5-42699942-A-G

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000163.5(GHR):​c.558A>G​(p.Gly186Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.713 in 1,596,728 control chromosomes in the GnomAD database, including 410,555 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.65 ( 33294 hom., cov: 32)
Exomes 𝑓: 0.72 ( 377261 hom. )

Consequence

GHR
NM_000163.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.163

Publications

33 publications found
Variant links:
Genes affected
GHR (HGNC:4263): (growth hormone receptor) This gene encodes a member of the type I cytokine receptor family, which is a transmembrane receptor for growth hormone. Binding of growth hormone to the receptor leads to receptor dimerization and the activation of an intra- and intercellular signal transduction pathway leading to growth. Mutations in this gene have been associated with Laron syndrome, also known as the growth hormone insensitivity syndrome (GHIS), a disorder characterized by short stature. In humans and rabbits, but not rodents, growth hormone binding protein (GHBP) is generated by proteolytic cleavage of the extracellular ligand-binding domain from the mature growth hormone receptor protein. Multiple alternatively spliced transcript variants have been found for this gene.[provided by RefSeq, Jun 2011]
GHR Gene-Disease associations (from GenCC):
  • Laron syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • short stature due to partial GHR deficiency
    Inheritance: Unknown, AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.51).
BP6
Variant 5-42699942-A-G is Benign according to our data. Variant chr5-42699942-A-G is described in ClinVar as Benign. ClinVar VariationId is 198051.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.163 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.821 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GHRNM_000163.5 linkc.558A>G p.Gly186Gly synonymous_variant Exon 6 of 10 ENST00000230882.9 NP_000154.1 P10912-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GHRENST00000230882.9 linkc.558A>G p.Gly186Gly synonymous_variant Exon 6 of 10 1 NM_000163.5 ENSP00000230882.4 P10912-1

Frequencies

GnomAD3 genomes
AF:
0.648
AC:
98504
AN:
151936
Hom.:
33283
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.443
Gnomad AMI
AF:
0.597
Gnomad AMR
AF:
0.738
Gnomad ASJ
AF:
0.702
Gnomad EAS
AF:
0.841
Gnomad SAS
AF:
0.685
Gnomad FIN
AF:
0.697
Gnomad MID
AF:
0.684
Gnomad NFE
AF:
0.726
Gnomad OTH
AF:
0.644
GnomAD2 exomes
AF:
0.717
AC:
179881
AN:
250752
AF XY:
0.715
show subpopulations
Gnomad AFR exome
AF:
0.435
Gnomad AMR exome
AF:
0.809
Gnomad ASJ exome
AF:
0.694
Gnomad EAS exome
AF:
0.848
Gnomad FIN exome
AF:
0.694
Gnomad NFE exome
AF:
0.727
Gnomad OTH exome
AF:
0.707
GnomAD4 exome
AF:
0.720
AC:
1039709
AN:
1444674
Hom.:
377261
Cov.:
29
AF XY:
0.719
AC XY:
517201
AN XY:
719804
show subpopulations
African (AFR)
AF:
0.431
AC:
14308
AN:
33202
American (AMR)
AF:
0.799
AC:
35629
AN:
44588
Ashkenazi Jewish (ASJ)
AF:
0.697
AC:
18134
AN:
26018
East Asian (EAS)
AF:
0.878
AC:
34776
AN:
39590
South Asian (SAS)
AF:
0.678
AC:
58233
AN:
85926
European-Finnish (FIN)
AF:
0.697
AC:
37232
AN:
53396
Middle Eastern (MID)
AF:
0.649
AC:
3729
AN:
5742
European-Non Finnish (NFE)
AF:
0.726
AC:
795840
AN:
1096384
Other (OTH)
AF:
0.699
AC:
41828
AN:
59828
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
13450
26900
40350
53800
67250
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19562
39124
58686
78248
97810
<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:
0.648
AC:
98533
AN:
152054
Hom.:
33294
Cov.:
32
AF XY:
0.652
AC XY:
48468
AN XY:
74320
show subpopulations
African (AFR)
AF:
0.442
AC:
18337
AN:
41454
American (AMR)
AF:
0.738
AC:
11277
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.702
AC:
2434
AN:
3468
East Asian (EAS)
AF:
0.842
AC:
4356
AN:
5174
South Asian (SAS)
AF:
0.686
AC:
3309
AN:
4822
European-Finnish (FIN)
AF:
0.697
AC:
7360
AN:
10560
Middle Eastern (MID)
AF:
0.680
AC:
200
AN:
294
European-Non Finnish (NFE)
AF:
0.726
AC:
49354
AN:
67982
Other (OTH)
AF:
0.647
AC:
1363
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1652
3304
4957
6609
8261
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
790
1580
2370
3160
3950
<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:
0.696
Hom.:
30420
Bravo
AF:
0.642
Asia WGS
AF:
0.758
AC:
2637
AN:
3478
EpiCase
AF:
0.726
EpiControl
AF:
0.719

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Jun 30, 2014
Eurofins Ntd Llc (ga)
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

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Laron-type isolated somatotropin defect Benign:3
Jun 29, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Nov 21, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Short stature due to partial GHR deficiency Benign:1
Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.51
CADD
Benign
6.2
DANN
Benign
0.71
PhyloP100
0.16
Mutation Taster
=294/6
polymorphism (auto)

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: rs6179; hg19: chr5-42700044; COSMIC: COSV50113035; API