rs199957468

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM1PM2

The NM_001363711.2(DUOX2):​c.512T>G​(p.Leu171Arg) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000066 in 151,612 control chromosomes in the GnomAD database, with no homozygous occurrence. 18/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L171P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 28)

Consequence

DUOX2
NM_001363711.2 missense, splice_region

Scores

3
15
Splicing: ADA: 0.0003080
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.59

Publications

4 publications found
Variant links:
Genes affected
DUOX2 (HGNC:13273): (dual oxidase 2) The protein encoded by this gene is a glycoprotein and a member of the NADPH oxidase family. The synthesis of thyroid hormone is catalyzed by a protein complex located at the apical membrane of thyroid follicular cells. This complex contains an iodide transporter, thyroperoxidase, and a peroxide generating system that includes this encoded protein and DUOX1. This protein is known as dual oxidase because it has both a peroxidase homology domain and a gp91phox domain. [provided by RefSeq, Jul 2008]
DUOX2 Gene-Disease associations (from GenCC):
  • thyroid dyshormonogenesis 6
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
  • familial thyroid dyshormonogenesis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 7 uncertain in NM_001363711.2
PM2
Very rare variant in population databases, with high coverage;

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001363711.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DUOX2
NM_001363711.2
MANE Select
c.512T>Gp.Leu171Arg
missense splice_region
Exon 5 of 34NP_001350640.1
DUOX2
NM_014080.5
c.512T>Gp.Leu171Arg
missense splice_region
Exon 5 of 34NP_054799.4

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DUOX2
ENST00000389039.11
TSL:1 MANE Select
c.512T>Gp.Leu171Arg
missense splice_region
Exon 5 of 34ENSP00000373691.7
DUOX2
ENST00000603300.1
TSL:1
c.512T>Gp.Leu171Arg
missense splice_region
Exon 5 of 34ENSP00000475084.1
DUOX2
ENST00000558383.1
TSL:5
n.555T>G
non_coding_transcript_exon
Exon 4 of 17

Frequencies

GnomAD3 genomes
AF:
0.00000660
AC:
1
AN:
151612
Hom.:
0
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.0000244
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
32
GnomAD4 genome
AF:
0.00000660
AC:
1
AN:
151612
Hom.:
0
Cov.:
28
AF XY:
0.00
AC XY:
0
AN XY:
74056
show subpopulations
African (AFR)
AF:
0.0000244
AC:
1
AN:
40996
American (AMR)
AF:
0.00
AC:
0
AN:
15258
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5164
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67976
Other (OTH)
AF:
0.00
AC:
0
AN:
2080
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.625
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.011
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
22
DANN
Benign
0.67
DEOGEN2
Benign
0.0083
T
Eigen
Benign
-0.38
Eigen_PC
Benign
-0.31
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Uncertain
0.86
D
M_CAP
Benign
0.072
D
MetaRNN
Uncertain
0.58
D
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
1.9
L
PhyloP100
1.6
PrimateAI
Benign
0.45
T
PROVEAN
Benign
1.3
N
REVEL
Benign
0.22
Sift
Benign
0.82
T
Sift4G
Benign
0.67
T
Polyphen
0.17
B
Vest4
0.69
MutPred
0.57
Gain of disorder (P = 0.017)
MVP
0.63
MPC
1.2
ClinPred
0.25
T
GERP RS
1.1
Varity_R
0.14
gMVP
0.70

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00031
dbscSNV1_RF
Benign
0.0020
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: rs199957468; hg19: chr15-45403967; API