rs1064422
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate
The NM_020070.4(IGLL1):c.425C>T(p.Pro142Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00101 in 152,040 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 Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. P142P) has been classified as Uncertain significance.
Frequency
Consequence
NM_020070.4 missense
Scores
Clinical Significance
Conservation
Publications
- agammaglobulinemia 2, autosomal recessiveInheritance: Unknown, AR Classification: MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen
- autosomal agammaglobulinemiaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -2 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| IGLL1 | NM_020070.4 | c.425C>T | p.Pro142Leu | missense_variant | Exon 3 of 3 | ENST00000330377.3 | NP_064455.1 | |
| IGLL1 | NM_001369906.1 | c.428C>T | p.Pro143Leu | missense_variant | Exon 3 of 3 | NP_001356835.1 | ||
| IGLL1 | NM_152855.3 | c.*54C>T | 3_prime_UTR_variant | Exon 2 of 2 | NP_690594.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| IGLL1 | ENST00000330377.3 | c.425C>T | p.Pro142Leu | missense_variant | Exon 3 of 3 | 1 | NM_020070.4 | ENSP00000329312.2 | ||
| IGLL1 | ENST00000249053.3 | c.*54C>T | 3_prime_UTR_variant | Exon 2 of 2 | 1 | ENSP00000249053.3 | ||||
| IGLL1 | ENST00000438703.1 | c.428C>T | p.Pro143Leu | missense_variant | Exon 3 of 3 | 2 | ENSP00000403391.1 | |||
| ENSG00000224277 | ENST00000458318.2 | n.409G>A | non_coding_transcript_exon_variant | Exon 4 of 4 | 3 |
Frequencies
GnomAD3 genomes AF: 0.00101 AC: 154AN: 151922Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000299 AC: 75AN: 251082 AF XY: 0.000228 show subpopulations
GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.000866 AC: 1264AN: 1459548Hom.: 1 Cov.: 33 AF XY: 0.000855 AC XY: 621AN XY: 726092 show subpopulations ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
Age Distribution
GnomAD4 genome AF: 0.00101 AC: 154AN: 152040Hom.: 0 Cov.: 32 AF XY: 0.000996 AC XY: 74AN XY: 74316 show subpopulations ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
Age Distribution
ClinVar
Submissions by phenotype
Agammaglobulinemia 2, autosomal recessive Pathogenic:2Uncertain:2
This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 142 of the IGLL1 protein (p.Pro142Leu). This variant is present in population databases (rs1064422, gnomAD 0.07%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with B-cell deficiency and hypogammaglobulinemia (PMID: 9419212). ClinVar contains an entry for this variant (Variation ID: 14825). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. 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. -
The missense variant NM_020070.4(IGLL1):c.425C>T, p.(Pro142Leu) was identified in a homozygous state in a female proband diagnosed with agammaglobulinemia, type 2, in Russian pilot NBS project covering more than 200,000 newborns. This variant has been previously reported in the literature (PMID: 9419212) and is listed in gnomAD v2.1.1 117 times, never in homozygous state. The affected amino acid position is evolutionarily conserved, and multiple in silico prediction tools support a deleterious effect. Taken together, the variant meets the following ACMG/AMP criteria and can be classified as likely pathogenic with PM2, PS1, PP4, PP5 criteria. -
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not provided Pathogenic:1Benign:1
IGLL1: BP4 -
The IGLL1 c.425C>T; p.Pro142Leu variant (rs1064422, ClinVar variant ID 14825) has been found in two patients with agammaglobulinemia and severely reduced B cell levels; one patient was a compound heterozygote, with a premature stop codon on the other chromosome (Minegishi 1998), and the other was a homozygote (Gemayel 2016). Both patients’ IGLL1 genes contained several variants that match the sequence of the highly homologous pseudogene IGLL3P, suggesting the possibility of gene conversion events. Functional studies found that the mutant protein appeared to fold incorrectly and it was not secreted by transfected cells (Minegishi 1998). This variant is listed in the genome Aggregation Database (gnomAD) with a non-Finnish European population frequency of 0.07% (identified on 85 out of 126,310 chromosomes). The proline at position 142 is highly conserved, considering 12 species, and computational analyses of the effects of the p.Pro142Leu variant on protein structure and function predict a deleterious effect (SIFT: damaging, PolyPhen-2: probably damaging). Based on the available information, the p.Pro142Leu variant is likely to be pathogenic. -
not specified Uncertain:1
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IGLL1-related condition Uncertain:1
The IGLL1 c.425C>T variant is predicted to result in the amino acid substitution p.Pro142Leu. This variant was reported in two individuals with primary immunodeficiency, one of which was homozygous, and the other of which had a nonsense variant in trans (Giżewska et al. 2020. PubMed ID: 33178177; Minegishi et al. 1998. PubMed ID: 9419212). This variant is reported in 0.071% of alleles in individuals of European (Non-Finnish) descent in gnomAD. Of note, this variant has been reported in cis along with c.393T>C and c.420T>C, which correspond to reference sequence in the pseudogene and indicates a potential conversion event at this locus (Minegishi et al. 1998. PubMed ID: 9419212). Although we suspect that this variant may be pathogenic, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at