rs11934801

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP6

The NM_000203.5(IDUA):​c.1225G>A​(p.Gly409Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000752 in 1,330,556 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Benign in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G409E) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.5e-7 ( 0 hom. )

Consequence

IDUA
NM_000203.5 missense

Scores

3
6
10

Clinical Significance

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

Conservation

PhyloP100: 0.768

Publications

16 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]
IDUA Gene-Disease associations (from GenCC):
  • mucopolysaccharidosis type 1
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen, Myriad Women’s Health
  • Scheie syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae), Orphanet
  • Hurler syndrome
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, PanelApp Australia
  • Hurler-Scheie syndrome
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP6
Variant 4-1002767-G-A is Benign according to our data. Variant chr4-1002767-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 1084956.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IDUANM_000203.5 linkc.1225G>A p.Gly409Arg missense_variant Exon 9 of 14 ENST00000514224.2 NP_000194.2 P35475-1
IDUANM_001363576.1 linkc.829G>A p.Gly277Arg missense_variant Exon 8 of 13 NP_001350505.1
IDUAXM_047415650.1 linkc.1225G>A p.Gly409Arg missense_variant Exon 9 of 12 XP_047271606.1
IDUANR_110313.1 linkn.1313G>A non_coding_transcript_exon_variant Exon 9 of 14

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IDUAENST00000514224.2 linkc.1225G>A p.Gly409Arg missense_variant Exon 9 of 14 2 NM_000203.5 ENSP00000425081.2 P35475-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
7.52e-7
AC:
1
AN:
1330556
Hom.:
0
Cov.:
34
AF XY:
0.00000152
AC XY:
1
AN XY:
655768
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26864
American (AMR)
AF:
0.00
AC:
0
AN:
29492
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23574
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29684
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73162
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33404
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3930
European-Non Finnish (NFE)
AF:
9.48e-7
AC:
1
AN:
1055108
Other (OTH)
AF:
0.00
AC:
0
AN:
55338
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.00
Hom.:
3
Bravo
AF:
0.00000756

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Apr 09, 2024
Mayo Clinic Laboratories, Mayo Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PM2 -

Mucopolysaccharidosis type 1 Benign:1
Jan 11, 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
Benign
0.18
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Uncertain
-0.060
CADD
Benign
18
DANN
Benign
0.94
DEOGEN2
Pathogenic
0.83
D;.
Eigen
Benign
-0.10
Eigen_PC
Benign
-0.27
FATHMM_MKL
Benign
0.47
N
LIST_S2
Benign
0.72
T;.
M_CAP
Pathogenic
0.85
D
MetaRNN
Uncertain
0.43
T;T
MetaSVM
Uncertain
0.23
D
MutationAssessor
Benign
1.6
L;.
PhyloP100
0.77
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-2.8
D;D
REVEL
Uncertain
0.45
Sift
Benign
0.088
T;T
Sift4G
Benign
0.12
T;T
Polyphen
0.98
D;.
Vest4
0.24
MVP
0.99
MPC
0.32
ClinPred
0.40
T
GERP RS
2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.26
gMVP
0.59
Mutation Taster
=88/12
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs11934801; hg19: chr4-996555; API