rs3093370

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBP6

The NM_181078.3(IL21R):​c.571C>T​(p.Arg191Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000135 in 1,584,130 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 0.00066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000079 ( 0 hom. )

Consequence

IL21R
NM_181078.3 missense

Scores

1
9
9

Clinical Significance

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

Conservation

PhyloP100: 1.59
Variant links:
Genes affected
IL21R (HGNC:6006): (interleukin 21 receptor) The protein encoded by this gene is a cytokine receptor for interleukin 21 (IL21). It belongs to the type I cytokine receptors, and has been shown to form a heterodimeric receptor complex with the common gamma-chain, a receptor subunit also shared by the receptors for interleukin 2, 4, 7, 9, and 15. This receptor transduces the growth promoting signal of IL21, and is important for the proliferation and differentiation of T cells, B cells, and natural killer (NK) cells. The ligand binding of this receptor leads to the activation of multiple downstream signaling molecules, including JAK1, JAK3, STAT1, and STAT3. Knockout studies of a similar gene in mouse suggest a role for this gene in regulating immunoglobulin production. Three alternatively spliced transcript variants have been described. [provided by RefSeq, Jul 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.015031099).
BP6
Variant 16-27444605-C-T is Benign according to our data. Variant chr16-27444605-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 709593.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IL21RNM_181078.3 linkc.571C>T p.Arg191Cys missense_variant Exon 6 of 9 ENST00000337929.8 NP_851564.1 Q9HBE5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IL21RENST00000337929.8 linkc.571C>T p.Arg191Cys missense_variant Exon 6 of 9 1 NM_181078.3 ENSP00000338010.3 Q9HBE5

Frequencies

GnomAD3 genomes
AF:
0.000664
AC:
101
AN:
152196
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00234
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000159
AC:
36
AN:
227112
Hom.:
0
AF XY:
0.000138
AC XY:
17
AN XY:
123264
show subpopulations
Gnomad AFR exome
AF:
0.00213
Gnomad AMR exome
AF:
0.000101
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000372
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000189
GnomAD4 exome
AF:
0.0000789
AC:
113
AN:
1431816
Hom.:
0
Cov.:
31
AF XY:
0.0000703
AC XY:
50
AN XY:
711440
show subpopulations
Gnomad4 AFR exome
AF:
0.00235
Gnomad4 AMR exome
AF:
0.000123
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000611
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.0000128
Gnomad4 OTH exome
AF:
0.000220
GnomAD4 genome
AF:
0.000663
AC:
101
AN:
152314
Hom.:
0
Cov.:
32
AF XY:
0.000698
AC XY:
52
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.00233
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000123
Hom.:
0
Bravo
AF:
0.000824
ESP6500AA
AF:
0.00319
AC:
14
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000239
AC:
29

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Feb 15, 2023
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis supports that this missense variant does not alter protein structure/function; Reported as a heterozygous, de novo variant in a proband with a developmental disorder (Turner et al., 2019); This variant is associated with the following publications: (PMID: 31785789) -

Cryptosporidiosis-chronic cholangitis-liver disease syndrome Benign:1
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.11
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.45
T;T;T
Eigen
Uncertain
0.22
Eigen_PC
Benign
0.21
FATHMM_MKL
Benign
0.62
D
LIST_S2
Benign
0.70
.;.;T
M_CAP
Uncertain
0.28
D
MetaRNN
Benign
0.015
T;T;T
MetaSVM
Uncertain
0.35
D
MutationAssessor
Uncertain
2.5
M;M;M
PrimateAI
Benign
0.24
T
PROVEAN
Uncertain
-2.5
N;N;N
REVEL
Uncertain
0.34
Sift
Uncertain
0.0070
D;D;D
Sift4G
Uncertain
0.014
D;D;D
Polyphen
0.99
D;D;D
Vest4
0.10
MVP
0.72
MPC
0.38
ClinPred
0.047
T
GERP RS
4.3
Varity_R
0.16
gMVP
0.30

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: rs3093370; hg19: chr16-27455926; API