rs113951800

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_000369.5(TSHR):​c.1377G>A​(p.Ala459Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0215 in 1,614,086 control chromosomes in the GnomAD database, including 470 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A459A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.016 ( 30 hom., cov: 32)
Exomes 𝑓: 0.022 ( 440 hom. )

Consequence

TSHR
NM_000369.5 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -2.88

Publications

6 publications found
Variant links:
Genes affected
TSHR (HGNC:12373): (thyroid stimulating hormone receptor) The protein encoded by this gene is a membrane protein and a major controller of thyroid cell metabolism. The encoded protein is a receptor for thyrothropin and thyrostimulin, and its activity is mediated by adenylate cyclase. Defects in this gene are a cause of several types of hyperthyroidism. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]
TSHR Gene-Disease associations (from GenCC):
  • familial gestational hyperthyroidism
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P
  • hypothyroidism due to TSH receptor mutations
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae)
  • familial hyperthyroidism due to mutations in TSH receptor
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • athyreosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • thyroid hypoplasia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.75).
BP6
Variant 14-81143435-G-A is Benign according to our data. Variant chr14-81143435-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 255951.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-2.88 with no splicing effect.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.0157 (2389/152198) while in subpopulation SAS AF = 0.0428 (206/4818). AF 95% confidence interval is 0.038. There are 30 homozygotes in GnomAd4. There are 1181 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 30 AD,AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000369.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TSHR
NM_000369.5
MANE Select
c.1377G>Ap.Ala459Ala
synonymous
Exon 10 of 10NP_000360.2P16473-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TSHR
ENST00000298171.7
TSL:1 MANE Select
c.1377G>Ap.Ala459Ala
synonymous
Exon 10 of 10ENSP00000298171.2P16473-1
TSHR
ENST00000541158.6
TSL:5
c.1377G>Ap.Ala459Ala
synonymous
Exon 11 of 11ENSP00000441235.2P16473-1
TSHR
ENST00000636454.1
TSL:5
n.1295G>A
non_coding_transcript_exon
Exon 8 of 8

Frequencies

GnomAD3 genomes
AF:
0.0157
AC:
2388
AN:
152080
Hom.:
30
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00459
Gnomad AMI
AF:
0.0473
Gnomad AMR
AF:
0.0104
Gnomad ASJ
AF:
0.0207
Gnomad EAS
AF:
0.000965
Gnomad SAS
AF:
0.0423
Gnomad FIN
AF:
0.0141
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0225
Gnomad OTH
AF:
0.0139
GnomAD2 exomes
AF:
0.0181
AC:
4563
AN:
251460
AF XY:
0.0200
show subpopulations
Gnomad AFR exome
AF:
0.00418
Gnomad AMR exome
AF:
0.00714
Gnomad ASJ exome
AF:
0.0174
Gnomad EAS exome
AF:
0.000815
Gnomad FIN exome
AF:
0.0140
Gnomad NFE exome
AF:
0.0210
Gnomad OTH exome
AF:
0.0181
GnomAD4 exome
AF:
0.0221
AC:
32240
AN:
1461888
Hom.:
440
Cov.:
31
AF XY:
0.0226
AC XY:
16452
AN XY:
727246
show subpopulations
African (AFR)
AF:
0.00457
AC:
153
AN:
33480
American (AMR)
AF:
0.00758
AC:
339
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0185
AC:
483
AN:
26136
East Asian (EAS)
AF:
0.000982
AC:
39
AN:
39700
South Asian (SAS)
AF:
0.0404
AC:
3488
AN:
86258
European-Finnish (FIN)
AF:
0.0129
AC:
687
AN:
53414
Middle Eastern (MID)
AF:
0.0354
AC:
204
AN:
5768
European-Non Finnish (NFE)
AF:
0.0230
AC:
25608
AN:
1112012
Other (OTH)
AF:
0.0205
AC:
1239
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
2348
4696
7044
9392
11740
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
984
1968
2952
3936
4920
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0157
AC:
2389
AN:
152198
Hom.:
30
Cov.:
32
AF XY:
0.0159
AC XY:
1181
AN XY:
74400
show subpopulations
African (AFR)
AF:
0.00460
AC:
191
AN:
41524
American (AMR)
AF:
0.0104
AC:
159
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.0207
AC:
72
AN:
3472
East Asian (EAS)
AF:
0.000967
AC:
5
AN:
5168
South Asian (SAS)
AF:
0.0428
AC:
206
AN:
4818
European-Finnish (FIN)
AF:
0.0141
AC:
149
AN:
10602
Middle Eastern (MID)
AF:
0.0102
AC:
3
AN:
294
European-Non Finnish (NFE)
AF:
0.0225
AC:
1532
AN:
67998
Other (OTH)
AF:
0.0137
AC:
29
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
125
250
374
499
624
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
32
64
96
128
160
<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:
0.0157
Hom.:
10
Bravo
AF:
0.0145
Asia WGS
AF:
0.0190
AC:
65
AN:
3478
EpiCase
AF:
0.0230
EpiControl
AF:
0.0225

ClinVar

ClinVar submissions
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
-
2
not specified (2)
-
-
1
Familial hyperthyroidism due to mutations in TSH receptor (1)
-
-
1
Hypothyroidism due to TSH receptor mutations (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.75
CADD
Benign
0.66
DANN
Benign
0.75
PhyloP100
-2.9
Mutation Taster
=99/1
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs113951800; hg19: chr14-81609779; API