rs137853896

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001379150.1(IRS4):​c.1315A>T​(p.Ser439Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000721 in 1,210,186 control chromosomes in the GnomAD database, including 3 homozygotes. There are 295 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in Lovd as Benign (no stars).

Frequency

Genomes: 𝑓 0.00061 ( 0 hom., 23 hem., cov: 22)
Exomes 𝑓: 0.00073 ( 3 hom. 272 hem. )

Consequence

IRS4
NM_001379150.1 missense

Scores

1
3
13

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.228
Variant links:
Genes affected
IRS4 (HGNC:6128): (insulin receptor substrate 4) IRS4 encodes the insulin receptor substrate 4, a cytoplasmic protein that contains many potential tyrosine and serine/threonine phosphorylation sites. Tyrosine-phosphorylated IRS4 protein has been shown to associate with cytoplasmic signalling molecules that contain SH2 domains. The IRS4 protein is phosphorylated by the insulin receptor tyrosine kinase upon receptor stimulation.. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005941719).
BP6
Variant X-108735030-T-A is Benign according to our data. Variant chrX-108735030-T-A is described in Lovd as [Benign].
BS2
High Hemizygotes in GnomAd4 at 23 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IRS4NM_001379150.1 linkuse as main transcriptc.1315A>T p.Ser439Cys missense_variant 1/2 ENST00000372129.4 NP_001366079.1
IRS4NM_003604.2 linkuse as main transcriptc.1315A>T p.Ser439Cys missense_variant 1/1 NP_003595.1 O14654
IRS4XM_011531061.2 linkuse as main transcriptc.1315A>T p.Ser439Cys missense_variant 1/3 XP_011529363.1
IRS4XM_006724713.4 linkuse as main transcriptc.1315A>T p.Ser439Cys missense_variant 1/2 XP_006724776.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IRS4ENST00000372129.4 linkuse as main transcriptc.1315A>T p.Ser439Cys missense_variant 1/26 NM_001379150.1 ENSP00000361202.3 A0A804CF45
IRS4ENST00000564206.2 linkuse as main transcriptc.1315A>T p.Ser439Cys missense_variant 1/16 ENSP00000505547.1 O14654

Frequencies

GnomAD3 genomes
AF:
0.000608
AC:
68
AN:
111899
Hom.:
0
Cov.:
22
AF XY:
0.000675
AC XY:
23
AN XY:
34083
show subpopulations
Gnomad AFR
AF:
0.000163
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000739
Gnomad FIN
AF:
0.00446
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000640
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00111
AC:
203
AN:
183389
Hom.:
0
AF XY:
0.00115
AC XY:
78
AN XY:
67829
show subpopulations
Gnomad AFR exome
AF:
0.0000760
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00115
Gnomad FIN exome
AF:
0.00638
Gnomad NFE exome
AF:
0.000904
Gnomad OTH exome
AF:
0.000883
GnomAD4 exome
AF:
0.000732
AC:
804
AN:
1098232
Hom.:
3
Cov.:
34
AF XY:
0.000748
AC XY:
272
AN XY:
363590
show subpopulations
Gnomad4 AFR exome
AF:
0.000114
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00102
Gnomad4 FIN exome
AF:
0.00632
Gnomad4 NFE exome
AF:
0.000555
Gnomad4 OTH exome
AF:
0.000477
GnomAD4 genome
AF:
0.000607
AC:
68
AN:
111954
Hom.:
0
Cov.:
22
AF XY:
0.000674
AC XY:
23
AN XY:
34148
show subpopulations
Gnomad4 AFR
AF:
0.000162
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000740
Gnomad4 FIN
AF:
0.00446
Gnomad4 NFE
AF:
0.000640
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000582
Hom.:
5
Bravo
AF:
0.000283
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000346
AC:
1
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.000595
AC:
4
ExAC
AF:
0.00112
AC:
136
EpiCase
AF:
0.000382
EpiControl
AF:
0.000533

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
16
DANN
Benign
0.70
DEOGEN2
Uncertain
0.60
D
FATHMM_MKL
Benign
0.18
N
LIST_S2
Benign
0.37
T
M_CAP
Benign
0.0089
T
MetaRNN
Benign
0.0059
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.0
L
PrimateAI
Benign
0.34
T
PROVEAN
Uncertain
-2.8
D
REVEL
Benign
0.019
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0010
D
Polyphen
0.0070
B
Vest4
0.040
MVP
0.068
MPC
0.58
ClinPred
0.022
T
GERP RS
-0.42
Varity_R
0.17
gMVP
0.64

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: rs137853896; hg19: chrX-107978260; API