14-81143945-G-T

Variant summary

Our verdict is Likely pathogenic. Variant got 9 ACMG points: 9P and 0B. PS1_ModeratePM1PM2PP3_ModeratePP5

The NM_000369.5(TSHR):​c.1887G>T​(p.Leu629Phe) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin UniProt.

Frequency

Genomes: not found (cov: 32)

Consequence

TSHR
NM_000369.5 missense

Scores

7
8
2

Clinical Significance

Pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 3.69
Variant links:
Genes affected
TSHR (HGNC:12373): (thyroid stimulating hormone receptor) The protein encoded by this gene is a membrane protein and a major controller of thyroid cell metabolism. The encoded protein is a receptor for thyrothropin and thyrostimulin, and its activity is mediated by adenylate cyclase. Defects in this gene are a cause of several types of hyperthyroidism. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 9 ACMG points.

PS1
Transcript NM_000369.5 (TSHR) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in UniProt
PM1
In a transmembrane_region Helical; Name=6 (size 23) in uniprot entity TSHR_HUMAN there are 8 pathogenic changes around while only 1 benign (89%) in NM_000369.5
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.909
PP5
Variant 14-81143945-G-T is Pathogenic according to our data. Variant chr14-81143945-G-T is described in ClinVar as [Pathogenic]. Clinvar id is 6451.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TSHRNM_000369.5 linkuse as main transcriptc.1887G>T p.Leu629Phe missense_variant 10/10 ENST00000298171.7 NP_000360.2
LOC101928462XR_001751022.2 linkuse as main transcriptn.487+21248C>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TSHRENST00000298171.7 linkuse as main transcriptc.1887G>T p.Leu629Phe missense_variant 10/101 NM_000369.5 ENSP00000298171 P1
ENST00000646052.2 linkuse as main transcriptn.510+21248C>A intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Thyroid adenoma, hyperfunctioning, somatic Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 01, 1997- -
Familial hyperthyroidism due to mutations in TSH receptor Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 01, 1997- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.95
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Pathogenic
0.14
CADD
Uncertain
24
DANN
Uncertain
1.0
Eigen
Pathogenic
0.85
Eigen_PC
Pathogenic
0.76
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.96
.;D
M_CAP
Benign
0.060
D
MetaRNN
Pathogenic
0.91
D;D
MetaSVM
Uncertain
0.11
D
MutationTaster
Benign
1.0
A;A
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-3.4
D;D
REVEL
Uncertain
0.46
Sift
Uncertain
0.0010
D;D
Sift4G
Pathogenic
0.0
D;D
Vest4
0.82
MutPred
0.79
Gain of catalytic residue at L629 (P = 5e-04);Gain of catalytic residue at L629 (P = 5e-04);
MVP
0.98
MPC
0.65
ClinPred
0.99
D
GERP RS
5.4
gMVP
0.92

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: rs121908877; hg19: chr14-81610289; COSMIC: COSV53313971; COSMIC: COSV53313971; API