rs151098394

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001364905.1(LRBA):​c.2674G>A​(p.Ala892Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000891 in 1,613,450 control chromosomes in the GnomAD database, including 8 homozygotes. 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 ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0043 ( 4 hom., cov: 32)
Exomes 𝑓: 0.00053 ( 4 hom. )

Consequence

LRBA
NM_001364905.1 missense

Scores

5
13

Clinical Significance

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

Conservation

PhyloP100: 3.43
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008976221).
BP6
Variant 4-150867763-C-T is Benign according to our data. Variant chr4-150867763-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 473172.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=2, Benign=2}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00434 (661/152202) while in subpopulation AFR AF= 0.0142 (589/41552). AF 95% confidence interval is 0.0132. There are 4 homozygotes in gnomad4. There are 314 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LRBANM_001364905.1 linkuse as main transcriptc.2674G>A p.Ala892Thr missense_variant 22/57 ENST00000651943.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LRBAENST00000651943.2 linkuse as main transcriptc.2674G>A p.Ala892Thr missense_variant 22/57 NM_001364905.1 P3

Frequencies

GnomAD3 genomes
AF:
0.00431
AC:
656
AN:
152084
Hom.:
4
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0141
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00288
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000235
Gnomad OTH
AF:
0.00479
GnomAD3 exomes
AF:
0.00119
AC:
300
AN:
251260
Hom.:
1
AF XY:
0.000906
AC XY:
123
AN XY:
135798
show subpopulations
Gnomad AFR exome
AF:
0.0141
Gnomad AMR exome
AF:
0.00119
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000167
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.000532
AC:
777
AN:
1461248
Hom.:
4
Cov.:
31
AF XY:
0.000472
AC XY:
343
AN XY:
726942
show subpopulations
Gnomad4 AFR exome
AF:
0.0133
Gnomad4 AMR exome
AF:
0.00141
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000159
Gnomad4 OTH exome
AF:
0.00129
GnomAD4 genome
AF:
0.00434
AC:
661
AN:
152202
Hom.:
4
Cov.:
32
AF XY:
0.00422
AC XY:
314
AN XY:
74412
show subpopulations
Gnomad4 AFR
AF:
0.0142
Gnomad4 AMR
AF:
0.00288
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000235
Gnomad4 OTH
AF:
0.00474
Alfa
AF:
0.000927
Hom.:
0
Bravo
AF:
0.00492
ESP6500AA
AF:
0.0129
AC:
57
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00153
AC:
186
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.000545
EpiControl
AF:
0.000178

ClinVar

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

Submissions by phenotype

Combined immunodeficiency due to LRBA deficiency Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingNew York Genome CenterMar 04, 2021- -
Benign, criteria provided, single submitterclinical testingInvitaeJan 25, 2024- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 14, 2022Variant summary: LRBA c.2674G>A (p.Ala892Thr) results in a non-conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.0012 in 251260 control chromosomes in the gnomAD database, including 1 homozygotes. This frequency does not allow conclusions about variant significance. c.2674G>A has been reported in the literature in an individual affected with Common Variable Immunodeficiency, without strong evidence for causality (Maffucci_2016). This report does not provide unequivocal conclusions about association of the variant with Common Variable Immunodeficiency 8, With Autoimmunity. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. One laboratory classified the variant as benign, and one laboratory classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2023LRBA: BS1, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.028
.;T;.
Eigen
Benign
0.14
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.87
D;D;D
MetaRNN
Benign
0.0090
T;T;T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
1.0
L;L;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Benign
-0.56
N;N;N
REVEL
Benign
0.063
Sift
Benign
0.15
T;T;T
Sift4G
Benign
0.15
T;T;T
Polyphen
0.58
P;B;.
Vest4
0.44
MVP
0.63
MPC
0.24
ClinPred
0.0045
T
GERP RS
5.7
Varity_R
0.082
gMVP
0.27

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: rs151098394; hg19: chr4-151788915; COSMIC: COSV100840750; API