rs2001345

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000515.5(GH1):​c.7A>G​(p.Thr3Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.014 in 1,607,952 control chromosomes in the GnomAD database, including 537 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T3P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.035 ( 222 hom., cov: 32)
Exomes 𝑓: 0.012 ( 315 hom. )

Consequence

GH1
NM_000515.5 missense

Scores

18

Clinical Significance

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

Conservation

PhyloP100: -1.06

Publications

10 publications found
Variant links:
Genes affected
GH1 (HGNC:4261): (growth hormone 1) The protein encoded by this gene is a member of the somatotropin/prolactin family of hormones which play an important role in growth control. The gene, along with four other related genes, is located at the growth hormone locus on chromosome 17 where they are interspersed in the same transcriptional orientation; an arrangement which is thought to have evolved by a series of gene duplications. The five genes share a remarkably high degree of sequence identity. Alternative splicing generates additional isoforms of each of the five growth hormones, leading to further diversity and potential for specialization. This particular family member is expressed in the pituitary but not in placental tissue as is the case for the other four genes in the growth hormone locus. Mutations in or deletions of the gene lead to growth hormone deficiency and short stature. [provided by RefSeq, Jul 2008]
GH1 Gene-Disease associations (from GenCC):
  • isolated growth hormone deficiency type IA
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
  • isolated growth hormone deficiency type II
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
  • isolated growth hormone deficiency type IB
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • short stature due to growth hormone qualitative anomaly
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0017983615).
BP6
Variant 17-63918770-T-C is Benign according to our data. Variant chr17-63918770-T-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 289503.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0926 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GH1NM_000515.5 linkc.7A>G p.Thr3Ala missense_variant Exon 1 of 5 ENST00000323322.10 NP_000506.2 P01241-1B1A4G6
GH1NM_022559.4 linkc.7A>G p.Thr3Ala missense_variant Exon 1 of 5 NP_072053.1 P01241-2B1A4G7
GH1NM_022560.4 linkc.7A>G p.Thr3Ala missense_variant Exon 1 of 4 NP_072054.1 P01241-5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GH1ENST00000323322.10 linkc.7A>G p.Thr3Ala missense_variant Exon 1 of 5 1 NM_000515.5 ENSP00000312673.5 P01241-1
ENSG00000285947ENST00000647774.1 linkc.287-264A>G intron_variant Intron 4 of 7 ENSP00000497443.1 A0A3B3ISS9

Frequencies

GnomAD3 genomes
AF:
0.0352
AC:
5353
AN:
152126
Hom.:
222
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0952
Gnomad AMI
AF:
0.00439
Gnomad AMR
AF:
0.0188
Gnomad ASJ
AF:
0.0107
Gnomad EAS
AF:
0.0319
Gnomad SAS
AF:
0.00724
Gnomad FIN
AF:
0.00188
Gnomad MID
AF:
0.0253
Gnomad NFE
AF:
0.0118
Gnomad OTH
AF:
0.0253
GnomAD2 exomes
AF:
0.0143
AC:
3583
AN:
249884
AF XY:
0.0130
show subpopulations
Gnomad AFR exome
AF:
0.0829
Gnomad AMR exome
AF:
0.0107
Gnomad ASJ exome
AF:
0.00918
Gnomad EAS exome
AF:
0.0271
Gnomad FIN exome
AF:
0.00153
Gnomad NFE exome
AF:
0.00919
Gnomad OTH exome
AF:
0.0106
GnomAD4 exome
AF:
0.0118
AC:
17209
AN:
1455708
Hom.:
315
Cov.:
35
AF XY:
0.0115
AC XY:
8325
AN XY:
724374
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0853
AC:
2754
AN:
32288
American (AMR)
AF:
0.0123
AC:
548
AN:
44612
Ashkenazi Jewish (ASJ)
AF:
0.00989
AC:
258
AN:
26078
East Asian (EAS)
AF:
0.0297
AC:
1179
AN:
39692
South Asian (SAS)
AF:
0.00625
AC:
539
AN:
86174
European-Finnish (FIN)
AF:
0.00174
AC:
93
AN:
53418
Middle Eastern (MID)
AF:
0.0229
AC:
131
AN:
5728
European-Non Finnish (NFE)
AF:
0.00979
AC:
10841
AN:
1107614
Other (OTH)
AF:
0.0144
AC:
866
AN:
60104
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.370
Heterozygous variant carriers
0
743
1486
2228
2971
3714
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
442
884
1326
1768
2210
<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:
0.0352
AC:
5356
AN:
152244
Hom.:
222
Cov.:
32
AF XY:
0.0343
AC XY:
2552
AN XY:
74454
show subpopulations
African (AFR)
AF:
0.0950
AC:
3944
AN:
41502
American (AMR)
AF:
0.0188
AC:
288
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.0107
AC:
37
AN:
3468
East Asian (EAS)
AF:
0.0320
AC:
166
AN:
5186
South Asian (SAS)
AF:
0.00745
AC:
36
AN:
4832
European-Finnish (FIN)
AF:
0.00188
AC:
20
AN:
10626
Middle Eastern (MID)
AF:
0.0204
AC:
6
AN:
294
European-Non Finnish (NFE)
AF:
0.0118
AC:
803
AN:
68008
Other (OTH)
AF:
0.0246
AC:
52
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
231
461
692
922
1153
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
56
112
168
224
280
<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:
0.00745
Hom.:
1
Bravo
AF:
0.0392
TwinsUK
AF:
0.0102
AC:
38
ALSPAC
AF:
0.0109
AC:
42
ESP6500AA
AF:
0.0765
AC:
337
ESP6500EA
AF:
0.00942
AC:
81
ExAC
AF:
0.0184
AC:
2230

ClinVar

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

Submissions by phenotype

not specified Benign:2
Jun 29, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 27, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Oct 24, 2024
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

- -

Decreased response to growth hormone stimulation test Benign:1
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). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.035
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
0.11
DANN
Benign
0.13
DEOGEN2
Benign
0.069
.;.;.;T;T;.
Eigen
Benign
-2.0
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.0054
N
LIST_S2
Benign
0.53
T;T;T;T;T;.
MetaRNN
Benign
0.0017
T;T;T;T;T;T
MetaSVM
Benign
-0.76
T
MutationAssessor
Benign
-1.6
.;N;N;N;.;.
PhyloP100
-1.1
PrimateAI
Benign
0.47
T
PROVEAN
Benign
1.7
N;N;N;N;N;.
REVEL
Benign
0.27
Sift
Benign
1.0
T;T;T;T;T;.
Sift4G
Benign
1.0
T;T;T;T;T;D
Polyphen
0.0
.;.;.;B;B;B
Vest4
0.036
MPC
0.10
ClinPred
0.00032
T
GERP RS
-0.16
PromoterAI
0.0080
Neutral
Varity_R
0.036
gMVP
0.21
Mutation Taster
=99/1
polymorphism (auto)

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: rs2001345; hg19: chr17-61996130; API