rs1991517

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000369.5(TSHR):​c.2181G>C​(p.Glu727Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.911 in 1,613,402 control chromosomes in the GnomAD database, including 669,969 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.91 ( 62803 hom., cov: 31)
Exomes 𝑓: 0.91 ( 607166 hom. )

Consequence

TSHR
NM_000369.5 missense

Scores

16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:12O:1

Conservation

PhyloP100: -0.107
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=9.633978E-7).
BP6
Variant 14-81144239-G-C is Benign according to our data. Variant chr14-81144239-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 135400.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-81144239-G-C is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.932 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TSHRNM_000369.5 linkc.2181G>C p.Glu727Asp missense_variant Exon 10 of 10 ENST00000298171.7 NP_000360.2 P16473A0A0A0MTJ0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TSHRENST00000298171.7 linkc.2181G>C p.Glu727Asp missense_variant Exon 10 of 10 1 NM_000369.5 ENSP00000298171.2 A0A0A0MTJ0

Frequencies

GnomAD3 genomes
AF:
0.907
AC:
137998
AN:
152072
Hom.:
62747
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.940
Gnomad AMI
AF:
0.865
Gnomad AMR
AF:
0.862
Gnomad ASJ
AF:
0.901
Gnomad EAS
AF:
0.838
Gnomad SAS
AF:
0.913
Gnomad FIN
AF:
0.843
Gnomad MID
AF:
0.934
Gnomad NFE
AF:
0.913
Gnomad OTH
AF:
0.916
GnomAD3 exomes
AF:
0.896
AC:
224904
AN:
251048
Hom.:
100932
AF XY:
0.898
AC XY:
121803
AN XY:
135668
show subpopulations
Gnomad AFR exome
AF:
0.938
Gnomad AMR exome
AF:
0.870
Gnomad ASJ exome
AF:
0.907
Gnomad EAS exome
AF:
0.821
Gnomad SAS exome
AF:
0.913
Gnomad FIN exome
AF:
0.847
Gnomad NFE exome
AF:
0.913
Gnomad OTH exome
AF:
0.898
GnomAD4 exome
AF:
0.911
AC:
1331625
AN:
1461212
Hom.:
607166
Cov.:
73
AF XY:
0.911
AC XY:
662347
AN XY:
726864
show subpopulations
Gnomad4 AFR exome
AF:
0.936
Gnomad4 AMR exome
AF:
0.869
Gnomad4 ASJ exome
AF:
0.906
Gnomad4 EAS exome
AF:
0.848
Gnomad4 SAS exome
AF:
0.913
Gnomad4 FIN exome
AF:
0.848
Gnomad4 NFE exome
AF:
0.918
Gnomad4 OTH exome
AF:
0.910
GnomAD4 genome
AF:
0.907
AC:
138109
AN:
152190
Hom.:
62803
Cov.:
31
AF XY:
0.903
AC XY:
67137
AN XY:
74374
show subpopulations
Gnomad4 AFR
AF:
0.940
Gnomad4 AMR
AF:
0.862
Gnomad4 ASJ
AF:
0.901
Gnomad4 EAS
AF:
0.838
Gnomad4 SAS
AF:
0.912
Gnomad4 FIN
AF:
0.843
Gnomad4 NFE
AF:
0.913
Gnomad4 OTH
AF:
0.918
Alfa
AF:
0.910
Hom.:
20441
Bravo
AF:
0.910
TwinsUK
AF:
0.917
AC:
3400
ALSPAC
AF:
0.920
AC:
3545
ESP6500AA
AF:
0.943
AC:
4154
ESP6500EA
AF:
0.913
AC:
7855
ExAC
AF:
0.900
AC:
109299
Asia WGS
AF:
0.897
AC:
3118
AN:
3478
EpiCase
AF:
0.921
EpiControl
AF:
0.917

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:12Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4Other:1
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 19, 2013
ITMI
Significance: not provided
Review Status: no classification provided
Collection Method: reference population

- -

-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not provided Benign:3
Nov 12, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 26356361, 10487707, 24728327, 17408423, 12589819) -

Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Hypothyroidism due to TSH receptor mutations Benign:2
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Sep 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Familial hyperthyroidism due to mutations in TSH receptor Benign:2
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Sep 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Familial gestational hyperthyroidism Benign:1
Sep 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.069
BayesDel_addAF
Benign
-0.69
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
2.1
DANN
Benign
0.45
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.0092
N
LIST_S2
Benign
0.11
.;T
MetaRNN
Benign
9.6e-7
T;T
MetaSVM
Benign
-0.98
T
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.020
N;N
REVEL
Benign
0.073
Sift
Benign
1.0
T;T
Sift4G
Benign
0.76
T;T
Vest4
0.012
MutPred
0.32
Gain of catalytic residue at V724 (P = 0.0078);Gain of catalytic residue at V724 (P = 0.0078);
MPC
0.14
ClinPred
0.0011
T
GERP RS
2.1
gMVP
0.32

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: rs1991517; hg19: chr14-81610583; API