Menu
GeneBe

chr4-56441804-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 4P and 1B. PM2PP3PP5BP4

The NM_001079524.2(PAICS):ā€‹c.158A>Gā€‹(p.Lys53Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00111 in 1,601,258 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: š‘“ 0.00072 ( 0 hom., cov: 32)
Exomes š‘“: 0.0012 ( 0 hom. )

Consequence

PAICS
NM_001079524.2 missense

Scores

7
8
3

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 9.05
Variant links:
Genes affected
PAICS (HGNC:8587): (phosphoribosylaminoimidazole carboxylase and phosphoribosylaminoimidazolesuccinocarboxamide synthase) This gene encodes a bifunctional enzyme containing phosphoribosylaminoimidazole carboxylase activity in its N-terminal region and phosphoribosylaminoimidazole succinocarboxamide synthetase in its C-terminal region. It catalyzes steps 6 and 7 of purine biosynthesis. The gene is closely linked and divergently transcribed with a locus that encodes an enzyme in the same pathway, and transcription of the two genes is coordinately regulated. The human genome contains several pseudogenes of this gene. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Multiple lines of computational evidence support a deleterious effect 7: AlphaMissense, BayesDel_noAF, Cadd, Eigen, MutationAssessor, phyloP100way_vertebrate, REVEL [when max_spliceai, FATHMM_MKL, M_CAP, MetaRNN, MutationTaster was below the threshold]
PP5
Variant 4-56441804-A-G is Pathogenic according to our data. Variant chr4-56441804-A-G is described in ClinVar as [Pathogenic]. Clinvar id is 1686821.Status of the report is no_assertion_criteria_provided, 0 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.095124185). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PAICSNM_001079524.2 linkuse as main transcriptc.158A>G p.Lys53Arg missense_variant 2/9 ENST00000512576.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PAICSENST00000512576.3 linkuse as main transcriptc.158A>G p.Lys53Arg missense_variant 2/91 NM_001079524.2 P3P22234-1

Frequencies

GnomAD3 genomes
AF:
0.000716
AC:
109
AN:
152206
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000827
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00122
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000793
AC:
180
AN:
226950
Hom.:
0
AF XY:
0.000811
AC XY:
99
AN XY:
122130
show subpopulations
Gnomad AFR exome
AF:
0.000286
Gnomad AMR exome
AF:
0.000666
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000764
Gnomad FIN exome
AF:
0.000242
Gnomad NFE exome
AF:
0.00125
Gnomad OTH exome
AF:
0.000355
GnomAD4 exome
AF:
0.00116
AC:
1675
AN:
1448934
Hom.:
0
Cov.:
30
AF XY:
0.00111
AC XY:
799
AN XY:
719156
show subpopulations
Gnomad4 AFR exome
AF:
0.000180
Gnomad4 AMR exome
AF:
0.000704
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000788
Gnomad4 FIN exome
AF:
0.000246
Gnomad4 NFE exome
AF:
0.00135
Gnomad4 OTH exome
AF:
0.00112
GnomAD4 genome
AF:
0.000716
AC:
109
AN:
152324
Hom.:
0
Cov.:
32
AF XY:
0.000846
AC XY:
63
AN XY:
74494
show subpopulations
Gnomad4 AFR
AF:
0.000241
Gnomad4 AMR
AF:
0.000457
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000828
Gnomad4 FIN
AF:
0.000377
Gnomad4 NFE
AF:
0.00122
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.00105
Hom.:
0
Bravo
AF:
0.000733
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000543
AC:
2
ESP6500EA
AF:
0.000979
AC:
8
ExAC
AF:
0.000845
AC:
102
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Phosphoribosylaminoimidazole carboxylase deficiency Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 28, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.85
BayesDel_addAF
Uncertain
0.047
T
BayesDel_noAF
Pathogenic
0.27
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.43
T;T;.;T
Eigen
Pathogenic
0.88
Eigen_PC
Pathogenic
0.84
FATHMM_MKL
Pathogenic
1.0
D
M_CAP
Benign
0.045
D
MetaRNN
Benign
0.095
T;T;T;T
MetaSVM
Uncertain
0.26
D
MutationAssessor
Pathogenic
3.4
M;.;M;M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.55
T
PROVEAN
Uncertain
-2.7
D;D;D;D
REVEL
Pathogenic
0.72
Sift
Uncertain
0.0040
D;D;D;D
Sift4G
Uncertain
0.022
D;D;D;D
Polyphen
0.93
P;P;D;P
Vest4
0.93
MVP
0.75
MPC
0.44
ClinPred
0.13
T
GERP RS
5.5
Varity_R
0.89
gMVP
0.89

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: rs192831239; hg19: chr4-57307970; COSMIC: COSV51710271; API