chr2-88627211-C-CCAGCAG

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP6BS1

The NM_004836.7(EIF2AK3):​c.63_64insCTGCTG​(p.Leu20_Leu21dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., cov: 0)
Exomes 𝑓: 0.00021 ( 0 hom. )

Consequence

EIF2AK3
NM_004836.7 inframe_insertion

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 0.853
Variant links:
Genes affected
EIF2AK3 (HGNC:3255): (eukaryotic translation initiation factor 2 alpha kinase 3) The protein encoded by this gene phosphorylates the alpha subunit of eukaryotic translation-initiation factor 2, leading to its inactivation, and thus to a rapid reduction of translational initiation and repression of global protein synthesis. This protein is thought to modulate mitochondrial function. It is a type I membrane protein located in the endoplasmic reticulum (ER), where it is induced by ER stress caused by malfolded proteins. Mutations in this gene are associated with Wolcott-Rallison syndrome. [provided by RefSeq, Sep 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP6
Variant 2-88627211-C-CCAGCAG is Benign according to our data. Variant chr2-88627211-C-CCAGCAG is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 1061835.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.000132 (20/151044) while in subpopulation EAS AF= 0.000393 (2/5088). AF 95% confidence interval is 0.000125. There are 0 homozygotes in gnomad4. There are 9 alleles in male gnomad4 subpopulation. Median coverage is 0. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EIF2AK3NM_004836.7 linkuse as main transcriptc.63_64insCTGCTG p.Leu20_Leu21dup inframe_insertion 1/17 ENST00000303236.9 NP_004827.4
EIF2AK3XM_047446430.1 linkuse as main transcriptc.63_64insCTGCTG p.Leu20_Leu21dup inframe_insertion 1/12 XP_047302386.1
EIF2AK3XM_047446428.1 linkuse as main transcriptc.17+477_17+478insCTGCTG intron_variant XP_047302384.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EIF2AK3ENST00000303236.9 linkuse as main transcriptc.63_64insCTGCTG p.Leu20_Leu21dup inframe_insertion 1/171 NM_004836.7 ENSP00000307235 P1
EIF2AK3ENST00000682892.1 linkuse as main transcriptc.-145-13359_-145-13358insCTGCTG intron_variant ENSP00000507214
EIF2AK3ENST00000652099.1 linkuse as main transcriptc.61_62insCTGCTG p.Leu20_Leu21dup inframe_insertion, NMD_transcript_variant 1/18 ENSP00000498211
EIF2AK3ENST00000652423.1 linkuse as main transcriptc.63_64insCTGCTG p.Leu20_Leu21dup inframe_insertion, NMD_transcript_variant 1/4 ENSP00000498948

Frequencies

GnomAD3 genomes
AF:
0.000132
AC:
20
AN:
151044
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.0000970
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000393
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000207
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000199
AC:
13
AN:
65220
Hom.:
0
AF XY:
0.000241
AC XY:
9
AN XY:
37308
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00224
Gnomad SAS exome
AF:
0.0000710
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000256
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000206
AC:
263
AN:
1278938
Hom.:
0
Cov.:
0
AF XY:
0.000200
AC XY:
126
AN XY:
630080
show subpopulations
Gnomad4 AFR exome
AF:
0.000117
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000146
Gnomad4 SAS exome
AF:
0.0000142
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000243
Gnomad4 OTH exome
AF:
0.0000943
GnomAD4 genome
AF:
0.000132
AC:
20
AN:
151044
Hom.:
0
Cov.:
0
AF XY:
0.000122
AC XY:
9
AN XY:
73738
show subpopulations
Gnomad4 AFR
AF:
0.0000970
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000393
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000207
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 01, 2022This variant, c.58_63dup, results in the insertion of 2 amino acid(s) of the EIF2AK3 protein (p.Leu20_Leu21dup), but otherwise preserves the integrity of the reading frame. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with EIF2AK3-related conditions. ClinVar contains an entry for this variant (Variation ID: 1061835). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -
Connective tissue disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenOct 19, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs1805190; hg19: chr2-88926729; API