NM_024915.4:c.21-19064A>G
Variant names: 
Variant summary
Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1
The NM_024915.4(GRHL2):c.21-19064A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.448 in 152,066 control chromosomes in the GnomAD database, including 17,570 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: 𝑓 0.45   (  17570   hom.,  cov: 32) 
Consequence
 GRHL2
NM_024915.4 intron
NM_024915.4 intron
Scores
 2
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  -0.298  
Publications
14 publications found 
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] 
GRHL2 Gene-Disease associations (from GenCC):
- autosomal dominant nonsyndromic hearing loss 28Inheritance: AD Classification: STRONG, MODERATE Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Ambry Genetics
- nonsyndromic genetic hearing lossInheritance: AD Classification: STRONG Submitted by: ClinGen
- posterior polymorphous corneal dystrophyInheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, G2P
- nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndromeInheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P
- autosomal dominant nonsyndromic hearing lossInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- congenital fibrosis of extraocular musclesInheritance: Unknown Classification: LIMITED Submitted by: Genomics England PanelApp
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ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -12 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.91). 
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.574  is higher than 0.05. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| GRHL2 | NM_024915.4 | c.21-19064A>G | intron_variant | Intron 1 of 15 | ENST00000646743.1 | NP_079191.2 | ||
| GRHL2 | NM_001330593.2 | c.-28-19064A>G | intron_variant | Intron 1 of 15 | NP_001317522.1 | |||
| GRHL2 | NM_001440448.1 | c.-28-19064A>G | intron_variant | Intron 1 of 15 | NP_001427377.1 | |||
| GRHL2 | NM_001440447.1 | c.21-19064A>G | intron_variant | Intron 1 of 15 | NP_001427376.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| GRHL2 | ENST00000646743.1 | c.21-19064A>G | intron_variant | Intron 1 of 15 | NM_024915.4 | ENSP00000495564.1 | ||||
| GRHL2 | ENST00000472106.2 | n.349-19064A>G | intron_variant | Intron 1 of 1 | 1 | |||||
| GRHL2 | ENST00000395927.1 | c.-28-19064A>G | intron_variant | Intron 1 of 15 | 2 | ENSP00000379260.1 | 
Frequencies
GnomAD3 genomes  0.449  AC: 68183AN: 151948Hom.:  17573  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
68183
AN: 
151948
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
We have no GnomAD4 exomes data on this position. Probably position not covered by the project.
GnomAD4 genome  0.448  AC: 68196AN: 152066Hom.:  17570  Cov.: 32 AF XY:  0.448  AC XY: 33280AN XY: 74346 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
68196
AN: 
152066
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
33280
AN XY: 
74346
show subpopulations 
African (AFR) 
 AF: 
AC: 
8851
AN: 
41488
American (AMR) 
 AF: 
AC: 
7107
AN: 
15280
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
1875
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
1220
AN: 
5178
South Asian (SAS) 
 AF: 
AC: 
1410
AN: 
4820
European-Finnish (FIN) 
 AF: 
AC: 
6745
AN: 
10556
Middle Eastern (MID) 
 AF: 
AC: 
124
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
39354
AN: 
67956
Other (OTH) 
 AF: 
AC: 
952
AN: 
2114
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.500 
Heterozygous variant carriers
 0 
 1698 
 3396 
 5094 
 6792 
 8490 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 600 
 1200 
 1800 
 2400 
 3000 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
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 65-70 
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 >80 
Age
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
1010
AN: 
3478
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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