11-2164237-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000360.4(TH):​c.1490G>A​(p.Gly497Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000753 in 1,460,946 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G497S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000069 ( 0 hom. )

Consequence

TH
NM_000360.4 missense

Scores

3
5
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 2.88

Publications

1 publications found
Variant links:
Genes affected
TH (HGNC:11782): (tyrosine hydroxylase) The protein encoded by this gene is involved in the conversion of tyrosine to dopamine. It is the rate-limiting enzyme in the synthesis of catecholamines, hence plays a key role in the physiology of adrenergic neurons. Mutations in this gene have been associated with autosomal recessive Segawa syndrome. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Jul 2008]
TH Gene-Disease associations (from GenCC):
  • TH-deficient dopa-responsive dystonia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet, G2P
  • tyrosine hydroxylase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.1355035).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000360.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TH
NM_000360.4
MANE Select
c.1490G>Ap.Gly497Asp
missense
Exon 13 of 13NP_000351.2P07101-3
TH
NM_199292.3
c.1583G>Ap.Gly528Asp
missense
Exon 14 of 14NP_954986.2P07101-1
TH
NM_199293.3
c.1571G>Ap.Gly524Asp
missense
Exon 14 of 14NP_954987.2P07101-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TH
ENST00000352909.8
TSL:1 MANE Select
c.1490G>Ap.Gly497Asp
missense
Exon 13 of 13ENSP00000325951.4P07101-3
TH
ENST00000381178.5
TSL:1
c.1583G>Ap.Gly528Asp
missense
Exon 14 of 14ENSP00000370571.1P07101-1
TH
ENST00000381175.5
TSL:1
c.1571G>Ap.Gly524Asp
missense
Exon 14 of 14ENSP00000370567.1P07101-2

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152208
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000386
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000618
AC:
9
AN:
145726
AF XY:
0.0000635
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000716
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000341
GnomAD4 exome
AF:
0.00000688
AC:
9
AN:
1308738
Hom.:
0
Cov.:
31
AF XY:
0.00000782
AC XY:
5
AN XY:
639056
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
27278
American (AMR)
AF:
0.00
AC:
0
AN:
25648
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19098
East Asian (EAS)
AF:
0.000147
AC:
5
AN:
33950
South Asian (SAS)
AF:
0.00
AC:
0
AN:
63000
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47228
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4844
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1034282
Other (OTH)
AF:
0.0000749
AC:
4
AN:
53410
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000131
AC:
2
AN:
152208
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74352
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41456
American (AMR)
AF:
0.00
AC:
0
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.000386
AC:
2
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68026
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000583
AC:
7

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Autosomal recessive DOPA responsive dystonia (1)
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.34
T
Eigen
Benign
0.062
Eigen_PC
Benign
0.078
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.78
T
M_CAP
Pathogenic
0.63
D
MetaRNN
Benign
0.14
T
MetaSVM
Pathogenic
0.89
D
MutationAssessor
Benign
1.4
L
PhyloP100
2.9
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-0.39
N
REVEL
Uncertain
0.40
Sift
Benign
0.17
T
Sift4G
Pathogenic
0.0
D
Polyphen
0.79
P
Vest4
0.15
MutPred
0.27
Gain of solvent accessibility (P = 0.0638)
MVP
0.77
MPC
0.92
ClinPred
0.22
T
GERP RS
4.2
Varity_R
0.32
gMVP
0.46
Mutation Taster
=85/15
polymorphism

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: rs753632777; hg19: chr11-2185467; API