rs734312

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM5BP4_StrongBP6_Very_StrongBA1

The NM_006005.3(WFS1):​c.1832G>A​(p.Arg611His) variant causes a missense change. The variant allele was found at a frequency of 0.533 in 1,613,864 control chromosomes in the GnomAD database, including 240,154 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R611Y) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.43 ( 17727 hom., cov: 33)
Exomes 𝑓: 0.54 ( 222427 hom. )

Consequence

WFS1
NM_006005.3 missense

Scores

1
5
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: 4.92
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr4-6301625-GCG-GTA is described in Lovd as [Likely_pathogenic].
BP4
Computational evidence support a benign effect (MetaRNN=2.282324E-6).
BP6
Variant 4-6301627-G-A is Benign according to our data. Variant chr4-6301627-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 45442.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr4-6301627-G-A is described in Lovd as [Benign]. Variant chr4-6301627-G-A is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.802 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
WFS1NM_006005.3 linkuse as main transcriptc.1832G>A p.Arg611His missense_variant 8/8 ENST00000226760.5 NP_005996.2
WFS1NM_001145853.1 linkuse as main transcriptc.1832G>A p.Arg611His missense_variant 8/8 NP_001139325.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
WFS1ENST00000226760.5 linkuse as main transcriptc.1832G>A p.Arg611His missense_variant 8/81 NM_006005.3 ENSP00000226760 P2
ENST00000661896.1 linkuse as main transcriptn.1337+2288C>T intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.432
AC:
65710
AN:
152006
Hom.:
17718
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.109
Gnomad AMI
AF:
0.364
Gnomad AMR
AF:
0.561
Gnomad ASJ
AF:
0.622
Gnomad EAS
AF:
0.822
Gnomad SAS
AF:
0.574
Gnomad FIN
AF:
0.481
Gnomad MID
AF:
0.503
Gnomad NFE
AF:
0.543
Gnomad OTH
AF:
0.471
GnomAD3 exomes
AF:
0.552
AC:
138753
AN:
251300
Hom.:
41050
AF XY:
0.557
AC XY:
75651
AN XY:
135828
show subpopulations
Gnomad AFR exome
AF:
0.102
Gnomad AMR exome
AF:
0.656
Gnomad ASJ exome
AF:
0.644
Gnomad EAS exome
AF:
0.833
Gnomad SAS exome
AF:
0.568
Gnomad FIN exome
AF:
0.489
Gnomad NFE exome
AF:
0.539
Gnomad OTH exome
AF:
0.551
GnomAD4 exome
AF:
0.544
AC:
794851
AN:
1461740
Hom.:
222427
Cov.:
97
AF XY:
0.546
AC XY:
396845
AN XY:
727158
show subpopulations
Gnomad4 AFR exome
AF:
0.0885
Gnomad4 AMR exome
AF:
0.641
Gnomad4 ASJ exome
AF:
0.640
Gnomad4 EAS exome
AF:
0.846
Gnomad4 SAS exome
AF:
0.568
Gnomad4 FIN exome
AF:
0.490
Gnomad4 NFE exome
AF:
0.542
Gnomad4 OTH exome
AF:
0.539
GnomAD4 genome
AF:
0.432
AC:
65726
AN:
152124
Hom.:
17727
Cov.:
33
AF XY:
0.436
AC XY:
32442
AN XY:
74346
show subpopulations
Gnomad4 AFR
AF:
0.109
Gnomad4 AMR
AF:
0.561
Gnomad4 ASJ
AF:
0.622
Gnomad4 EAS
AF:
0.822
Gnomad4 SAS
AF:
0.575
Gnomad4 FIN
AF:
0.481
Gnomad4 NFE
AF:
0.543
Gnomad4 OTH
AF:
0.473
Alfa
AF:
0.532
Hom.:
53924
Bravo
AF:
0.425
TwinsUK
AF:
0.535
AC:
1982
ALSPAC
AF:
0.543
AC:
2092
ESP6500AA
AF:
0.117
AC:
515
ESP6500EA
AF:
0.547
AC:
4703
ExAC
AF:
0.536
AC:
65132
Asia WGS
AF:
0.645
AC:
2243
AN:
3478
EpiCase
AF:
0.541
EpiControl
AF:
0.545

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineFeb 28, 2012- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 30, 2013- -
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:4
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015This variant is associated with the following publications: (PMID: 24477584, 23257691, 30232070, 27398621, 10679252, 19328217, 17719176, 24464100, 23595122, 12707947) -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 29, 2023- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Wolfram syndrome 1 Benign:2
Likely benign, 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. rs734312 variant is also seen in patients with Diabetes Mellitus. However, the role of this particular variant is yet to be ascertained. -
Benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
WFS1-Related Spectrum Disorders Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
Autosomal dominant nonsyndromic hearing loss 6 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.088
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Uncertain
-0.050
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Benign
0.25
T;T
Eigen
Benign
-0.18
Eigen_PC
Benign
-0.11
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.84
.;T
MetaRNN
Benign
0.0000023
T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Uncertain
2.6
M;M
MutationTaster
Benign
0.00066
P;P
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-1.8
N;N
REVEL
Uncertain
0.49
Sift
Benign
0.085
T;T
Sift4G
Benign
0.066
T;T
Polyphen
0.15
B;B
Vest4
0.13
ClinPred
0.018
T
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.056
gMVP
0.90

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: rs734312; hg19: chr4-6303354; COSMIC: COSV56987772; COSMIC: COSV56987772; API