rs3093370

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_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). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R191H) has been classified as Likely benign.

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

Publications

5 publications found
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]
IL21R Gene-Disease associations (from GenCC):
  • immunodeficiency disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • cryptosporidiosis-chronic cholangitis-liver disease syndrome
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

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 submission is: [Conflicting_classifications_of_pathogenicity].

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
GnomAD2 exomes
AF:
0.000159
AC:
36
AN:
227112
AF XY:
0.000138
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 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
African (AFR)
AF:
0.00235
AC:
75
AN:
31858
American (AMR)
AF:
0.000123
AC:
5
AN:
40628
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25258
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36900
South Asian (SAS)
AF:
0.0000611
AC:
5
AN:
81896
European-Finnish (FIN)
AF:
0.0000188
AC:
1
AN:
53090
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5674
European-Non Finnish (NFE)
AF:
0.0000128
AC:
14
AN:
1097440
Other (OTH)
AF:
0.000220
AC:
13
AN:
59072
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
6
12
17
23
29
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
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
African (AFR)
AF:
0.00233
AC:
97
AN:
41572
American (AMR)
AF:
0.000196
AC:
3
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68014
Other (OTH)
AF:
0.000474
AC:
1
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
5
11
16
22
27
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000139
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
PhyloP100
1.6
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
Mutation Taster
=75/25
polymorphism

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

Other links and lift over

dbSNP: rs3093370; hg19: chr16-27455926; API