rs587776686
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Variant summary
Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PVS1_StrongPM2PP5
The NM_004970.3(IGFALS):c.103del(p.Glu35LysfsTer87) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000376 in 1,597,010 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 34)
Exomes 𝑓: 0.0000035 ( 0 hom. )
Consequence
IGFALS
NM_004970.3 frameshift
NM_004970.3 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.342
Genes affected
IGFALS (HGNC:5468): (insulin like growth factor binding protein acid labile subunit) The protein encoded by this gene is a serum protein that binds insulin-like growth factors, increasing their half-life and their vascular localization. Production of the encoded protein, which contains twenty leucine-rich repeats, is stimulated by growth hormone. Defects in this gene are a cause of acid-labile subunit deficiency, which maifests itself in a delayed and slow puberty. Three transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Mar 2009]
SPSB3 (HGNC:30629): (splA/ryanodine receptor domain and SOCS box containing 3) Predicted to be involved in proteasome-mediated ubiquitin-dependent protein catabolic process. Predicted to be located in cytosol. Predicted to be part of SCF ubiquitin ligase complex. [provided by Alliance of Genome Resources, Apr 2022]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 7 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 19 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 16-1792314-TC-T is Pathogenic according to our data. Variant chr16-1792314-TC-T is described in ClinVar as [Pathogenic]. Clinvar id is 8127.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr16-1792314-TC-T is described in Lovd as [Pathogenic]. Variant chr16-1792314-TC-T is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
IGFALS | NM_004970.3 | c.103del | p.Glu35LysfsTer87 | frameshift_variant | 2/2 | ENST00000215539.4 | NP_004961.1 | |
IGFALS | NM_001146006.2 | c.217del | p.Glu73LysfsTer87 | frameshift_variant | 2/2 | NP_001139478.1 | ||
IGFALS | NR_027389.1 | n.157del | non_coding_transcript_exon_variant | 2/2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
IGFALS | ENST00000215539.4 | c.103del | p.Glu35LysfsTer87 | frameshift_variant | 2/2 | 1 | NM_004970.3 | ENSP00000215539 | P1 | |
IGFALS | ENST00000415638.3 | c.217del | p.Glu73LysfsTer87 | frameshift_variant | 2/2 | 2 | ENSP00000416683 | |||
IGFALS | ENST00000568221.1 | c.135del | p.Lys46SerfsTer16 | frameshift_variant | 2/2 | 4 | ENSP00000456923 | |||
SPSB3 | ENST00000569769.1 | c.-13+1322del | intron_variant | 3 | ENSP00000455098 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152122Hom.: 0 Cov.: 34
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GnomAD4 exome AF: 0.00000346 AC: 5AN: 1444888Hom.: 0 Cov.: 35 AF XY: 0.00000417 AC XY: 3AN XY: 719060
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152122Hom.: 0 Cov.: 34 AF XY: 0.0000135 AC XY: 1AN XY: 74296
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
Short stature due to primary acid-labile subunit deficiency Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Feb 05, 2004 | - - |
Computational scores
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at