rs144205489

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 0P and 15B. BP4_ModerateBP6_Very_StrongBP7BS2

The NM_000756.4(CRH):​c.456G>A​(p.Arg152=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00217 in 1,614,034 control chromosomes in the GnomAD database, including 22 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0015 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0022 ( 21 hom. )

Consequence

CRH
NM_000756.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 2.09
Variant links:
Genes affected
CRH (HGNC:2355): (corticotropin releasing hormone) This gene encodes a member of the corticotropin-releasing factor family. The encoded preproprotein is proteolytically processed to generate the mature neuropeptide hormone. In response to stress, this hormone is secreted by the paraventricular nucleus (PVN) of the hypothalamus, binds to corticotropin releasing hormone receptors and stimulates the release of adrenocorticotropic hormone from the pituitary gland. Marked reduction in this protein has been observed in association with Alzheimer's disease. Autosomal recessive hypothalamic corticotropin deficiency has multiple and potentially fatal metabolic consequences including hypoglycemia and hepatitis. In addition to production in the hypothalamus, this protein is also synthesized in peripheral tissues, such as T lymphocytes, and is highly expressed in the placenta. In the placenta it is a marker that determines the length of gestation and the timing of parturition and delivery. A rapid increase in circulating levels of the hormone occurs at the onset of parturition, suggesting that, in addition to its metabolic functions, this protein may act as a trigger for parturition. [provided by RefSeq, Nov 2015]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.33).
BP6
Variant 8-66177022-C-T is Benign according to our data. Variant chr8-66177022-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 585726.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=2.09 with no splicing effect.
BS2
High AC in GnomAd4 at 225 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CRHNM_000756.4 linkuse as main transcriptc.456G>A p.Arg152= synonymous_variant 2/2 ENST00000276571.5 NP_000747.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CRHENST00000276571.5 linkuse as main transcriptc.456G>A p.Arg152= synonymous_variant 2/21 NM_000756.4 ENSP00000276571 P1

Frequencies

GnomAD3 genomes
AF:
0.00148
AC:
226
AN:
152240
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00124
Gnomad ASJ
AF:
0.00548
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00786
Gnomad FIN
AF:
0.000471
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00188
Gnomad OTH
AF:
0.00334
GnomAD3 exomes
AF:
0.00314
AC:
788
AN:
250622
Hom.:
8
AF XY:
0.00402
AC XY:
545
AN XY:
135514
show subpopulations
Gnomad AFR exome
AF:
0.000124
Gnomad AMR exome
AF:
0.00122
Gnomad ASJ exome
AF:
0.00458
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0145
Gnomad FIN exome
AF:
0.000232
Gnomad NFE exome
AF:
0.00203
Gnomad OTH exome
AF:
0.00343
GnomAD4 exome
AF:
0.00225
AC:
3284
AN:
1461676
Hom.:
21
Cov.:
31
AF XY:
0.00267
AC XY:
1943
AN XY:
727120
show subpopulations
Gnomad4 AFR exome
AF:
0.000329
Gnomad4 AMR exome
AF:
0.00134
Gnomad4 ASJ exome
AF:
0.00494
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0131
Gnomad4 FIN exome
AF:
0.000562
Gnomad4 NFE exome
AF:
0.00157
Gnomad4 OTH exome
AF:
0.00262
GnomAD4 genome
AF:
0.00148
AC:
225
AN:
152358
Hom.:
1
Cov.:
32
AF XY:
0.00138
AC XY:
103
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.000240
Gnomad4 AMR
AF:
0.00124
Gnomad4 ASJ
AF:
0.00548
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00766
Gnomad4 FIN
AF:
0.000471
Gnomad4 NFE
AF:
0.00188
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00191
Hom.:
1
Bravo
AF:
0.00144
Asia WGS
AF:
0.00404
AC:
14
AN:
3478
EpiCase
AF:
0.00251
EpiControl
AF:
0.00237

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsNov 28, 2017- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJul 24, 2016This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
CRH-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 14, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.33
CADD
Benign
11
DANN
Benign
0.96

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: rs144205489; hg19: chr8-67089257; API