rs199775294

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_001127671.2(LIFR):​c.2074C>T​(p.Arg692*) variant causes a stop gained change. The variant allele was found at a frequency of 0.0000318 in 1,475,820 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000033 ( 0 hom. )

Consequence

LIFR
NM_001127671.2 stop_gained

Scores

4
2
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 3.61
Variant links:
Genes affected
LIFR (HGNC:6597): (LIF receptor subunit alpha) This gene encodes a protein that belongs to the type I cytokine receptor family. This protein combines with a high-affinity converter subunit, gp130, to form a receptor complex that mediates the action of the leukemia inhibitory factor, a polyfunctional cytokine that is involved in cellular differentiation, proliferation and survival in the adult and the embryo. Mutations in this gene cause Schwartz-Jampel syndrome type 2, a disease belonging to the group of the bent-bone dysplasias. A translocation that involves the promoter of this gene, t(5;8)(p13;q12) with the pleiomorphic adenoma gene 1, is associated with salivary gland pleiomorphic adenoma, a common type of benign epithelial tumor of the salivary gland. Multiple splice variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Jun 2018]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 5-38490283-G-A is Pathogenic according to our data. Variant chr5-38490283-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 189235.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-38490283-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LIFRNM_001127671.2 linkuse as main transcriptc.2074C>T p.Arg692* stop_gained 15/20 ENST00000453190.7 NP_001121143.1 P42702-1A8K1Z4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LIFRENST00000453190.7 linkuse as main transcriptc.2074C>T p.Arg692* stop_gained 15/202 NM_001127671.2 ENSP00000398368.2 P42702-1
LIFRENST00000263409.8 linkuse as main transcriptc.2074C>T p.Arg692* stop_gained 15/201 ENSP00000263409.4 P42702-1
LIFRENST00000506003.5 linkuse as main transcriptn.*252C>T non_coding_transcript_exon_variant 5/73 ENSP00000426919.1 H0YAF2
LIFRENST00000506003.5 linkuse as main transcriptn.*252C>T 3_prime_UTR_variant 5/73 ENSP00000426919.1 H0YAF2

Frequencies

GnomAD3 genomes
AF:
0.0000198
AC:
3
AN:
151810
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000404
AC:
10
AN:
247352
Hom.:
0
AF XY:
0.0000224
AC XY:
3
AN XY:
133816
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000800
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000338
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000889
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000332
AC:
44
AN:
1324010
Hom.:
0
Cov.:
20
AF XY:
0.0000301
AC XY:
20
AN XY:
665544
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00103
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000123
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000141
Gnomad4 OTH exome
AF:
0.0000539
GnomAD4 genome
AF:
0.0000198
AC:
3
AN:
151810
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74128
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000767
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Stuve-Wiedemann syndrome Pathogenic:2
Likely pathogenic, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 19, 2014The Arg692X variant in LIFR gene has not been reported in the literature but has been identified in 1/1319 European chromosomes by the ClinSeq project. This nonsense variant leads to a premature termination codon at position 692, which is predicted to lead to a truncated or absent protein. Heterozygous loss of function of the LIFR gene is strongly associated with Stuve-Wiedemann syndrome (SWS). In summary, this variant is likely pathogenic, though additional studies are required to fully establish its clinical significance. -
Pathogenic, no assertion criteria providedliterature onlyOMIMSep 01, 2014- -
not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 18, 2024This sequence change creates a premature translational stop signal (p.Arg692*) in the LIFR gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in LIFR are known to be pathogenic (PMID: 14740318). This variant is present in population databases (rs199775294, gnomAD 0.08%). This premature translational stop signal has been observed in individuals with Stuve-Wiedemann syndrome (PMID: 24988918). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 189235). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. For these reasons, this variant has been classified as Pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.55
D
BayesDel_noAF
Pathogenic
0.63
CADD
Pathogenic
42
DANN
Uncertain
1.0
Eigen
Pathogenic
0.96
Eigen_PC
Pathogenic
0.85
FATHMM_MKL
Uncertain
0.96
D
Vest4
0.93
GERP RS
6.0

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.41
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.41
Position offset: 8

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: rs199775294; hg19: chr5-38490385; COSMIC: COSV54684377; COSMIC: COSV54684377; API