rs148369169

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM1BP4_Strong

The NM_022168.4(IFIH1):​c.2362G>A​(p.Ala788Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000394 in 1,609,668 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 0.0019 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00023 ( 0 hom. )

Consequence

IFIH1
NM_022168.4 missense

Scores

2
10
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: 4.85
Variant links:
Genes affected
IFIH1 (HGNC:18873): (interferon induced with helicase C domain 1) IFIH1 encodes MDA5 which is an intracellular sensor of viral RNA that triggers the innate immune response. Sensing RNA length and secondary structure, MDA5 binds dsRNA oligonucleotides with a modified DExD/H-box helicase core and a C-terminal domain, thus leading to a proinflammatory response that includes interferons. It has been shown that Coronaviruses (CoVs) as well as various other virus families, are capable of evading the MDA5-dependent interferon response, thus impeding the activation of the innate immune response to infection. MDA5 has also been shown to play an important role in enhancing natural killer cell function in malaria infection. In addition to its protective role in antiviral responses, MDA5 has been implicated in autoimmune and autoinflammatory diseases such as type 1 diabetes, systemic lupus erythematosus, and Aicardi-Goutieres syndrome[provided by RefSeq, Jul 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM1
In a domain Helicase C-terminal (size 182) in uniprot entity IFIH1_HUMAN there are 6 pathogenic changes around while only 2 benign (75%) in NM_022168.4
BP4
Computational evidence support a benign effect (MetaRNN=0.012292206).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IFIH1NM_022168.4 linkuse as main transcriptc.2362G>A p.Ala788Thr missense_variant 12/16 ENST00000649979.2 NP_071451.2 Q9BYX4-1
IFIH1XM_047445407.1 linkuse as main transcriptc.1645G>A p.Ala549Thr missense_variant 11/15 XP_047301363.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IFIH1ENST00000649979.2 linkuse as main transcriptc.2362G>A p.Ala788Thr missense_variant 12/16 NM_022168.4 ENSP00000497271.1 Q9BYX4-1

Frequencies

GnomAD3 genomes
AF:
0.00193
AC:
294
AN:
152128
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00644
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:
0.0000588
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.000608
AC:
152
AN:
250062
Hom.:
0
AF XY:
0.000503
AC XY:
68
AN XY:
135202
show subpopulations
Gnomad AFR exome
AF:
0.00685
Gnomad AMR exome
AF:
0.000645
Gnomad ASJ exome
AF:
0.0000995
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000115
Gnomad OTH exome
AF:
0.000658
GnomAD4 exome
AF:
0.000234
AC:
341
AN:
1457422
Hom.:
0
Cov.:
28
AF XY:
0.000221
AC XY:
160
AN XY:
725270
show subpopulations
Gnomad4 AFR exome
AF:
0.00595
Gnomad4 AMR exome
AF:
0.000764
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.0000757
Gnomad4 SAS exome
AF:
0.0000233
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.0000695
Gnomad4 OTH exome
AF:
0.000398
GnomAD4 genome
AF:
0.00193
AC:
294
AN:
152246
Hom.:
0
Cov.:
33
AF XY:
0.00183
AC XY:
136
AN XY:
74426
show subpopulations
Gnomad4 AFR
AF:
0.00642
Gnomad4 AMR
AF:
0.00111
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00237
Alfa
AF:
0.000440
Hom.:
0
Bravo
AF:
0.00207
ESP6500AA
AF:
0.00590
AC:
26
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000667
AC:
81
EpiCase
AF:
0.000110
EpiControl
AF:
0.0000594

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Aicardi-Goutieres syndrome 7;C4225427:Singleton-Merten syndrome 1 Uncertain:1Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Uncertain significance, criteria provided, single submitterclinical testingCenter for Genomics, Ann and Robert H. Lurie Children's Hospital of ChicagoJun 20, 2019IFIH1 NM_022168.3 exon 12 p.Ala788Thr (c.2362G>A): This variant has not been reported in the literature but is present in 0.6% (156/24918) of African alleles in the Genome Aggregation Database (https://gnomad.broadinstitute.org/variant/2-163130397-C-T). This variant is present in ClinVar (Variation ID:541788). Evolutionary conservation and computational predictive tools suggest that this variant may impact the protein. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. -
Aicardi-Goutieres syndrome 7;C4225427:Singleton-Merten syndrome 1;C5676929:Immunodeficiency 95 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCenter for Genomics, Ann and Robert H. Lurie Children's Hospital of ChicagoMar 30, 2021IFIH1 NM_022168.3 exon 12 p.Ala788Thr (c.2362G>A): This variant has not been reported in the literature but is present in 0.6% (156/24918) of African alleles in the Genome Aggregation Database (https://gnomad.broadinstitute.org/variant/2-163130397-C-T). This variant is present in ClinVar (Variation ID:541788). Evolutionary conservation and computational predictive tools suggest that this variant may impact the protein. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2023- -
IFIH1-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 22, 2024This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.36
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.21
CADD
Uncertain
26
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.53
D;D;.
Eigen
Uncertain
0.67
Eigen_PC
Uncertain
0.63
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.97
.;D;D
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.012
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.6
L;L;.
PrimateAI
Uncertain
0.75
T
PROVEAN
Uncertain
-2.9
.;D;.
REVEL
Uncertain
0.32
Sift
Uncertain
0.0020
.;D;.
Sift4G
Uncertain
0.010
.;D;.
Polyphen
1.0
D;D;.
Vest4
0.93
MVP
0.57
MPC
0.20
ClinPred
0.053
T
GERP RS
4.8
Varity_R
0.82
gMVP
0.85

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs148369169; hg19: chr2-163130397; API