15-45110685-G-C

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001363711.2(DUOX2):​c.908C>G​(p.Pro303Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0136 in 1,612,426 control chromosomes in the GnomAD database, including 186 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.011 ( 21 hom., cov: 32)
Exomes 𝑓: 0.014 ( 165 hom. )

Consequence

DUOX2
NM_001363711.2 missense

Scores

7
4
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:5

Conservation

PhyloP100: 7.19

Publications

15 publications found
Variant links:
Genes affected
DUOX2 (HGNC:13273): (dual oxidase 2) The protein encoded by this gene is a glycoprotein and a member of the NADPH oxidase family. The synthesis of thyroid hormone is catalyzed by a protein complex located at the apical membrane of thyroid follicular cells. This complex contains an iodide transporter, thyroperoxidase, and a peroxide generating system that includes this encoded protein and DUOX1. This protein is known as dual oxidase because it has both a peroxidase homology domain and a gp91phox domain. [provided by RefSeq, Jul 2008]
DUOX2 Gene-Disease associations (from GenCC):
  • thyroid dyshormonogenesis 6
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
  • familial thyroid dyshormonogenesis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012326807).
BP6
Variant 15-45110685-G-C is Benign according to our data. Variant chr15-45110685-G-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 260328.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0106 (1616/152278) while in subpopulation NFE AF = 0.0165 (1121/68026). AF 95% confidence interval is 0.0157. There are 21 homozygotes in GnomAd4. There are 680 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 21 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001363711.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DUOX2
NM_001363711.2
MANE Select
c.908C>Gp.Pro303Arg
missense
Exon 8 of 34NP_001350640.1
DUOX2
NM_014080.5
c.908C>Gp.Pro303Arg
missense
Exon 8 of 34NP_054799.4

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DUOX2
ENST00000389039.11
TSL:1 MANE Select
c.908C>Gp.Pro303Arg
missense
Exon 8 of 34ENSP00000373691.7
DUOX2
ENST00000603300.1
TSL:1
c.908C>Gp.Pro303Arg
missense
Exon 8 of 34ENSP00000475084.1
DUOX2
ENST00000558383.1
TSL:5
n.1239C>G
non_coding_transcript_exon
Exon 5 of 17

Frequencies

GnomAD3 genomes
AF:
0.0106
AC:
1615
AN:
152160
Hom.:
21
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00287
Gnomad AMI
AF:
0.0232
Gnomad AMR
AF:
0.0111
Gnomad ASJ
AF:
0.0236
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00228
Gnomad FIN
AF:
0.00574
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0165
Gnomad OTH
AF:
0.0134
GnomAD2 exomes
AF:
0.0109
AC:
2740
AN:
251084
AF XY:
0.0105
show subpopulations
Gnomad AFR exome
AF:
0.00246
Gnomad AMR exome
AF:
0.00741
Gnomad ASJ exome
AF:
0.0234
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00509
Gnomad NFE exome
AF:
0.0173
Gnomad OTH exome
AF:
0.0124
GnomAD4 exome
AF:
0.0139
AC:
20333
AN:
1460148
Hom.:
165
Cov.:
32
AF XY:
0.0137
AC XY:
9930
AN XY:
726400
show subpopulations
African (AFR)
AF:
0.00200
AC:
67
AN:
33420
American (AMR)
AF:
0.00819
AC:
366
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.0243
AC:
634
AN:
26134
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00211
AC:
182
AN:
86188
European-Finnish (FIN)
AF:
0.00537
AC:
287
AN:
53418
Middle Eastern (MID)
AF:
0.0158
AC:
70
AN:
4442
European-Non Finnish (NFE)
AF:
0.0162
AC:
17971
AN:
1111896
Other (OTH)
AF:
0.0125
AC:
755
AN:
60236
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.461
Heterozygous variant carriers
0
1292
2584
3875
5167
6459
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
626
1252
1878
2504
3130
<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:
0.0106
AC:
1616
AN:
152278
Hom.:
21
Cov.:
32
AF XY:
0.00913
AC XY:
680
AN XY:
74454
show subpopulations
African (AFR)
AF:
0.00286
AC:
119
AN:
41560
American (AMR)
AF:
0.0111
AC:
169
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.0236
AC:
82
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5168
South Asian (SAS)
AF:
0.00249
AC:
12
AN:
4820
European-Finnish (FIN)
AF:
0.00574
AC:
61
AN:
10626
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.0165
AC:
1121
AN:
68026
Other (OTH)
AF:
0.0133
AC:
28
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
81
161
242
322
403
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
22
44
66
88
110
<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:
0.0166
Hom.:
13
Bravo
AF:
0.0115
ESP6500AA
AF:
0.00250
AC:
11
ESP6500EA
AF:
0.0177
AC:
152
ExAC
AF:
0.0106
AC:
1292
EpiCase
AF:
0.0192
EpiControl
AF:
0.0186

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 31030636, 27373512)

Clinical Genetics, Academic Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

not specified Benign:2
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Thyroid dyshormonogenesis 6 Uncertain:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.31
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.11
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.35
T
Eigen
Pathogenic
0.94
Eigen_PC
Pathogenic
0.87
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.93
D
MetaRNN
Benign
0.012
T
MetaSVM
Uncertain
0.27
D
MutationAssessor
Pathogenic
3.8
H
PhyloP100
7.2
PrimateAI
Benign
0.43
T
PROVEAN
Pathogenic
-8.2
D
REVEL
Pathogenic
0.79
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.36
MPC
0.38
ClinPred
0.064
T
GERP RS
5.6
Varity_R
0.92
gMVP
0.81
Mutation Taster
=68/32
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: rs151261408; hg19: chr15-45402883; COSMIC: COSV59908662; COSMIC: COSV59908662; API