rs9282731

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_004970.3(IGFALS):​c.1642C>T​(p.Arg548Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0186 in 1,583,154 control chromosomes in the GnomAD database, including 2,959 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R548Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.076 ( 1372 hom., cov: 33)
Exomes 𝑓: 0.012 ( 1587 hom. )

Consequence

IGFALS
NM_004970.3 missense

Scores

1
2
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.174

Publications

14 publications found
Variant links:
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]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00459978).
BP6
Variant 16-1790776-G-A is Benign according to our data. Variant chr16-1790776-G-A is described in ClinVar as Benign. ClinVar VariationId is 318235.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.251 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IGFALSNM_004970.3 linkc.1642C>T p.Arg548Trp missense_variant Exon 2 of 2 ENST00000215539.4 NP_004961.1 P35858-1Q8TAY0
IGFALSNM_001146006.2 linkc.1756C>T p.Arg586Trp missense_variant Exon 2 of 2 NP_001139478.1 P35858-2Q8TAY0
IGFALSNR_027389.1 linkn.1696C>T non_coding_transcript_exon_variant Exon 2 of 2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IGFALSENST00000215539.4 linkc.1642C>T p.Arg548Trp missense_variant Exon 2 of 2 1 NM_004970.3 ENSP00000215539.3 P35858-1
IGFALSENST00000415638.3 linkc.1756C>T p.Arg586Trp missense_variant Exon 2 of 2 2 ENSP00000416683.3 P35858-2
SPSB3ENST00000569769.1 linkc.-13+2861C>T intron_variant Intron 1 of 4 3 ENSP00000455098.1 H3BP12

Frequencies

GnomAD3 genomes
AF:
0.0757
AC:
11511
AN:
152146
Hom.:
1368
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.255
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0266
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00115
Gnomad SAS
AF:
0.0695
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.00141
Gnomad OTH
AF:
0.0511
GnomAD2 exomes
AF:
0.0295
AC:
5716
AN:
194064
AF XY:
0.0280
show subpopulations
Gnomad AFR exome
AF:
0.273
Gnomad AMR exome
AF:
0.0136
Gnomad ASJ exome
AF:
0.00111
Gnomad EAS exome
AF:
0.00185
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00104
Gnomad OTH exome
AF:
0.0154
GnomAD4 exome
AF:
0.0125
AC:
17881
AN:
1430892
Hom.:
1587
Cov.:
30
AF XY:
0.0136
AC XY:
9649
AN XY:
709394
show subpopulations
African (AFR)
AF:
0.268
AC:
8773
AN:
32770
American (AMR)
AF:
0.0152
AC:
599
AN:
39512
Ashkenazi Jewish (ASJ)
AF:
0.00102
AC:
26
AN:
25542
East Asian (EAS)
AF:
0.000928
AC:
35
AN:
37722
South Asian (SAS)
AF:
0.0745
AC:
6128
AN:
82286
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49786
Middle Eastern (MID)
AF:
0.0168
AC:
96
AN:
5714
European-Non Finnish (NFE)
AF:
0.000716
AC:
786
AN:
1098320
Other (OTH)
AF:
0.0243
AC:
1438
AN:
59240
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
1096
2192
3289
4385
5481
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
338
676
1014
1352
1690
<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:
0.0758
AC:
11548
AN:
152262
Hom.:
1372
Cov.:
33
AF XY:
0.0742
AC XY:
5527
AN XY:
74462
show subpopulations
African (AFR)
AF:
0.255
AC:
10582
AN:
41496
American (AMR)
AF:
0.0266
AC:
407
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00144
AC:
5
AN:
3470
East Asian (EAS)
AF:
0.00116
AC:
6
AN:
5184
South Asian (SAS)
AF:
0.0702
AC:
339
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.0170
AC:
5
AN:
294
European-Non Finnish (NFE)
AF:
0.00141
AC:
96
AN:
68024
Other (OTH)
AF:
0.0510
AC:
108
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
463
926
1388
1851
2314
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
124
248
372
496
620
<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:
0.0161
Hom.:
509
Bravo
AF:
0.0844
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.238
AC:
1035
ESP6500EA
AF:
0.00164
AC:
14
ExAC
AF:
0.0311
AC:
3685
Asia WGS
AF:
0.0610
AC:
211
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

IGFALS-related disorder Benign:1
Nov 06, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Short stature due to primary acid-labile subunit deficiency Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.68
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
1.9
DANN
Benign
0.93
DEOGEN2
Uncertain
0.54
D;.
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.78
T;T
MetaRNN
Benign
0.0046
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.5
L;.
PhyloP100
-0.17
PrimateAI
Benign
0.41
T
PROVEAN
Uncertain
-2.8
D;D
REVEL
Benign
0.051
Sift
Benign
0.10
T;T
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.40
B;.
Vest4
0.16
MPC
0.053
ClinPred
0.035
T
GERP RS
-2.2
Varity_R
0.081
gMVP
0.80
Mutation Taster
=92/8
polymorphism (auto)

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: rs9282731; hg19: chr16-1840777; COSMIC: COSV51906865; COSMIC: COSV51906865; API