rs4833837

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_021803.4(IL21):​c.234C>T​(p.Cys78Cys) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.715 in 1,610,618 control chromosomes in the GnomAD database, including 417,225 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.77 ( 45989 hom., cov: 33)
Exomes 𝑓: 0.71 ( 371236 hom. )

Consequence

IL21
NM_021803.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6O:1

Conservation

PhyloP100: 0.583

Publications

47 publications found
Variant links:
Genes affected
IL21 (HGNC:6005): (interleukin 21) This gene encodes a member of the common-gamma chain family of cytokines with immunoregulatory activity. The encoded protein plays a role in both the innate and adaptive immune responses by inducing the differentiation, proliferation and activity of multiple target cells including macrophages, natural killer cells, B cells and cytotoxic T cells. Dysregulation of this gene plays a role in multiple immune-mediated diseases including lupus, psoriasis and chronic inflammatory diseases. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Dec 2011]
IL21 Gene-Disease associations (from GenCC):
  • IL21-related infantile inflammatory bowel disease
    Inheritance: AR, Unknown Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • common variable immunodeficiency
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.54).
BP6
Variant 4-122615808-G-A is Benign according to our data. Variant chr4-122615808-G-A is described in ClinVar as Benign. ClinVar VariationId is 402975.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.583 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.914 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IL21NM_021803.4 linkc.234C>T p.Cys78Cys synonymous_variant Exon 3 of 5 ENST00000648588.1 NP_068575.1 Q9HBE4-1A0A224B028
IL21NM_001207006.3 linkc.234C>T p.Cys78Cys synonymous_variant Exon 3 of 4 NP_001193935.1 Q9HBE4-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IL21ENST00000648588.1 linkc.234C>T p.Cys78Cys synonymous_variant Exon 3 of 5 NM_021803.4 ENSP00000497915.1 Q9HBE4-1
IL21ENST00000611104.2 linkc.234C>T p.Cys78Cys synonymous_variant Exon 3 of 4 1 ENSP00000477555.1 Q9HBE4-2
IL21ENST00000647784.1 linkn.86C>T non_coding_transcript_exon_variant Exon 2 of 4

Frequencies

GnomAD3 genomes
AF:
0.768
AC:
116798
AN:
152028
Hom.:
45926
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.921
Gnomad AMI
AF:
0.813
Gnomad AMR
AF:
0.813
Gnomad ASJ
AF:
0.743
Gnomad EAS
AF:
0.886
Gnomad SAS
AF:
0.855
Gnomad FIN
AF:
0.554
Gnomad MID
AF:
0.826
Gnomad NFE
AF:
0.683
Gnomad OTH
AF:
0.775
GnomAD2 exomes
AF:
0.744
AC:
186361
AN:
250468
AF XY:
0.741
show subpopulations
Gnomad AFR exome
AF:
0.929
Gnomad AMR exome
AF:
0.856
Gnomad ASJ exome
AF:
0.739
Gnomad EAS exome
AF:
0.887
Gnomad FIN exome
AF:
0.550
Gnomad NFE exome
AF:
0.673
Gnomad OTH exome
AF:
0.716
GnomAD4 exome
AF:
0.709
AC:
1033909
AN:
1458472
Hom.:
371236
Cov.:
37
AF XY:
0.712
AC XY:
516985
AN XY:
725736
show subpopulations
African (AFR)
AF:
0.931
AC:
31116
AN:
33418
American (AMR)
AF:
0.850
AC:
37966
AN:
44642
Ashkenazi Jewish (ASJ)
AF:
0.737
AC:
19233
AN:
26104
East Asian (EAS)
AF:
0.899
AC:
35653
AN:
39664
South Asian (SAS)
AF:
0.841
AC:
72352
AN:
86054
European-Finnish (FIN)
AF:
0.556
AC:
29649
AN:
53346
Middle Eastern (MID)
AF:
0.826
AC:
4503
AN:
5452
European-Non Finnish (NFE)
AF:
0.684
AC:
759021
AN:
1109534
Other (OTH)
AF:
0.737
AC:
44416
AN:
60258
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
13038
26076
39113
52151
65189
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19570
39140
58710
78280
97850
<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:
0.769
AC:
116925
AN:
152146
Hom.:
45989
Cov.:
33
AF XY:
0.766
AC XY:
56958
AN XY:
74364
show subpopulations
African (AFR)
AF:
0.922
AC:
38296
AN:
41556
American (AMR)
AF:
0.814
AC:
12439
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.743
AC:
2579
AN:
3472
East Asian (EAS)
AF:
0.886
AC:
4596
AN:
5186
South Asian (SAS)
AF:
0.857
AC:
4128
AN:
4818
European-Finnish (FIN)
AF:
0.554
AC:
5845
AN:
10542
Middle Eastern (MID)
AF:
0.820
AC:
241
AN:
294
European-Non Finnish (NFE)
AF:
0.683
AC:
46424
AN:
67966
Other (OTH)
AF:
0.775
AC:
1636
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1319
2638
3957
5276
6595
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
852
1704
2556
3408
4260
<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:
0.720
Hom.:
124183
Bravo
AF:
0.793
Asia WGS
AF:
0.883
AC:
3069
AN:
3476
EpiCase
AF:
0.700
EpiControl
AF:
0.694

ClinVar

Significance: Benign
Submissions summary: Benign:6Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3Other:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
GenomeConnect, ClinGen
Significance:not provided
Review Status:no classification provided
Collection Method:phenotyping only

Variant interpreted as Benign and reported on 04-27-2020 by Lab or GTR ID 500031. GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. This variant was reported in an individual referred for clinical diagnostic genetic testing. -

Jun 09, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 18802358) -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

not specified Benign:2
Mar 29, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -

Nov 12, 2023
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 97% of patients studied by a panel of primary immunodeficiencies. Number of patients: 93. Only high quality variants are reported. -

IL21-related infantile inflammatory bowel disease Benign:1
Aug 19, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.54
CADD
Benign
8.2
DANN
Benign
0.75
PhyloP100
0.58
Mutation Taster
=98/2
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs4833837; hg19: chr4-123536963; COSMIC: COSV52647413; COSMIC: COSV52647413; API