rs71532874

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_006005.3(WFS1):​c.2611G>A​(p.Val871Met) variant causes a missense change. The variant allele was found at a frequency of 0.00993 in 1,613,120 control chromosomes in the GnomAD database, including 92 homozygotes. 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. V871G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0073 ( 5 hom., cov: 35)
Exomes 𝑓: 0.010 ( 87 hom. )

Consequence

WFS1
NM_006005.3 missense

Scores

6
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:18

Conservation

PhyloP100: 4.09
Variant links:
Genes affected
WFS1 (HGNC:12762): (wolframin ER transmembrane glycoprotein) This gene encodes a transmembrane protein, which is located primarily in the endoplasmic reticulum and ubiquitously expressed with highest levels in brain, pancreas, heart, and insulinoma beta-cell lines. Mutations in this gene are associated with Wolfram syndrome, also called DIDMOAD (Diabetes Insipidus, Diabetes Mellitus, Optic Atrophy, and Deafness), an autosomal recessive disorder. The disease affects the brain and central nervous system. Mutations in this gene can also cause autosomal dominant deafness 6 (DFNA6), also known as DFNA14 or DFNA38. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Mar 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0069407225).
BP6
Variant 4-6302406-G-A is Benign according to our data. Variant chr4-6302406-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 95325.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Benign=13, Uncertain_significance=1}. Variant chr4-6302406-G-A is described in Lovd as [Benign]. Variant chr4-6302406-G-A is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
WFS1NM_006005.3 linkuse as main transcriptc.2611G>A p.Val871Met missense_variant 8/8 ENST00000226760.5
WFS1NM_001145853.1 linkuse as main transcriptc.2611G>A p.Val871Met missense_variant 8/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
WFS1ENST00000226760.5 linkuse as main transcriptc.2611G>A p.Val871Met missense_variant 8/81 NM_006005.3 P2
ENST00000661896.1 linkuse as main transcriptn.1337+1509C>T intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.00731
AC:
1112
AN:
152210
Hom.:
5
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.00183
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00451
Gnomad ASJ
AF:
0.00778
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.0125
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0117
Gnomad OTH
AF:
0.00526
GnomAD3 exomes
AF:
0.00757
AC:
1894
AN:
250134
Hom.:
16
AF XY:
0.00766
AC XY:
1039
AN XY:
135620
show subpopulations
Gnomad AFR exome
AF:
0.00204
Gnomad AMR exome
AF:
0.00301
Gnomad ASJ exome
AF:
0.00747
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000229
Gnomad FIN exome
AF:
0.0134
Gnomad NFE exome
AF:
0.0119
Gnomad OTH exome
AF:
0.00801
GnomAD4 exome
AF:
0.0102
AC:
14911
AN:
1460792
Hom.:
87
Cov.:
87
AF XY:
0.00987
AC XY:
7173
AN XY:
726718
show subpopulations
Gnomad4 AFR exome
AF:
0.00188
Gnomad4 AMR exome
AF:
0.00311
Gnomad4 ASJ exome
AF:
0.00823
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000151
Gnomad4 FIN exome
AF:
0.0141
Gnomad4 NFE exome
AF:
0.0119
Gnomad4 OTH exome
AF:
0.00808
GnomAD4 genome
AF:
0.00731
AC:
1113
AN:
152328
Hom.:
5
Cov.:
35
AF XY:
0.00717
AC XY:
534
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.00185
Gnomad4 AMR
AF:
0.00451
Gnomad4 ASJ
AF:
0.00778
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.0125
Gnomad4 NFE
AF:
0.0117
Gnomad4 OTH
AF:
0.00521
Alfa
AF:
0.00997
Hom.:
10
Bravo
AF:
0.00708
TwinsUK
AF:
0.0116
AC:
43
ALSPAC
AF:
0.0106
AC:
41
ESP6500AA
AF:
0.00159
AC:
7
ESP6500EA
AF:
0.0102
AC:
88
ExAC
AF:
0.00788
AC:
957
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00894
EpiControl
AF:
0.00871

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:18
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Aug 09, 2013- -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoJan 17, 2016- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMay 07, 2012Val871Met in Exon 08 of WFS1: This variant is not expected to have clinical sign ificance because it has been identified in 1.1% (75/7020) of European American c hromosomes from a broad population by the NHLBI Exome Sequencing Project (http:/ /evs.gs.washington.edu/EVS; dbSNP rs71532874). -
Benign, criteria provided, single submitterclinical testingGenomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of PhiladelphiaNov 10, 2015- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
not provided Benign:7
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenApr 01, 2024WFS1: PM5, BS1, BS2 -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesSep 22, 2023- -
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
Benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsDec 30, 2016- -
Benign, criteria provided, single submitterclinical testingGeneDxApr 26, 2019This variant is associated with the following publications: (PMID: 20981092, 25262649, 12107816, 15605410, 20875904, 25895475, 30245029) -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJul 30, 2018- -
Wolfram syndrome 1 Uncertain:1
Uncertain significance, criteria provided, single submitterresearchClinical Genomics, Uppaluri K&H Personalized Medicine Clinic-Mutations in WFS1 gene are associated with Wolfram's syndrome, an autosomal recessive condition, which cause diabetes mellitus, diabetes insipidus, deafness and optic atrophy. rs71532874 variant is also seen in patients with Diabetes Mellitus. However, the role of this particular variant is yet to be ascertained. -
WFS1-Related Spectrum Disorders Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Type 2 diabetes mellitus;C1833021:Autosomal dominant nonsyndromic hearing loss 6;C3280358:Wolfram-like syndrome;C3805412:Cataract 41;C4551693:Wolfram syndrome 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 16, 2022- -
Monogenic diabetes Benign:1
Benign, criteria provided, single submitterresearchPersonalized Diabetes Medicine Program, University of Maryland School of MedicineDec 07, 2018ACMG criteria: BS2 (16 homozygotes in gnomAD), BS1 (allele frequency is 0.01358 of gnomAD European Finish, which means carrier frequency is 0.0018, above the disease frequency of 1/5000 for WFS)= benign; REVEL 0.255 + PP3/6 predictors + BP4/5 predictors= conflicting evidence, not using -
Autosomal dominant nonsyndromic hearing loss 6 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.16
T;T
Eigen
Benign
-0.051
Eigen_PC
Benign
0.12
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.81
.;T
MetaRNN
Benign
0.0069
T;T
MetaSVM
Uncertain
0.029
D
MutationAssessor
Uncertain
2.3
M;M
MutationTaster
Benign
0.99
D;D
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.20
N;N
REVEL
Benign
0.26
Sift
Benign
0.14
T;T
Sift4G
Benign
0.17
T;T
Polyphen
0.33
B;B
Vest4
0.27
MVP
0.99
ClinPred
0.0058
T
GERP RS
4.7
Varity_R
0.063
gMVP
0.82

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: rs71532874; hg19: chr4-6304133; COSMIC: COSV56992085; COSMIC: COSV56992085; API