rs104894702

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PM2PM4PP5_Very_Strong

The NM_032551.5(KISS1R):​c.1195T>A​(p.Ter399ArgextTer?) 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

Genomes: 𝑓 0.000079 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000065 ( 0 hom. )

Consequence

KISS1R
NM_032551.5 stop_lost

Scores

4
3

Clinical Significance

Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: -0.438
Variant links:
Genes affected
KISS1R (HGNC:4510): (KISS1 receptor) The protein encoded by this gene is a galanin-like G protein-coupled receptor that binds metastin, a peptide encoded by the metastasis suppressor gene KISS1. The tissue distribution of the expressed gene suggests that it is involved in the regulation of endocrine function, and this is supported by the finding that this gene appears to play a role in the onset of puberty. Mutations in this gene have been associated with hypogonadotropic hypogonadism and central precocious puberty. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM4
Stoplost variant in NM_032551.5 Downstream stopcodon found after 454 codons.
PP5
Variant 19-920746-T-A is Pathogenic according to our data. Variant chr19-920746-T-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 5757.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-920746-T-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KISS1RNM_032551.5 linkuse as main transcriptc.1195T>A p.Ter399ArgextTer? stop_lost 5/5 ENST00000234371.10
KISS1RXM_047439545.1 linkuse as main transcriptc.1378T>A p.Ter460ArgextTer? stop_lost 4/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KISS1RENST00000234371.10 linkuse as main transcriptc.1195T>A p.Ter399ArgextTer? stop_lost 5/51 NM_032551.5 P1
KISS1RENST00000606939.2 linkuse as main transcriptc.*281T>A 3_prime_UTR_variant 4/45

Frequencies

GnomAD3 genomes
AF:
0.0000788
AC:
12
AN:
152192
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000681
AC:
2
AN:
29374
Hom.:
0
AF XY:
0.0000606
AC XY:
1
AN XY:
16512
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000112
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000654
AC:
74
AN:
1132048
Hom.:
0
Cov.:
32
AF XY:
0.0000702
AC XY:
38
AN XY:
541144
show subpopulations
Gnomad4 AFR exome
AF:
0.000123
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000319
Gnomad4 NFE exome
AF:
0.0000632
Gnomad4 OTH exome
AF:
0.0000653
GnomAD4 genome
AF:
0.0000788
AC:
12
AN:
152192
Hom.:
0
Cov.:
33
AF XY:
0.000134
AC XY:
10
AN XY:
74364
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000943
Gnomad4 NFE
AF:
0.000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000106
Hom.:
0
Bravo
AF:
0.0000453
ExAC
AF:
0.0000464
AC:
5

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

KISS1R-related disorder Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesOct 20, 2023The 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
Pathogenic, no assertion criteria providedliterature onlyOMIMJan 01, 2013- -
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingInvitaeJul 08, 2023This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
-0.040
CADD
Benign
12
DANN
Benign
0.89
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Benign
0.47
N
MutationTaster
Benign
7.8e-14
A
Vest4
0.067
GERP RS
2.8

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs104894702; hg19: chr19-920746; API