rs10902762

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BA1

This summary comes from the ClinGen Evidence Repository: The NM_000203.5:c.60G>A variant in IDUA is a synonymous (silent) variant (p.Ala20=). The highest population minor allele frequency in gnomAD v4.1.0 is 0.5266 (17787/33780 alleles; 4836 homozygotes; Grpmax Filtering AF 95% confidence = 0.5201) in the Admixed American population, which is higher than the ClinGen Lysosomal Diseases VCEP’s threshold for BA1 (>0.005), and therefore meets this criterion (BA1). In summary, this variant meets the criteria to be classified as benign for mucopolysaccharidosis type 1. IDUA-specific ACMG/AMP criteria applied, as specified by the ClinGen Lysosomal Diseases Variant Curation Expert Panel (Specifications Version 1.0.0): BA1.(Classification approved by the ClinGen Lysosomal Diseases Variant Curation Expert Panel on December 6, 2024) LINK:https://erepo.genome.network/evrepo/ui/classification/CA145888/MONDO:0001586/091

Frequency

Genomes: 𝑓 0.40 ( 12417 hom., cov: 35)
Exomes 𝑓: 0.43 ( 117600 hom. )

Consequence

IDUA
NM_000203.5 synonymous

Scores

2

Clinical Significance

Benign reviewed by expert panel B:14

Conservation

PhyloP100: -0.0380
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]
DGKQ (HGNC:2856): (diacylglycerol kinase theta) The protein encoded by this gene contains three cysteine-rich domains, a proline-rich region, and a pleckstrin homology domain with an overlapping Ras-associating domain. It is localized in the speckle domains of the nucleus, and mediates the regeneration of phosphatidylinositol (PI) from diacylglycerol in the PI-cycle during cell signal transduction. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IDUANM_000203.5 linkc.60G>A p.Ala20Ala synonymous_variant Exon 1 of 14 ENST00000514224.2 NP_000194.2 P35475-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IDUAENST00000514224.2 linkc.60G>A p.Ala20Ala synonymous_variant Exon 1 of 14 2 NM_000203.5 ENSP00000425081.2 P35475-1

Frequencies

GnomAD3 genomes
AF:
0.400
AC:
60646
AN:
151784
Hom.:
12409
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.329
Gnomad AMI
AF:
0.259
Gnomad AMR
AF:
0.483
Gnomad ASJ
AF:
0.367
Gnomad EAS
AF:
0.269
Gnomad SAS
AF:
0.439
Gnomad FIN
AF:
0.437
Gnomad MID
AF:
0.325
Gnomad NFE
AF:
0.429
Gnomad OTH
AF:
0.409
GnomAD3 exomes
AF:
0.502
AC:
23733
AN:
47278
Hom.:
6014
AF XY:
0.496
AC XY:
13983
AN XY:
28186
show subpopulations
Gnomad AFR exome
AF:
0.371
Gnomad AMR exome
AF:
0.620
Gnomad ASJ exome
AF:
0.438
Gnomad EAS exome
AF:
0.387
Gnomad SAS exome
AF:
0.513
Gnomad FIN exome
AF:
0.465
Gnomad NFE exome
AF:
0.476
Gnomad OTH exome
AF:
0.456
GnomAD4 exome
AF:
0.431
AC:
540712
AN:
1255548
Hom.:
117600
Cov.:
34
AF XY:
0.432
AC XY:
266189
AN XY:
616424
show subpopulations
Gnomad4 AFR exome
AF:
0.321
Gnomad4 AMR exome
AF:
0.563
Gnomad4 ASJ exome
AF:
0.395
Gnomad4 EAS exome
AF:
0.342
Gnomad4 SAS exome
AF:
0.466
Gnomad4 FIN exome
AF:
0.436
Gnomad4 NFE exome
AF:
0.433
Gnomad4 OTH exome
AF:
0.415
GnomAD4 genome
AF:
0.399
AC:
60676
AN:
151892
Hom.:
12417
Cov.:
35
AF XY:
0.403
AC XY:
29934
AN XY:
74248
show subpopulations
Gnomad4 AFR
AF:
0.329
Gnomad4 AMR
AF:
0.482
Gnomad4 ASJ
AF:
0.367
Gnomad4 EAS
AF:
0.269
Gnomad4 SAS
AF:
0.439
Gnomad4 FIN
AF:
0.437
Gnomad4 NFE
AF:
0.429
Gnomad4 OTH
AF:
0.411
Alfa
AF:
0.190
Hom.:
357
Bravo
AF:
0.400
Asia WGS
AF:
0.308
AC:
1060
AN:
3444

ClinVar

Significance: Benign
Submissions summary: Benign:14
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:6
May 25, 2018
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mucopolysaccharidosis type 1 Benign:4
May 11, 2017
Natera, Inc.
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Dec 06, 2024
ClinGen Lysosomal Storage Disorder Variant Curation Expert Panel
Significance: Benign
Review Status: reviewed by expert panel
Collection Method: curation

The NM_000203.5:c.60G>A variant in IDUA is a synonymous (silent) variant (p.Ala20=). The highest population minor allele frequency in gnomAD v4.1.0 is 0.5266 (17787/33780 alleles; 4836 homozygotes; Grpmax Filtering AF 95% confidence = 0.5201) in the Admixed American population, which is higher than the ClinGen Lysosomal Diseases VCEP’s threshold for BA1 (>0.005), and therefore meets this criterion (BA1). In summary, this variant meets the criteria to be classified as benign for mucopolysaccharidosis type 1. IDUA-specific ACMG/AMP criteria applied, as specified by the ClinGen Lysosomal Diseases Variant Curation Expert Panel (Specifications Version 1.0.0): BA1. (Classification approved by the ClinGen Lysosomal Diseases Variant Curation Expert Panel on December 6, 2024) -

not provided Benign:4
-
Clinical Genetics, Academic Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Jun 13, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Oct 23, 2015
Mayo Clinic Laboratories, Mayo Clinic
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
11
DANN
Benign
0.86
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs10902762; hg19: chr4-980932; COSMIC: COSV56101795; COSMIC: COSV56101795; API