rs104894702
Variant summary
Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM4PP5_Very_Strong
The NM_032551.5(KISS1R):c.1195T>A(p.Ter399Argext*?) variant causes a stop lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000067 in 1,284,240 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_032551.5 stop_lost
Scores
Clinical Significance
Conservation
Publications
- hypogonadotropic hypogonadism 8 with or without anosmiaInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
 - hypogonadotropic hypogonadismInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - central precocious puberty 1Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
 
Genome browser will be placed here
ACMG classification
Our verdict: Pathogenic. The variant received 10 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| KISS1R | ENST00000234371.10  | c.1195T>A | p.Ter399Argext*? | stop_lost | Exon 5 of 5 | 1 | NM_032551.5 | ENSP00000234371.3 | ||
| KISS1R | ENST00000606939.2  | c.*281T>A | splice_region_variant | Exon 4 of 4 | 5 | ENSP00000475639.1 | ||||
| KISS1R | ENST00000606939.2  | c.*281T>A | 3_prime_UTR_variant | Exon 4 of 4 | 5 | ENSP00000475639.1 | 
Frequencies
GnomAD3 genomes   AF:  0.0000788  AC: 12AN: 152192Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.0000681  AC: 2AN: 29374 AF XY:  0.0000606   show subpopulations 
GnomAD4 exome  AF:  0.0000654  AC: 74AN: 1132048Hom.:  0  Cov.: 32 AF XY:  0.0000702  AC XY: 38AN XY: 541144 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.0000788  AC: 12AN: 152192Hom.:  0  Cov.: 33 AF XY:  0.000134  AC XY: 10AN XY: 74364 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not provided    Pathogenic:2 
This sequence change disrupts the translational stop signal of the KISS1R mRNA. It is expected to extend the length of the KISS1R protein by an uncertain number of additional amino acid residues. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This protein extension has been observed in individuals with hypogonadotropic hypogonadism (PMID: 14573733, 23349759, 31073722). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 5757). Algorithms developed to predict the effect of variants on protein structure and function are not available or were not evaluated for this variant. Experimental studies have shown that this protein extension affects KISS1R function (PMID: 14573733). In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic. -
Stop codon loss and change to an arginine codon, leading to protein extension and the addition of an unknown number of amino acids at the C-terminus, and other similar variants have been reported in HGMD; Published functional studies suggest a damaging effect on ligand-induced inositol production and mRNA stability (PMID: 14573733); This variant is associated with the following publications: (PMID: 30205368, 34970798, 27094476, 20816945, 30339828, 16757106, 23349759, 14573733, 31073722, 26510589) -
KISS1R-related disorder    Pathogenic:1 
The KISS1R c.1195T>A variant is predicted to result in extension of the open reading frame (p.*399Argext*89). This variant is predicted to disrupt the translation stop signal and result in protein extension. This variant was reported in the homozygous or compound heterozygous state in individuals with hypogonadotropic hypogonadism (Seminara. 2003. PubMed ID: 14573733; Brioude. 2013. PubMed ID: 23349759; Moalla. 2019. PubMed ID: 31073722). This variant is reported in 0.018% of alleles in individuals of European (Finnish) descent in gnomAD (http://gnomad.broadinstitute.org/variant/19-920746-T-A). This variant is interpreted as likely pathogenic. -
Hypogonadotropic hypogonadism 8 without anosmia    Pathogenic:1 
- -
Hypogonadotropic hypogonadism    Pathogenic:1 
- -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at