rs143722284

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 1P and 11B. PP3BP4_ModerateBP6BS1BS2

The NM_018060.4(IARS2):​c.2122G>A​(p.Glu708Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00111 in 1,614,100 control chromosomes in the GnomAD database, including 8 homozygotes. 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 0.00093 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0011 ( 7 hom. )

Consequence

IARS2
NM_018060.4 missense

Scores

6
6
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:2B:5

Conservation

PhyloP100: 9.15
Variant links:
Genes affected
IARS2 (HGNC:29685): (isoleucyl-tRNA synthetase 2, mitochondrial) Aminoacyl-tRNA synthetases catalyze the aminoacylation of tRNA by their cognate amino acid. Because of their central role in linking amino acids with nucleotide triplets contained in tRNAS, aminoacyl-tRNA synthetases are thought to be among the first proteins that appeared in evolution. Two forms of isoleucine-tRNA synthetase exist, a cytoplasmic form and a mitochondrial form. This gene encodes the mitochondrial isoleucine-tRNA synthetase which belongs to the class-I aminoacyl-tRNA synthetase family. [provided by RefSeq, Dec 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

PP3
Multiple lines of computational evidence support a deleterious effect 5: BayesDel_noAF, Eigen, M_CAP, MutationAssessor, phyloP100way_vertebrate [when max_spliceai, MetaRNN, MutationTaster was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.092580944).
BP6
Variant 1-220137990-G-A is Benign according to our data. Variant chr1-220137990-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 156552.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=5, Uncertain_significance=1}. Variant chr1-220137990-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.00113 (1653/1461838) while in subpopulation SAS AF= 0.00284 (245/86256). AF 95% confidence interval is 0.00255. There are 7 homozygotes in gnomad4_exome. There are 858 alleles in male gnomad4_exome subpopulation. Median coverage is 30. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IARS2NM_018060.4 linkuse as main transcriptc.2122G>A p.Glu708Lys missense_variant 17/23 ENST00000366922.3 NP_060530.3 Q9NSE4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IARS2ENST00000366922.3 linkuse as main transcriptc.2122G>A p.Glu708Lys missense_variant 17/231 NM_018060.4 ENSP00000355889.2 Q9NSE4
IARS2ENST00000488777.1 linkuse as main transcriptn.349G>A non_coding_transcript_exon_variant 1/32

Frequencies

GnomAD3 genomes
AF:
0.000940
AC:
143
AN:
152144
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00207
Gnomad FIN
AF:
0.00255
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00138
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.00127
AC:
319
AN:
251460
Hom.:
5
AF XY:
0.00134
AC XY:
182
AN XY:
135906
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000198
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00300
Gnomad FIN exome
AF:
0.00379
Gnomad NFE exome
AF:
0.00116
Gnomad OTH exome
AF:
0.000978
GnomAD4 exome
AF:
0.00113
AC:
1653
AN:
1461838
Hom.:
7
Cov.:
30
AF XY:
0.00118
AC XY:
858
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000765
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00284
Gnomad4 FIN exome
AF:
0.00354
Gnomad4 NFE exome
AF:
0.00104
Gnomad4 OTH exome
AF:
0.000795
GnomAD4 genome
AF:
0.000933
AC:
142
AN:
152262
Hom.:
1
Cov.:
33
AF XY:
0.00110
AC XY:
82
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.000192
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00187
Gnomad4 FIN
AF:
0.00255
Gnomad4 NFE
AF:
0.00138
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00103
Hom.:
0
Bravo
AF:
0.000638
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00128
AC:
11
ExAC
AF:
0.00123
AC:
150
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00120
EpiControl
AF:
0.000889

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:2Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:3
Uncertain significance, no assertion criteria providedliterature onlyOMIMNov 01, 2014- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024IARS2: BS2 -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxSep 11, 2024In silico analysis indicates that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 30419932, 30041933, 25130867, 34426522, LopesBragaV2023[article], 33972171, 39062673) -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 15, 2024- -
Leigh syndrome Pathogenic:1
Pathogenic, no assertion criteria providedresearchSamuels research lab, Centre de Recherche du CHU Ste-JustineApr 01, 2014- -
Cataract-growth hormone deficiency-sensory neuropathy-sensorineural hearing loss-skeletal dysplasia syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpJul 12, 2024Variant summary: IARS2 c.2122G>A (p.Glu708Lys) results in a conservative amino acid change located in the Aminoacyl-tRNA synthetase, class Ia domain (IPR002300) of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.0013 in 251460 control chromosomes, predominantly at a frequency of 0.003 within the South Asian subpopulation in the gnomAD database, including 4 homozygotes. The observed variant frequency within South Asian control individuals in the gnomAD database exceeds the estimated maximal expected allele frequency for a pathogenic variant in IARS2 causing Cataract-Growth Hormone Deficiency-Sensory Neuropathy-Sensorineural Hearing Loss-Skeletal Dysplasia Syndrome phenotype. c.2122G>A has been reported in the literature in the presumed compound heterozygous state in multiple individuals affected with clinical features of IARS2-related conditions, however the the population frequency of this variant is not in pathogenic range. These report(s) do not provide unequivocal conclusions about association of the variant with IARS2-related conditions. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 33327715, 33972171, 25130867). ClinVar contains an entry for this variant (Variation ID: 156552). Based on the evidence outlined above, the variant was classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.35
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Pathogenic
0.43
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.37
T
Eigen
Pathogenic
0.72
Eigen_PC
Pathogenic
0.71
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.95
D
M_CAP
Pathogenic
0.76
D
MetaRNN
Benign
0.093
T
MetaSVM
Benign
-0.53
T
MutationAssessor
Pathogenic
3.0
M
PrimateAI
Uncertain
0.63
T
REVEL
Uncertain
0.43
Sift4G
Benign
0.13
T
Polyphen
0.94
P
Vest4
0.94
MVP
0.61
ClinPred
0.11
T
GERP RS
6.0
Varity_R
0.62
gMVP
0.69

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs143722284; hg19: chr1-220311332; COSMIC: COSV56957426; COSMIC: COSV56957426; API