11-2167468-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 4P and 4B. PM1PM2BP4_ModerateBP6_Moderate

The NM_000360.4(TH):​c.662G>A​(p.Arg221His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000262 in 1,562,756 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict 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. R221C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000092 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000019 ( 0 hom. )

Consequence

TH
NM_000360.4 missense

Scores

3
3
13

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.551
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 8 uncertain in NM_000360.4
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.23080409).
BP6
Variant 11-2167468-C-T is Benign according to our data. Variant chr11-2167468-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 1461571.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
THNM_000360.4 linkuse as main transcriptc.662G>A p.Arg221His missense_variant 6/13 ENST00000352909.8
THNM_199292.3 linkuse as main transcriptc.755G>A p.Arg252His missense_variant 7/14
THNM_199293.3 linkuse as main transcriptc.743G>A p.Arg248His missense_variant 7/14
THXM_011520335.3 linkuse as main transcriptc.674G>A p.Arg225His missense_variant 6/13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
THENST00000352909.8 linkuse as main transcriptc.662G>A p.Arg221His missense_variant 6/131 NM_000360.4 P1P07101-3

Frequencies

GnomAD3 genomes
AF:
0.0000920
AC:
14
AN:
152126
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000266
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000407
AC:
7
AN:
171856
Hom.:
0
AF XY:
0.0000437
AC XY:
4
AN XY:
91468
show subpopulations
Gnomad AFR exome
AF:
0.000399
Gnomad AMR exome
AF:
0.0000379
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000289
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000191
AC:
27
AN:
1410630
Hom.:
0
Cov.:
34
AF XY:
0.0000273
AC XY:
19
AN XY:
696860
show subpopulations
Gnomad4 AFR exome
AF:
0.000123
Gnomad4 AMR exome
AF:
0.0000268
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000175
Gnomad4 OTH exome
AF:
0.0000171
GnomAD4 genome
AF:
0.0000920
AC:
14
AN:
152126
Hom.:
0
Cov.:
33
AF XY:
0.0000808
AC XY:
6
AN XY:
74298
show subpopulations
Gnomad4 AFR
AF:
0.000266
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000831
ESP6500AA
AF:
0.000693
AC:
3
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000520
AC:
6

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Autosomal recessive DOPA responsive dystonia Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeNov 29, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Uncertain
0.081
D
BayesDel_noAF
Benign
-0.12
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.82
D;.;.;.
Eigen
Benign
-0.88
Eigen_PC
Benign
-0.95
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.85
T;T;D;T
M_CAP
Pathogenic
0.47
D
MetaRNN
Benign
0.23
T;T;T;T
MetaSVM
Pathogenic
0.85
D
MutationAssessor
Benign
1.9
L;.;.;.
MutationTaster
Benign
0.97
N;N;N;N
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-1.7
N;N;.;N
REVEL
Uncertain
0.32
Sift
Benign
0.30
T;T;.;T
Sift4G
Benign
0.21
T;T;T;T
Polyphen
0.017
B;B;.;B
Vest4
0.25
MVP
0.89
MPC
0.055
ClinPred
0.027
T
GERP RS
-0.55
Varity_R
0.19
gMVP
0.56

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs150559011; hg19: chr11-2188698; API