20-3045699-A-C

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The NM_178331.2(GNRH2):ā€‹c.305A>Cā€‹(p.Glu102Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000533 in 1,596,158 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E102K) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.000073 ( 0 hom., cov: 31)
Exomes š‘“: 0.000051 ( 0 hom. )

Consequence

GNRH2
NM_178331.2 missense

Scores

19

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -1.04
Variant links:
Genes affected
GNRH2 (HGNC:4420): (gonadotropin releasing hormone 2) This gene is a member of the gonadotropin-releasing hormone (GnRH) gene family. Proteins encoded by members of this gene family are proteolytically cleaved to form neuropeptides which, in part, regulate reproductive functions by stimulating the production and release of the gonadotropins follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The human GNRH2 gene is predicted to encode a preproprotein from which a mature neuropeptide of 10 amino acids is cleaved. However, while the human genome retains the sequence for a functional GNRH2 decapeptide, translation of the human GNRH2 gene has not yet been demonstrated and the GNRH2 gene of chimpanzees, gorilla, and Sumatran orangutan have a premature stop at codon eight of the decapeptide sequence which suggests GNRH2 was a pseudogene in the hominid lineage. The GNRH2 gene is also believed to be a pseudogene in many other mammalian species such as mouse and cow. The receptor for this gene (GNRHR2) is predicted to be a pseudogene in human as well as many other mammalian species. The closely related GNRH1 and GNRHR1 genes are functional in human and other mammals and are generally functional in vertebrates. [provided by RefSeq, Mar 2019]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.008035719).
BP6
Variant 20-3045699-A-C is Benign according to our data. Variant chr20-3045699-A-C is described in ClinVar as [Likely_benign]. Clinvar id is 2348666.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GNRH2NM_178331.2 linkuse as main transcriptc.305A>C p.Glu102Ala missense_variant 4/4 ENST00000359100.6
GNRH2NM_001310220.2 linkuse as main transcriptc.326A>C p.Glu109Ala missense_variant 4/4
GNRH2NM_001501.2 linkuse as main transcriptc.326A>C p.Glu109Ala missense_variant 4/4
GNRH2NM_178332.2 linkuse as main transcriptc.302A>C p.Glu101Ala missense_variant 4/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GNRH2ENST00000359100.6 linkuse as main transcriptc.305A>C p.Glu102Ala missense_variant 4/41 NM_178331.2 A2O43555-3
GNRH2ENST00000245983.6 linkuse as main transcriptc.326A>C p.Glu109Ala missense_variant 4/41 P2O43555-1
GNRH2ENST00000380347.6 linkuse as main transcriptc.305A>C p.Glu102Ala missense_variant 3/35 A2O43555-3
GNRH2ENST00000380346.2 linkuse as main transcriptc.302A>C p.Glu101Ala missense_variant 3/32 A2O43555-2

Frequencies

GnomAD3 genomes
AF:
0.0000726
AC:
11
AN:
151540
Hom.:
0
Cov.:
31
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:
0.00118
Gnomad SAS
AF:
0.000209
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000589
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000101
AC:
24
AN:
236578
Hom.:
0
AF XY:
0.0000779
AC XY:
10
AN XY:
128308
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000931
Gnomad SAS exome
AF:
0.0000691
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000466
Gnomad OTH exome
AF:
0.000173
GnomAD4 exome
AF:
0.0000512
AC:
74
AN:
1444522
Hom.:
0
Cov.:
31
AF XY:
0.0000626
AC XY:
45
AN XY:
719198
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000562
Gnomad4 SAS exome
AF:
0.0000937
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000319
Gnomad4 OTH exome
AF:
0.000134
GnomAD4 genome
AF:
0.0000725
AC:
11
AN:
151636
Hom.:
0
Cov.:
31
AF XY:
0.0000675
AC XY:
5
AN XY:
74064
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00118
Gnomad4 SAS
AF:
0.000210
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000589
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000857
Hom.:
0
Bravo
AF:
0.0000680
ExAC
AF:
0.000107
AC:
13

ClinVar

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

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJul 06, 2022This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
5.8
DANN
Benign
0.94
DEOGEN2
Benign
0.032
T;.;.;.
Eigen
Benign
-0.98
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.0043
N
LIST_S2
Benign
0.35
T;.;T;T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.0080
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.34
N;.;.;.
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.17
N;N;N;N
REVEL
Benign
0.063
Sift
Benign
0.20
T;T;T;T
Sift4G
Benign
0.31
T;T;T;T
Polyphen
0.46
P;P;P;P
Vest4
0.072
MutPred
0.095
Gain of MoRF binding (P = 0.0249);.;.;.;
MVP
0.34
MPC
0.27
ClinPred
0.072
T
GERP RS
-1.9
Varity_R
0.034
gMVP
0.020

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs544846287; hg19: chr20-3026345; COSMIC: COSV55661800; COSMIC: COSV55661800; API