chr2-162282429-G-T
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Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 0P and 0B.
The NM_022168.4(IFIH1):c.1243C>A(p.Gln415Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000397 in 1,612,072 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000037 ( 0 hom. )
Consequence
IFIH1
NM_022168.4 missense
NM_022168.4 missense
Scores
4
11
4
Clinical Significance
Conservation
PhyloP100: 9.34
Genes affected
IFIH1 (HGNC:18873): (interferon induced with helicase C domain 1) IFIH1 encodes MDA5 which is an intracellular sensor of viral RNA that triggers the innate immune response. Sensing RNA length and secondary structure, MDA5 binds dsRNA oligonucleotides with a modified DExD/H-box helicase core and a C-terminal domain, thus leading to a proinflammatory response that includes interferons. It has been shown that Coronaviruses (CoVs) as well as various other virus families, are capable of evading the MDA5-dependent interferon response, thus impeding the activation of the innate immune response to infection. MDA5 has also been shown to play an important role in enhancing natural killer cell function in malaria infection. In addition to its protective role in antiviral responses, MDA5 has been implicated in autoimmune and autoinflammatory diseases such as type 1 diabetes, systemic lupus erythematosus, and Aicardi-Goutieres syndrome[provided by RefSeq, Jul 2020]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 0 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
IFIH1 | NM_022168.4 | c.1243C>A | p.Gln415Lys | missense_variant | 6/16 | ENST00000649979.2 | |
IFIH1 | XM_047445407.1 | c.526C>A | p.Gln176Lys | missense_variant | 5/15 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
IFIH1 | ENST00000649979.2 | c.1243C>A | p.Gln415Lys | missense_variant | 6/16 | NM_022168.4 | P1 |
Frequencies
GnomAD3 genomes AF: 0.0000658 AC: 10AN: 151922Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000719 AC: 18AN: 250178Hom.: 0 AF XY: 0.0000592 AC XY: 8AN XY: 135222
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GnomAD4 exome AF: 0.0000370 AC: 54AN: 1460032Hom.: 0 Cov.: 30 AF XY: 0.0000289 AC XY: 21AN XY: 726370
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GnomAD4 genome AF: 0.0000658 AC: 10AN: 152040Hom.: 0 Cov.: 32 AF XY: 0.0000807 AC XY: 6AN XY: 74330
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
Aicardi-Goutieres syndrome 7;C4225427:Singleton-Merten syndrome 1 Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitter | clinical testing | Center for Genomics, Ann and Robert H. Lurie Children's Hospital of Chicago | Aug 20, 2020 | IFIH1 NM_022168.3 exon 6 p.Gln415Lys (c.1243C>A): This variant has not been reported in the literature but is present in 0.03% (11/34428) of Latino alleles in the Genome Aggregation Database (https://gnomad.broadinstitute.org/variant/2-163138939-G-T?dataset=gnomad_r2_1). This variant is present in ClinVar (Variation ID:541774). Evolutionary conservation and computational predictive tools suggest that this variant may impact the protein. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. - |
Likely benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 20, 2024 | - - |
Aicardi-Goutieres syndrome 7;C4225427:Singleton-Merten syndrome 1;C5676929:Immunodeficiency 95 Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Center for Genomics, Ann and Robert H. Lurie Children's Hospital of Chicago | Mar 30, 2021 | IFIH1 NM_022168.3 exon 6 p.Gln415Lys (c.1243C>A): This variant has not been reported in the literature but is present in 0.03% (11/34428) of Latino alleles in the Genome Aggregation Database (https://gnomad.broadinstitute.org/variant/2-163138939-G-T?dataset=gnomad_r2_1). This variant is present in ClinVar (Variation ID:541774). Evolutionary conservation and computational predictive tools suggest that this variant may impact the protein. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. - |
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Oct 03, 2022 | In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Uncertain
T
BayesDel_noAF
Uncertain
CADD
Pathogenic
DANN
Uncertain
DEOGEN2
Uncertain
T;T;.
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Pathogenic
D
LIST_S2
Uncertain
.;D;D
M_CAP
Benign
T
MetaRNN
Uncertain
D;D;D
MetaSVM
Uncertain
D
MutationAssessor
Uncertain
M;M;.
MutationTaster
Benign
D;D
PrimateAI
Uncertain
T
PROVEAN
Uncertain
.;D;.
REVEL
Pathogenic
Sift
Benign
.;D;.
Sift4G
Uncertain
.;T;.
Polyphen
D;D;.
Vest4
0.94
MVP
0.86
MPC
0.22
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at