About EIF1AX
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
Functional characterization of the EIF1AX N-terminal tail (NTT) domain, where p.Gly9Asp resides, was performed by Sehrawat et al. (PMID:30420357). The G9D/R13H double mutant showed reduced binding to ribosomal protein Rps10 in vitro, consistent with impaired scanning arrest and gain-of-function. Additionally, G9R (same position, different substitution) and other NTT mutants (G6D, G8R, K10E) showed enhanced translation of long 5'UTR mRNAs. The exact G9D single mutant was generated but its standalone functional data were not separately reported; the G9D/R13H double mutant data and same-position G9R data are suggestive but not definitive for the isolated G9D variant. The somatic OncoKB curation classifies this variant as Likely Oncogenic with Likely Gain-of-function effect, providing additional orthogonal support.
The variant p.Gly9Asp is located in the N-terminal tail (NTT) of EIF1AX (residues ~2-15), a well-characterized functional domain critical for translation initiation fidelity. The NTT is established as a hotspot for cancer-associated somatic mutations in uveal melanoma, thyroid cancer, and ovarian cancer (PMID:30420357, PMID:30305285). Cancerhotspots.org identifies this residue as statistically significant. Multiple publications confirm that NTT mutations confer gain-of-function by impairing scanning arrest and enhancing translation of cell cycle genes. Gly9 is among the most frequently mutated residues in the NTT domain.
This variant is absent from large population databases. gnomAD v2.1: absent. gnomAD v4.1: 0 alleles out of 1,168,429 (AF = 0.0%). gnomAD-Canada v1.0: absent. The variant meets the PM2 threshold of <0.1% allele frequency in all populations.
Multiple lines of computational evidence suggest no impact on the gene product. BayesDel score is -0.034 (negative scores predict a benign effect). SpliceAI max delta score is 0.02, predicting no splicing impact. REVEL and HCI prior are unavailable but the available in silico tools consistently support a neutral or benign prediction.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PS3 supporting, PM1 moderate, PM2 supporting, BP4 supporting benign; combination = 1 moderate + 2 supporting + 1 supporting benign, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 0 / 1,168,429 alleles. Recorded AF 0. Recorded homozygote count 0.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.
A ClinVar laboratory submission summary was not recorded. ClinVar API review status: criteria provided, single submitter.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Gain-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV63309275, n = 6 times).
This variant lies in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
29 criteria with recorded statuses: 4 met · 6 not met · 13 not assessed · 6 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_001412.4:c.26G>A (p.Gly9Asp) is a missense variant in exon 2 of EIF1AX, a gene encoding a translation initiation factor in which N-terminal tail (NTT) missense mutations are established oncogenic drivers.
The variant is absent from gnomAD v2.1 and v4.1 (0/1,168,429 alleles), meeting PM2 (supporting).
The p.Gly9 residue lies within the NTT functional domain (residues ~2-15), a well-characterized hotspot for gain-of-function cancer mutations that impair scanning arrest and enhance translation of cell cycle genes. This satisfies PM1 at moderate strength.
Functional characterization by Sehrawat et al. (2019) demonstrated that the G9D/R13H double mutant reduces binding to ribosomal protein Rps10, and other NTT mutants including G9R (same position) enhance translation of long 5'UTR mRNAs. OncoKB independently curates this variant as Likely Oncogenic with Likely Gain-of-function effect. This satisfies PS3 at supporting strength.
In silico predictors favor a neutral effect: BayesDel score is -0.034 (predicted benign) and SpliceAI max delta is 0.02 (no splice impact). This satisfies BP4 (supporting benign).
The overall evidence profile consists of one moderate pathogenic criterion (PM1), two supporting pathogenic criteria (PM2, PS3), and one supporting benign criterion (BP4). Per the generic ACMG/AMP 2015 combination rules (PMID:25741868), one moderate plus two supporting criteria does not reach the threshold for Likely Pathogenic (which requires two moderate and two supporting, or three moderate, or one strong and two supporting). The single supporting benign criterion does not independently reach any benign classification threshold. The variant is therefore classified as a Variant of Uncertain Significance (VUS).
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in EIF1AX, mapped onto the exon structure of NM_001412.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
This variant is present in gnomAD v4.1 (AF= 0; MAF= 0.00000%, 0/1168429 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0; MAF= 0.00000%, 0/56125 alleles, homozygotes = 0).
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). BayesDel score = -0.0342974.
7 paper records listed. 2 cited in the classification.
NTT mutants (G8R, G9R, G15V) or EIF1AX-c'spl with an antibody to HA showed pulldown of the TC component
Location Results, paragraph 1: NTT mutants listed (G8R, G9R, G15V). Figure 3: co-IP experiments with NTT mutants. Figure 5: mTOR signaling data.
Context Co-immunoprecipitation in HEK293T cells; isogenic thyroid cancer cell lines (CAL62, TTA1, C643); Nthy-Ori 3-1 immortalized thyroid cells; mouse models (Tg-rtTA/TRE-EIF1AX-c'spl).
mutants (G6D, G9D, G9R, G8RG9R, K10E, R13H and G15D) were generated by site directed mutagenesis
Location Methods (Plasmids section): G9D listed as one of seven NTT mutants generated. Results (Figure 8): G9D/R13H double mutant tested in Rps3/Rps10 binding assays. Figure 7: G8R/G9R and other NTT mutants tested in luciferase reporter and polysome profiling assays.
Context In vitro binding assays using bacterially expressed His-tagged Rps3/Rps10 with untagged eIF1A mutants; luciferase reporter assays in MEF and HEK293T cells; polysome profiling in HEK293T cells.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 0; MAF= 0.00000%, 0/1168429 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0; MAF= 0.00000%, 0/56125 alleles, homozygotes = 0).
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar but submission details could not be extracted. (ClinVarID = 4539547)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). BayesDel score = -0.0342974.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Gain-of-function; curated oncogenicity label: Likely Oncogenic.
This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV63309275, n = 6 times).
This variant lies in a statistically significant hotspot.