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

Genomes: 𝑓 0.0010 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00087 ( 1 hom. )
Failed GnomAD Quality Control

Consequence

IGLL1
NM_020070.4 missense

Scores

2
3
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:3U:4B:1

Conservation

PhyloP100: 5.74

Publications

10 publications found
Variant links:
Genes affected
IGLL1 (HGNC:5870): (immunoglobulin lambda like polypeptide 1) The preB cell receptor is found on the surface of proB and preB cells, where it is involved in transduction of signals for cellular proliferation, differentiation from the proB cell to the preB cell stage, allelic exclusion at the Ig heavy chain gene locus, and promotion of Ig light chain gene rearrangements. The preB cell receptor is composed of a membrane-bound Ig mu heavy chain in association with a heterodimeric surrogate light chain. This gene encodes one of the surrogate light chain subunits and is a member of the immunoglobulin gene superfamily. This gene does not undergo rearrangement. Mutations in this gene can result in B cell deficiency and agammaglobulinemia, an autosomal recessive disease in which few or no gamma globulins or antibodies are made. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
IGLL1 Gene-Disease associations (from GenCC):
  • agammaglobulinemia 2, autosomal recessive
    Inheritance: Unknown, AR Classification: MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen
  • autosomal agammaglobulinemia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.105534405).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IGLL1NM_020070.4 linkc.425C>T p.Pro142Leu missense_variant Exon 3 of 3 ENST00000330377.3 NP_064455.1 P15814-1
IGLL1NM_001369906.1 linkc.428C>T p.Pro143Leu missense_variant Exon 3 of 3 NP_001356835.1
IGLL1NM_152855.3 linkc.*54C>T 3_prime_UTR_variant Exon 2 of 2 NP_690594.1 P15814-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IGLL1ENST00000330377.3 linkc.425C>T p.Pro142Leu missense_variant Exon 3 of 3 1 NM_020070.4 ENSP00000329312.2 P15814-1
IGLL1ENST00000249053.3 linkc.*54C>T 3_prime_UTR_variant Exon 2 of 2 1 ENSP00000249053.3 P15814-2
IGLL1ENST00000438703.1 linkc.428C>T p.Pro143Leu missense_variant Exon 3 of 3 2 ENSP00000403391.1 C9JEE0
ENSG00000224277ENST00000458318.2 linkn.409G>A non_coding_transcript_exon_variant Exon 4 of 4 3

Frequencies

GnomAD3 genomes
AF:
0.00101
AC:
154
AN:
151922
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.00317
Gnomad EAS
AF:
0.000579
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00178
Gnomad OTH
AF:
0.000960
GnomAD2 exomes
AF:
0.000299
AC:
75
AN:
251082
AF XY:
0.000228
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.000298
Gnomad EAS exome
AF:
0.000218
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.000467
Gnomad OTH exome
AF:
0.000490
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000866
AC:
1264
AN:
1459548
Hom.:
1
Cov.:
33
AF XY:
0.000855
AC XY:
621
AN XY:
726092
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.000239
AC:
8
AN:
33450
American (AMR)
AF:
0.000246
AC:
11
AN:
44694
Ashkenazi Jewish (ASJ)
AF:
0.00299
AC:
78
AN:
26106
East Asian (EAS)
AF:
0.000101
AC:
4
AN:
39694
South Asian (SAS)
AF:
0.000162
AC:
14
AN:
86176
European-Finnish (FIN)
AF:
0.0000936
AC:
5
AN:
53408
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5758
European-Non Finnish (NFE)
AF:
0.000971
AC:
1078
AN:
1109954
Other (OTH)
AF:
0.00109
AC:
66
AN:
60308
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.350
Heterozygous variant carriers
0
64
129
193
258
322
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
30
60
90
120
150
<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:
0.00101
AC:
154
AN:
152040
Hom.:
0
Cov.:
32
AF XY:
0.000996
AC XY:
74
AN XY:
74316
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.000241
AC:
10
AN:
41454
American (AMR)
AF:
0.000197
AC:
3
AN:
15256
Ashkenazi Jewish (ASJ)
AF:
0.00317
AC:
11
AN:
3470
East Asian (EAS)
AF:
0.000581
AC:
3
AN:
5166
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4820
European-Finnish (FIN)
AF:
0.000283
AC:
3
AN:
10602
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00178
AC:
121
AN:
67960
Other (OTH)
AF:
0.000950
AC:
2
AN:
2106
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.399
Heterozygous variant carriers
0
7
14
22
29
36
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000450
Hom.:
0
ExAC
AF:
0.000214
AC:
26

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:3Uncertain:4Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Agammaglobulinemia 2, autosomal recessive Pathogenic:2Uncertain:2
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. -

Dec 02, 2023
Laboratory of Hereditary Immune Disorders, Research Centre for Medical Genetics
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. -

Jan 05, 1998
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Feb 24, 2023
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

- -

not provided Pathogenic:1Benign:1
Oct 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

IGLL1: BP4 -

Apr 01, 2018
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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
May 03, 2020
Genomic Research Center, Shahid Beheshti University of Medical Sciences
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

IGLL1-related condition Uncertain:1
Sep 11, 2024
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

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: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.46
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
22
DANN
Benign
0.95
DEOGEN2
Benign
0.41
T;.
Eigen
Benign
-0.10
Eigen_PC
Benign
-0.41
FATHMM_MKL
Benign
0.45
N
LIST_S2
Benign
0.80
T;T
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.11
T;T
MetaSVM
Benign
-0.88
T
MutationAssessor
Pathogenic
3.6
H;.
PhyloP100
5.7
PrimateAI
Uncertain
0.49
T
PROVEAN
Pathogenic
-8.2
D;D
REVEL
Benign
0.23
Sift
Uncertain
0.014
D;D
Sift4G
Benign
0.062
T;.
Polyphen
1.0
D;.
Vest4
0.49
MVP
0.43
MPC
0.35
ClinPred
0.44
T
GERP RS
1.4
Varity_R
0.57
gMVP
0.73
Mutation Taster
=62/38
disease causing (ClinVar)

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: rs1064422; hg19: chr22-23915670; COSMIC: COSV50770279; COSMIC: COSV50770279; API