rs184106392

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBP6

The NM_000360.4(TH):​c.1255G>A​(p.Val419Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000265 in 1,612,666 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. V419V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00033 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00026 ( 1 hom. )

Consequence

TH
NM_000360.4 missense

Scores

3
6
9

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:5O:1

Conservation

PhyloP100: 0.650

Publications

3 publications found
Variant links:
Genes affected
TH (HGNC:11782): (tyrosine hydroxylase) The protein encoded by this gene is involved in the conversion of tyrosine to dopamine. It is the rate-limiting enzyme in the synthesis of catecholamines, hence plays a key role in the physiology of adrenergic neurons. Mutations in this gene have been associated with autosomal recessive Segawa syndrome. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Jul 2008]
TH Gene-Disease associations (from GenCC):
  • TH-deficient dopa-responsive dystonia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet, G2P
  • tyrosine hydroxylase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.16525722).
BP6
Variant 11-2165311-C-T is Benign according to our data. Variant chr11-2165311-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 448683.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000360.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TH
NM_000360.4
MANE Select
c.1255G>Ap.Val419Met
missense
Exon 12 of 13NP_000351.2P07101-3
TH
NM_199292.3
c.1348G>Ap.Val450Met
missense
Exon 13 of 14NP_954986.2P07101-1
TH
NM_199293.3
c.1336G>Ap.Val446Met
missense
Exon 13 of 14NP_954987.2P07101-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TH
ENST00000352909.8
TSL:1 MANE Select
c.1255G>Ap.Val419Met
missense
Exon 12 of 13ENSP00000325951.4P07101-3
TH
ENST00000381178.5
TSL:1
c.1348G>Ap.Val450Met
missense
Exon 13 of 14ENSP00000370571.1P07101-1
TH
ENST00000381175.5
TSL:1
c.1336G>Ap.Val446Met
missense
Exon 13 of 14ENSP00000370567.1P07101-2

Frequencies

GnomAD3 genomes
AF:
0.000329
AC:
50
AN:
152186
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000785
Gnomad ASJ
AF:
0.00288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.000659
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000265
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000456
AC:
114
AN:
249890
AF XY:
0.000472
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000434
Gnomad ASJ exome
AF:
0.00329
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00103
Gnomad NFE exome
AF:
0.000311
Gnomad OTH exome
AF:
0.000818
GnomAD4 exome
AF:
0.000258
AC:
377
AN:
1460362
Hom.:
1
Cov.:
32
AF XY:
0.000263
AC XY:
191
AN XY:
726478
show subpopulations
African (AFR)
AF:
0.000269
AC:
9
AN:
33480
American (AMR)
AF:
0.000447
AC:
20
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00325
AC:
85
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.0000580
AC:
5
AN:
86258
European-Finnish (FIN)
AF:
0.000789
AC:
41
AN:
51950
Middle Eastern (MID)
AF:
0.00225
AC:
13
AN:
5768
European-Non Finnish (NFE)
AF:
0.000161
AC:
179
AN:
1111968
Other (OTH)
AF:
0.000397
AC:
24
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
26
52
77
103
129
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000328
AC:
50
AN:
152304
Hom.:
0
Cov.:
33
AF XY:
0.000363
AC XY:
27
AN XY:
74466
show subpopulations
African (AFR)
AF:
0.0000481
AC:
2
AN:
41556
American (AMR)
AF:
0.000784
AC:
12
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00288
AC:
10
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5170
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4830
European-Finnish (FIN)
AF:
0.000659
AC:
7
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000265
AC:
18
AN:
68022
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.531
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000382
Hom.:
0
Bravo
AF:
0.000276
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000297
AC:
36
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.000763
EpiControl
AF:
0.000533

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
2
not provided (4)
-
1
2
Autosomal recessive DOPA responsive dystonia (4)
-
-
1
TH-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.066
T
BayesDel_noAF
Uncertain
0.0
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.89
D
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.43
FATHMM_MKL
Benign
0.21
N
LIST_S2
Uncertain
0.89
D
M_CAP
Pathogenic
0.68
D
MetaRNN
Benign
0.17
T
MetaSVM
Pathogenic
0.98
D
MutationAssessor
Uncertain
2.8
M
PhyloP100
0.65
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-2.2
N
REVEL
Uncertain
0.54
Sift
Uncertain
0.025
D
Sift4G
Benign
0.094
T
Polyphen
0.85
P
Vest4
0.41
MVP
0.90
MPC
0.74
ClinPred
0.066
T
GERP RS
1.7
Varity_R
0.57
gMVP
0.56
Mutation Taster
=21/79
disease causing

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

Other links and lift over

dbSNP: rs184106392; hg19: chr11-2186541; API