rs116526975

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS1

The NM_001364905.1(LRBA):​c.6662T>C​(p.Ile2221Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000146 in 1,555,104 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).

Frequency

Genomes: 𝑓 0.00079 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000076 ( 0 hom. )

Consequence

LRBA
NM_001364905.1 missense

Scores

5
11
3

Clinical Significance

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

Conservation

PhyloP100: 9.30

Publications

4 publications found
Variant links:
Genes affected
LRBA (HGNC:1742): (LPS responsive beige-like anchor protein) The protein encoded by this gene is a member of the WDL-BEACH-WD (WBW) gene family. Its expression is induced in B cells and macrophages by bacterial lipopolysaccharides (LPS). The encoded protein associates with protein kinase A and may be involved in leading intracellular vesicles to activated receptor complexes, which aids in the secretion and/or membrane deposition of immune effector molecules. Defects in this gene are associated with the disorder common variable immunodeficiency-8 with autoimmunity. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2012]
LRBA Gene-Disease associations (from GenCC):
  • combined immunodeficiency due to LRBA deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.03741923).
BP6
Variant 4-150471629-A-G is Benign according to our data. Variant chr4-150471629-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 567653.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000795 (121/152240) while in subpopulation AFR AF = 0.00248 (103/41584). AF 95% confidence interval is 0.00209. There are 0 homozygotes in GnomAd4. There are 58 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LRBANM_001364905.1 linkc.6662T>C p.Ile2221Thr missense_variant Exon 43 of 57 ENST00000651943.2 NP_001351834.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LRBAENST00000651943.2 linkc.6662T>C p.Ile2221Thr missense_variant Exon 43 of 57 NM_001364905.1 ENSP00000498582.2 A0A494C1L5

Frequencies

GnomAD3 genomes
AF:
0.000795
AC:
121
AN:
152122
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00248
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00111
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000166
AC:
39
AN:
235218
AF XY:
0.0000943
show subpopulations
Gnomad AFR exome
AF:
0.00220
Gnomad AMR exome
AF:
0.0000339
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000913
Gnomad OTH exome
AF:
0.000173
GnomAD4 exome
AF:
0.0000756
AC:
106
AN:
1402864
Hom.:
0
Cov.:
24
AF XY:
0.0000856
AC XY:
60
AN XY:
700606
show subpopulations
African (AFR)
AF:
0.00232
AC:
73
AN:
31454
American (AMR)
AF:
0.000256
AC:
10
AN:
39108
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25366
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39132
South Asian (SAS)
AF:
0.0000492
AC:
4
AN:
81234
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53040
Middle Eastern (MID)
AF:
0.000178
AC:
1
AN:
5622
European-Non Finnish (NFE)
AF:
0.00000374
AC:
4
AN:
1069676
Other (OTH)
AF:
0.000240
AC:
14
AN:
58232
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
6
12
17
23
29
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000795
AC:
121
AN:
152240
Hom.:
0
Cov.:
32
AF XY:
0.000779
AC XY:
58
AN XY:
74430
show subpopulations
African (AFR)
AF:
0.00248
AC:
103
AN:
41584
American (AMR)
AF:
0.00111
AC:
17
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67968
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
6
12
18
24
30
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:
0.000292
Hom.:
0
Bravo
AF:
0.00104
ESP6500AA
AF:
0.00159
AC:
7
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000214
AC:
26
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

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

Submissions by phenotype

not provided Uncertain:2
Mar 23, 2020
Mayo Clinic Laboratories, Mayo Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

LRBA-related disorder Uncertain:1
May 07, 2024
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

The LRBA c.6695T>C variant is predicted to result in the amino acid substitution p.Ile2232Thr. This variant, along with another variant in LRBA, was reported in an individual with common variable immunodeficiency (Maffucci et al. 2016. PubMed ID: 27379089). This variant was also reported in the heterozygous state in an individual with features of immunodeficiency (Supplemental Data E3, Similuk et al. 2022. PubMed ID: 35753512). This variant is reported in 0.23% of alleles in individuals of African descent in gnomAD. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Combined immunodeficiency due to LRBA deficiency Benign:1
Dec 02, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.44
BayesDel_addAF
Benign
-0.052
T
BayesDel_noAF
Pathogenic
0.15
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.68
.;D;.;.
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.62
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.94
D;D;D;D
M_CAP
Uncertain
0.17
D
MetaRNN
Benign
0.037
T;T;T;T
MetaSVM
Uncertain
0.25
D
MutationAssessor
Pathogenic
3.2
.;M;.;.
PhyloP100
9.3
PrimateAI
Uncertain
0.73
T
PROVEAN
Uncertain
-4.0
D;D;.;D
REVEL
Pathogenic
0.85
Sift
Uncertain
0.0010
D;D;.;D
Sift4G
Pathogenic
0.0010
D;D;.;D
Polyphen
0.32
B;P;.;.
Vest4
0.80
MVP
0.87
MPC
0.40
ClinPred
0.25
T
GERP RS
5.3
Varity_R
0.67
gMVP
0.71
Mutation Taster
=2/98
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: rs116526975; hg19: chr4-151392781; API