chr8-81659466-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The ENST00000256108.10(IMPA1):​c.719G>A​(p.Gly240Asp) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000649 in 1,385,922 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000065 ( 0 hom. )

Consequence

IMPA1
ENST00000256108.10 missense, splice_region

Scores

9
8
2
Splicing: ADA: 0.9783
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.43
Variant links:
Genes affected
IMPA1 (HGNC:6050): (inositol monophosphatase 1) This gene encodes an enzyme that dephosphorylates myo-inositol monophosphate to generate free myo-inositol, a precursor of phosphatidylinositol, and is therefore an important modulator of intracellular signal transduction via the production of the second messengers myoinositol 1,4,5-trisphosphate and diacylglycerol. This enzyme can also use myo-inositol-1,3-diphosphate, myo-inositol-1,4-diphosphate, scyllo-inositol-phosphate, glucose-1-phosphate, glucose-6-phosphate, fructose-1-phosphate, beta-glycerophosphate, and 2'-AMP as substrates. This enzyme shows magnesium-dependent phosphatase activity and is inhibited by therapeutic concentrations of lithium. Inhibition of inositol monophosphate hydroylosis and subsequent depletion of inositol for phosphatidylinositol synthesis may explain the anti-manic and anti-depressive effects of lithium administered to treat bipolar disorder. Alternative splicing results in multiple transcript variants encoding distinct isoforms. A pseudogene of this gene is also present on chromosome 8q21.13. [provided by RefSeq, Dec 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.966

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IMPA1NM_005536.4 linkuse as main transcriptc.719G>A p.Gly240Asp missense_variant, splice_region_variant 9/9 ENST00000256108.10 NP_005527.1
IMPA1NM_001144878.2 linkuse as main transcriptc.896G>A p.Gly299Asp missense_variant, splice_region_variant 10/10 NP_001138350.1
IMPA1NM_001144879.2 linkuse as main transcriptc.*13G>A splice_region_variant, 3_prime_UTR_variant 8/8 NP_001138351.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IMPA1ENST00000256108.10 linkuse as main transcriptc.719G>A p.Gly240Asp missense_variant, splice_region_variant 9/91 NM_005536.4 ENSP00000256108 P1P29218-1
IMPA1ENST00000449740.6 linkuse as main transcriptc.896G>A p.Gly299Asp missense_variant, splice_region_variant 10/101 ENSP00000408526 P29218-3
IMPA1ENST00000311489.8 linkuse as main transcriptc.*13G>A splice_region_variant, 3_prime_UTR_variant 8/82 ENSP00000311803 P29218-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000649
AC:
9
AN:
1385922
Hom.:
0
Cov.:
23
AF XY:
0.00000288
AC XY:
2
AN XY:
693814
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.00000859
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Intellectual disability, autosomal recessive 59 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingBaylor GeneticsMar 02, 2019This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.72
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.070
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.68
D;.
Eigen
Pathogenic
0.93
Eigen_PC
Pathogenic
0.83
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.96
D;D
M_CAP
Benign
0.040
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Uncertain
0.26
D
MutationAssessor
Pathogenic
3.2
M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Pathogenic
-6.0
D;D
REVEL
Uncertain
0.59
Sift
Pathogenic
0.0
D;D
Sift4G
Uncertain
0.0030
D;D
Polyphen
1.0
D;.
Vest4
0.83
MutPred
0.85
Loss of MoRF binding (P = 0.2374);.;
MVP
0.87
MPC
0.63
ClinPred
1.0
D
GERP RS
4.9
Varity_R
0.95
gMVP
0.90

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.98
dbscSNV1_RF
Pathogenic
0.84
SpliceAI score (max)
0.020
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: rs1260261553; hg19: chr8-82571701; API