20-58840055-A-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_016592.5(GNAS):​c.-52A>G variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.639 in 1,596,376 control chromosomes in the GnomAD database, including 329,219 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.58 ( 26724 hom., cov: 29)
Exomes 𝑓: 0.64 ( 302495 hom. )

Consequence

GNAS
NM_016592.5 5_prime_UTR

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.0540
Variant links:
Genes affected
GNAS (HGNC:4392): (GNAS complex locus) This locus has a highly complex imprinted expression pattern. It gives rise to maternally, paternally, and biallelically expressed transcripts that are derived from four alternative promoters and 5' exons. Some transcripts contain a differentially methylated region (DMR) at their 5' exons, and this DMR is commonly found in imprinted genes and correlates with transcript expression. An antisense transcript is produced from an overlapping locus on the opposite strand. One of the transcripts produced from this locus, and the antisense transcript, are paternally expressed noncoding RNAs, and may regulate imprinting in this region. In addition, one of the transcripts contains a second overlapping ORF, which encodes a structurally unrelated protein - Alex. Alternative splicing of downstream exons is also observed, which results in different forms of the stimulatory G-protein alpha subunit, a key element of the classical signal transduction pathway linking receptor-ligand interactions with the activation of adenylyl cyclase and a variety of cellular reponses. Multiple transcript variants encoding different isoforms have been found for this gene. Mutations in this gene result in pseudohypoparathyroidism type 1a, pseudohypoparathyroidism type 1b, Albright hereditary osteodystrophy, pseudopseudohypoparathyroidism, McCune-Albright syndrome, progressive osseus heteroplasia, polyostotic fibrous dysplasia of bone, and some pituitary tumors. [provided by RefSeq, Aug 2012]
GNAS-AS1 (HGNC:24872): (GNAS antisense RNA 1) This gene produces a paternally-imprinted antisense RNA transcript that helps regulate the GNAS complex locus, which encodes the alpha subunit of the stimulatory G protein. Defects in this gene are a cause of pseudohypoparathyroidism type Ib.[provided by RefSeq, Jun 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.71).
BP6
Variant 20-58840055-A-G is Benign according to our data. Variant chr20-58840055-A-G is described in ClinVar as [Benign]. Clinvar id is 1280334.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.785 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GNASNM_016592.5 linkuse as main transcriptc.-52A>G 5_prime_UTR_variant 1/13 ENST00000371075.7
GNAS-AS1NR_002785.2 linkuse as main transcriptn.819+1882T>C intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GNASENST00000371075.7 linkuse as main transcriptc.-52A>G 5_prime_UTR_variant 1/131 NM_016592.5 O95467-1
GNAS-AS1ENST00000424094.6 linkuse as main transcriptn.819+1882T>C intron_variant, non_coding_transcript_variant 1

Frequencies

GnomAD3 genomes
AF:
0.585
AC:
88299
AN:
151000
Hom.:
26697
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.434
Gnomad AMI
AF:
0.726
Gnomad AMR
AF:
0.597
Gnomad ASJ
AF:
0.513
Gnomad EAS
AF:
0.806
Gnomad SAS
AF:
0.682
Gnomad FIN
AF:
0.695
Gnomad MID
AF:
0.452
Gnomad NFE
AF:
0.635
Gnomad OTH
AF:
0.559
GnomAD4 exome
AF:
0.645
AC:
931470
AN:
1445258
Hom.:
302495
Cov.:
32
AF XY:
0.645
AC XY:
464481
AN XY:
719630
show subpopulations
Gnomad4 AFR exome
AF:
0.423
Gnomad4 AMR exome
AF:
0.674
Gnomad4 ASJ exome
AF:
0.508
Gnomad4 EAS exome
AF:
0.777
Gnomad4 SAS exome
AF:
0.685
Gnomad4 FIN exome
AF:
0.690
Gnomad4 NFE exome
AF:
0.645
Gnomad4 OTH exome
AF:
0.626
GnomAD4 genome
AF:
0.585
AC:
88376
AN:
151118
Hom.:
26724
Cov.:
29
AF XY:
0.590
AC XY:
43547
AN XY:
73852
show subpopulations
Gnomad4 AFR
AF:
0.435
Gnomad4 AMR
AF:
0.597
Gnomad4 ASJ
AF:
0.513
Gnomad4 EAS
AF:
0.806
Gnomad4 SAS
AF:
0.683
Gnomad4 FIN
AF:
0.695
Gnomad4 NFE
AF:
0.635
Gnomad4 OTH
AF:
0.565
Alfa
AF:
0.614
Hom.:
27483
Bravo
AF:
0.570
Asia WGS
AF:
0.709
AC:
2464
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxOct 16, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.71
CADD
Benign
10
DANN
Benign
0.69

Splicing

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: rs1800900; hg19: chr20-57415110; COSMIC: COSV100005868; COSMIC: COSV100005868; API