC
AF:
0.0000415
AC:
5

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Mendelian susceptibility to mycobacterial diseases due to partial IRF8 deficiency;C4016741:Immunodeficiency 32B Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 13, 2023This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 224 of the IRF8 protein (p.Pro224Leu). This variant is present in population databases (rs774835569, gnomAD 0.02%). This missense change has been observed in individual(s) with NK cell deficiency (PMID: 27893462). ClinVar contains an entry for this variant (Variation ID: 545494). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt IRF8 protein function. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on IRF8 function (PMID: 27893462). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsFeb 18, 2022- -
Immunodeficiency 32B Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJun 08, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.074
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.11
CADD
Benign
22
DANN
Benign
0.96
DEOGEN2
Pathogenic
0.95
D;D;D;D
Eigen
Benign
-0.27
Eigen_PC
Benign
-0.15
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.90
D;T;D;T
M_CAP
Pathogenic
0.54
D
MetaRNN
Uncertain
0.52
D;D;D;D
MetaSVM
Uncertain
0.12
D
MutationAssessor
Benign
1.6
L;.;.;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.40
T
PROVEAN
Pathogenic
-5.0
D;D;D;D
REVEL
Uncertain
0.40
Sift
Benign
0.077
T;T;T;T
Sift4G
Uncertain
0.052
T;T;T;T
Polyphen
0.0030
B;.;.;.
Vest4
0.34
MutPred
0.74
Loss of glycosylation at T221 (P = 0.0426);Loss of glycosylation at T221 (P = 0.0426);.;.;
MVP
0.79
MPC
0.57
ClinPred
0.17
T
GERP RS
3.0
Varity_R
0.12
gMVP
0.67

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: rs774835569; hg19: chr16-85952092; API