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GeneBe

20-58840400-C-T

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6BP7BA1

The NM_016592.5(GNAS):​c.294C>T​(p.Pro98=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.033 in 1,613,458 control chromosomes in the GnomAD database, including 1,223 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.048 ( 283 hom., cov: 32)
Exomes 𝑓: 0.031 ( 940 hom. )

Consequence

GNAS
NM_016592.5 synonymous

Scores

2

Clinical Significance

Benign/Likely benign no assertion criteria provided B:2

Conservation

PhyloP100: 0.125
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 -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.48).
BP6
Variant 20-58840400-C-T is Benign according to our data. Variant chr20-58840400-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 1205855.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr20-58840400-C-T is described in Lovd as [Benign]. Variant chr20-58840400-C-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=0.125 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.104 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GNASNM_016592.5 linkuse as main transcriptc.294C>T p.Pro98= synonymous_variant 1/13 ENST00000371075.7
GNAS-AS1NR_002785.2 linkuse as main transcriptn.819+1537G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GNASENST00000371075.7 linkuse as main transcriptc.294C>T p.Pro98= synonymous_variant 1/131 NM_016592.5 O95467-1
GNAS-AS1ENST00000424094.6 linkuse as main transcriptn.819+1537G>A intron_variant, non_coding_transcript_variant 1

Frequencies

GnomAD3 genomes
AF:
0.0479
AC:
7284
AN:
152114
Hom.:
274
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.106
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0266
Gnomad ASJ
AF:
0.0121
Gnomad EAS
AF:
0.00774
Gnomad SAS
AF:
0.0413
Gnomad FIN
AF:
0.00706
Gnomad MID
AF:
0.0506
Gnomad NFE
AF:
0.0297
Gnomad OTH
AF:
0.0445
GnomAD3 exomes
AF:
0.0301
AC:
7510
AN:
249632
Hom.:
177
AF XY:
0.0300
AC XY:
4053
AN XY:
135198
show subpopulations
Gnomad AFR exome
AF:
0.110
Gnomad AMR exome
AF:
0.0154
Gnomad ASJ exome
AF:
0.0141
Gnomad EAS exome
AF:
0.00517
Gnomad SAS exome
AF:
0.0411
Gnomad FIN exome
AF:
0.00898
Gnomad NFE exome
AF:
0.0296
Gnomad OTH exome
AF:
0.0297
GnomAD4 exome
AF:
0.0314
AC:
45843
AN:
1461226
Hom.:
940
Cov.:
36
AF XY:
0.0315
AC XY:
22930
AN XY:
726956
show subpopulations
Gnomad4 AFR exome
AF:
0.110
Gnomad4 AMR exome
AF:
0.0167
Gnomad4 ASJ exome
AF:
0.0142
Gnomad4 EAS exome
AF:
0.00302
Gnomad4 SAS exome
AF:
0.0409
Gnomad4 FIN exome
AF:
0.0109
Gnomad4 NFE exome
AF:
0.0311
Gnomad4 OTH exome
AF:
0.0345
GnomAD4 genome
AF:
0.0481
AC:
7322
AN:
152232
Hom.:
283
Cov.:
32
AF XY:
0.0456
AC XY:
3397
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.106
Gnomad4 AMR
AF:
0.0264
Gnomad4 ASJ
AF:
0.0121
Gnomad4 EAS
AF:
0.00775
Gnomad4 SAS
AF:
0.0417
Gnomad4 FIN
AF:
0.00706
Gnomad4 NFE
AF:
0.0297
Gnomad4 OTH
AF:
0.0545
Alfa
AF:
0.0359
Hom.:
78
Bravo
AF:
0.0511
Asia WGS
AF:
0.0730
AC:
254
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

not specified Benign:1
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
not provided Benign:1
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.48
CADD
Benign
12
DANN
Benign
0.94

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: rs1800902; hg19: chr20-57415455; COSMIC: COSV58330333; COSMIC: COSV58330333; API