NM_024915.4:c.1348T>A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 0P and 3B. BP4_ModerateBP6

The NM_024915.4(GRHL2):​c.1348T>A​(p.Ser450Thr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000675 in 1,613,714 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000071 ( 0 hom. )

Consequence

GRHL2
NM_024915.4 missense, splice_region

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 1.76
Variant links:
Genes affected
GRHL2 (HGNC:2799): (grainyhead like transcription factor 2) The protein encoded by this gene is a transcription factor that can act as a homodimer or as a heterodimer with either GRHL1 or GRHL3. Defects in this gene are a cause of non-syndromic sensorineural deafness autosomal dominant type 28 (DFNA28).[provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08924371).
BP6
Variant 8-101632228-T-A is Benign according to our data. Variant chr8-101632228-T-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 227415.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=2}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GRHL2NM_024915.4 linkc.1348T>A p.Ser450Thr missense_variant, splice_region_variant Exon 11 of 16 ENST00000646743.1 NP_079191.2 Q6ISB3-1
GRHL2NM_001330593.2 linkc.1300T>A p.Ser434Thr missense_variant, splice_region_variant Exon 11 of 16 NP_001317522.1 Q6ISB3-2B4DL28
GRHL2XM_011517306.4 linkc.1300T>A p.Ser434Thr missense_variant, splice_region_variant Exon 11 of 16 XP_011515608.1 Q6ISB3-2
GRHL2XM_011517307.4 linkc.1348T>A p.Ser450Thr missense_variant, splice_region_variant Exon 11 of 16 XP_011515609.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GRHL2ENST00000646743.1 linkc.1348T>A p.Ser450Thr missense_variant, splice_region_variant Exon 11 of 16 NM_024915.4 ENSP00000495564.1 Q6ISB3-1
GRHL2ENST00000395927.1 linkc.1300T>A p.Ser434Thr missense_variant, splice_region_variant Exon 11 of 16 2 ENSP00000379260.1 Q6ISB3-2
GRHL2ENST00000517674.5 linkn.3T>A non_coding_transcript_exon_variant Exon 1 of 4 5

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
AN:
152194
Hom.:
0
Cov.:
32
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000735
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000677
AC:
17
AN:
251222
Hom.:
0
AF XY:
0.0000810
AC XY:
11
AN XY:
135770
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.000132
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000712
AC:
104
AN:
1461520
Hom.:
0
Cov.:
32
AF XY:
0.0000633
AC XY:
46
AN XY:
727082
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000374
Gnomad4 NFE exome
AF:
0.0000873
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.0000329
AC:
5
AN:
152194
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74346
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000735
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000156
Hom.:
0
Bravo
AF:
0.0000378
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000741
AC:
9
EpiCase
AF:
0.000218
EpiControl
AF:
0.000296

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Oct 22, 2021
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.1348T>A (p.S450T) alteration is located in exon 11 (coding exon 11) of the GRHL2 gene. This alteration results from a T to A substitution at nucleotide position 1348, causing the serine (S) at amino acid position 450 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

not provided Uncertain:1
Dec 02, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces serine, which is neutral and polar, with threonine, which is neutral and polar, at codon 450 of the GRHL2 protein (p.Ser450Thr). This variant is present in population databases (rs141136371, gnomAD 0.01%). This variant has not been reported in the literature in individuals affected with GRHL2-related conditions. ClinVar contains an entry for this variant (Variation ID: 227415). An algorithm developed to predict the effect of missense changes on protein structure and function outputs the following: PolyPhen-2: "Benign". The threonine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

not specified Benign:1
Dec 17, 2015
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

p.Ser450Thr in exon 11 of GRHL2: This variant is not expected to have clinical s ignificance due to a lack of conservation across species, including mammals. Of note, the Tasmanian devil, opossum, and wallaby have a threonine (Thr) at this p osition despite high nearby amino acid conservation. In addition, computational prediction tools do not suggest a high likelihood of impact to the protein. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.053
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
18
DANN
Benign
0.94
DEOGEN2
Benign
0.12
T;T;.
Eigen
Benign
-0.51
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.76
D
LIST_S2
Benign
0.58
.;T;T
M_CAP
Benign
0.0048
T
MetaRNN
Benign
0.089
T;T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
0.53
N;N;.
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.3
N;.;N
REVEL
Benign
0.042
Sift
Benign
0.037
D;.;T
Sift4G
Benign
0.34
T;.;T
Polyphen
0.0
B;B;.
Vest4
0.14
MVP
0.068
MPC
0.33
ClinPred
0.043
T
GERP RS
0.037
Varity_R
0.091
gMVP
0.15

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs141136371; hg19: chr8-102644456; API