chr14-54856133-T-C
Variant names: 
Variant summary
Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1
The NM_000161.3(GCH1):c.509+3548A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.217 in 152,102 control chromosomes in the GnomAD database, including 3,742 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 0.22   (  3742   hom.,  cov: 32) 
Consequence
 GCH1
NM_000161.3 intron
NM_000161.3 intron
Scores
 2
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  0.101  
Publications
5 publications found 
Genes affected
 GCH1  (HGNC:4193):  (GTP cyclohydrolase 1) This gene encodes a member of the GTP cyclohydrolase family. The encoded protein is the first and rate-limiting enzyme in tetrahydrobiopterin (BH4) biosynthesis, catalyzing the conversion of GTP into 7,8-dihydroneopterin triphosphate. BH4 is an essential cofactor required by aromatic amino acid hydroxylases as well as nitric oxide synthases. Mutations in this gene are associated with malignant hyperphenylalaninemia and dopa-responsive dystonia. Several alternatively spliced transcript variants encoding different isoforms have been described; however, not all variants give rise to a functional enzyme. [provided by RefSeq, Jul 2008] 
GCH1 Gene-Disease associations (from GenCC):
- dystonia 5Inheritance: AD, AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P
- GTP cyclohydrolase I deficiency with hyperphenylalaninemiaInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet, G2P
- GTP cyclohydrolase I deficiencyInheritance: SD, AD Classification: DEFINITIVE Submitted by: ClinGen, Illumina
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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 (EAS) allele frequency at 95% confidence interval = 0.343  is higher than 0.05. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| GCH1 | NM_000161.3 | c.509+3548A>G | intron_variant | Intron 3 of 5 | ENST00000491895.7 | NP_000152.1 | 
Ensembl
Frequencies
GnomAD3 genomes  0.217  AC: 33033AN: 151984Hom.:  3738  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
33033
AN: 
151984
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  0.217  AC: 33072AN: 152102Hom.:  3742  Cov.: 32 AF XY:  0.220  AC XY: 16378AN XY: 74320 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
33072
AN: 
152102
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
16378
AN XY: 
74320
show subpopulations 
African (AFR) 
 AF: 
AC: 
8436
AN: 
41510
American (AMR) 
 AF: 
AC: 
4504
AN: 
15284
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
508
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
1837
AN: 
5154
South Asian (SAS) 
 AF: 
AC: 
653
AN: 
4826
European-Finnish (FIN) 
 AF: 
AC: 
2603
AN: 
10576
Middle Eastern (MID) 
 AF: 
AC: 
30
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
13769
AN: 
67966
Other (OTH) 
 AF: 
AC: 
452
AN: 
2110
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.501 
Heterozygous variant carriers
 0 
 1310 
 2620 
 3930 
 5240 
 6550 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 346 
 692 
 1038 
 1384 
 1730 
 <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: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
707
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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