rs1001972534

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000203.5(IDUA):​c.64C>G​(p.Pro22Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000494 in 1,415,660 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P22S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 36)
Exomes 𝑓: 0.0000024 ( 0 hom. )

Consequence

IDUA
NM_000203.5 missense

Scores

1
2
15

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: -0.691

Publications

1 publications found
Variant links:
Genes affected
IDUA (HGNC:5391): (alpha-L-iduronidase) This gene encodes an enzyme that hydrolyzes the terminal alpha-L-iduronic acid residues of two glycosaminoglycans, dermatan sulfate and heparan sulfate. This hydrolysis is required for the lysosomal degradation of these glycosaminoglycans. Mutations in this gene that result in enzymatic deficiency lead to the autosomal recessive disease mucopolysaccharidosis type I (MPS I). [provided by RefSeq, Jul 2008]
SLC26A1 (HGNC:10993): (solute carrier family 26 member 1) This gene is a member of a family of sulfate/anion transporter genes. Family members are well conserved in their genomic (number and size of exons) and protein (aa length among species) structures, but have markedly different tissue expression patterns. This gene is primarily expressed in the liver, pancreas, and brain. Three splice variants that encode different isoforms have been identified. [provided by RefSeq, Jul 2008]
SLC26A1 Gene-Disease associations (from GenCC):
  • nephrolithiasis susceptibility caused by SLC26A1
    Inheritance: AR Classification: MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2420077).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000203.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IDUA
NM_000203.5
MANE Select
c.64C>Gp.Pro22Ala
missense
Exon 1 of 14NP_000194.2
IDUA
NR_110313.1
n.152C>G
non_coding_transcript_exon
Exon 1 of 14
SLC26A1
NM_134425.4
c.576+3980G>C
intron
N/ANP_602297.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
IDUA
ENST00000514224.2
TSL:2 MANE Select
c.64C>Gp.Pro22Ala
missense
Exon 1 of 14ENSP00000425081.2
IDUA
ENST00000247933.9
TSL:1
c.64C>Gp.Pro22Ala
missense
Exon 1 of 14ENSP00000247933.4
SLC26A1
ENST00000398520.6
TSL:1
c.576+3980G>C
intron
N/AENSP00000381532.2

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152044
Hom.:
0
Cov.:
36
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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
GnomAD4 exome
AF:
0.00000237
AC:
3
AN:
1263616
Hom.:
0
Cov.:
35
AF XY:
0.00
AC XY:
0
AN XY:
620816
show subpopulations
African (AFR)
AF:
0.0000801
AC:
2
AN:
24966
American (AMR)
AF:
0.00
AC:
0
AN:
19318
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20316
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27360
South Asian (SAS)
AF:
0.00
AC:
0
AN:
61862
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31332
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3632
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1022852
Other (OTH)
AF:
0.0000192
AC:
1
AN:
51978
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.442
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152044
Hom.:
0
Cov.:
36
AF XY:
0.0000404
AC XY:
3
AN XY:
74272
show subpopulations
African (AFR)
AF:
0.0000965
AC:
4
AN:
41440
American (AMR)
AF:
0.00
AC:
0
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5170
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10568
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67978
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000285
Hom.:
0
Bravo
AF:
0.0000982

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Mucopolysaccharidosis type 1 (2)
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.046
BayesDel_addAF
Benign
-0.012
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
1.3
DANN
Benign
0.39
DEOGEN2
Benign
0.17
T
Eigen
Benign
-0.87
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.20
N
LIST_S2
Benign
0.44
T
M_CAP
Pathogenic
0.84
D
MetaRNN
Benign
0.24
T
MetaSVM
Benign
-0.34
T
MutationAssessor
Benign
0.55
N
PhyloP100
-0.69
PrimateAI
Uncertain
0.78
T
PROVEAN
Benign
-0.10
N
REVEL
Uncertain
0.47
Sift
Benign
0.54
T
Sift4G
Benign
0.53
T
Polyphen
0.0010
B
Vest4
0.21
MutPred
0.29
Loss of relative solvent accessibility (P = 0.0186)
MVP
0.85
MPC
0.18
ClinPred
0.022
T
GERP RS
-0.49
PromoterAI
0.12
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.023
gMVP
0.44
Mutation Taster
=47/53
disease causing

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

Other links and lift over

dbSNP: rs1001972534; hg19: chr4-980936; API