rs2234919

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBA1

The NM_000369.5(TSHR):​c.154C>A​(p.Pro52Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0625 in 1,614,144 control chromosomes in the GnomAD database, including 4,507 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.049 ( 350 hom., cov: 33)
Exomes 𝑓: 0.064 ( 4157 hom. )

Consequence

TSHR
NM_000369.5 missense

Scores

18

Clinical Significance

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

Conservation

PhyloP100: 0.0530

Publications

68 publications found
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]
CEP128 (HGNC:20359): (centrosomal protein 128) Involved in protein localization. Located in centriole and spindle pole. Part of centriolar subdistal appendage. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 43 curated pathogenic missense variants (we use a threshold of 10). The gene has 11 curated benign missense variants. Gene score misZ: 0.33445 (below the threshold of 3.09). Trascript score misZ: 1.3127 (below the threshold of 3.09). GenCC associations: The gene is linked to hypothyroidism due to TSH receptor mutations, athyreosis, familial hyperthyroidism due to mutations in TSH receptor, familial gestational hyperthyroidism, thyroid hypoplasia.
BP4
Computational evidence support a benign effect (MetaRNN=0.0011820793).
BP6
Variant 14-80955834-C-A is Benign according to our data. Variant chr14-80955834-C-A is described in ClinVar as Benign. ClinVar VariationId is 135392.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.189 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TSHRNM_000369.5 linkc.154C>A p.Pro52Thr missense_variant Exon 1 of 10 ENST00000298171.7 NP_000360.2 P16473A0A0A0MTJ0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TSHRENST00000298171.7 linkc.154C>A p.Pro52Thr missense_variant Exon 1 of 10 1 NM_000369.5 ENSP00000298171.2 A0A0A0MTJ0

Frequencies

GnomAD3 genomes
AF:
0.0491
AC:
7475
AN:
152190
Hom.:
351
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0136
Gnomad AMI
AF:
0.206
Gnomad AMR
AF:
0.0348
Gnomad ASJ
AF:
0.134
Gnomad EAS
AF:
0.0108
Gnomad SAS
AF:
0.199
Gnomad FIN
AF:
0.0496
Gnomad MID
AF:
0.108
Gnomad NFE
AF:
0.0591
Gnomad OTH
AF:
0.0631
GnomAD2 exomes
AF:
0.0682
AC:
16997
AN:
249264
AF XY:
0.0777
show subpopulations
Gnomad AFR exome
AF:
0.0132
Gnomad AMR exome
AF:
0.0256
Gnomad ASJ exome
AF:
0.124
Gnomad EAS exome
AF:
0.0102
Gnomad FIN exome
AF:
0.0469
Gnomad NFE exome
AF:
0.0613
Gnomad OTH exome
AF:
0.0728
GnomAD4 exome
AF:
0.0639
AC:
93467
AN:
1461838
Hom.:
4157
Cov.:
31
AF XY:
0.0689
AC XY:
50130
AN XY:
727224
show subpopulations
African (AFR)
AF:
0.0120
AC:
403
AN:
33480
American (AMR)
AF:
0.0283
AC:
1264
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.125
AC:
3258
AN:
26136
East Asian (EAS)
AF:
0.00854
AC:
339
AN:
39700
South Asian (SAS)
AF:
0.199
AC:
17136
AN:
86258
European-Finnish (FIN)
AF:
0.0512
AC:
2735
AN:
53396
Middle Eastern (MID)
AF:
0.112
AC:
646
AN:
5768
European-Non Finnish (NFE)
AF:
0.0571
AC:
63525
AN:
1111984
Other (OTH)
AF:
0.0689
AC:
4161
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
5865
11729
17594
23458
29323
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2434
4868
7302
9736
12170
<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:
0.0490
AC:
7467
AN:
152306
Hom.:
350
Cov.:
33
AF XY:
0.0514
AC XY:
3825
AN XY:
74480
show subpopulations
African (AFR)
AF:
0.0135
AC:
561
AN:
41578
American (AMR)
AF:
0.0346
AC:
530
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.134
AC:
464
AN:
3468
East Asian (EAS)
AF:
0.0108
AC:
56
AN:
5174
South Asian (SAS)
AF:
0.200
AC:
962
AN:
4822
European-Finnish (FIN)
AF:
0.0496
AC:
527
AN:
10622
Middle Eastern (MID)
AF:
0.106
AC:
31
AN:
292
European-Non Finnish (NFE)
AF:
0.0591
AC:
4017
AN:
68016
Other (OTH)
AF:
0.0620
AC:
131
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
333
666
1000
1333
1666
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
98
196
294
392
490
<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:
0.0576
Hom.:
1134
Bravo
AF:
0.0438
TwinsUK
AF:
0.0653
AC:
242
ALSPAC
AF:
0.0615
AC:
237
ESP6500AA
AF:
0.0134
AC:
59
ESP6500EA
AF:
0.0636
AC:
547
ExAC
AF:
0.0695
AC:
8440
Asia WGS
AF:
0.0690
AC:
243
AN:
3478
EpiCase
AF:
0.0630
EpiControl
AF:
0.0652

ClinVar

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

Submissions by phenotype

not specified Benign:4Other:1
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 19, 2015
Genomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of Philadelphia
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

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Feb 01, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 26356361, 27884173, 18379122, 17953807, 7919995, 10037069, 24728327, 20981092, 17392608, 7508946, 8681963, 7556171) -

Hypothyroidism due to TSH receptor mutations Benign:2
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

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
Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

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
0.081
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
11
DANN
Benign
0.88
DEOGEN2
Benign
0.19
.;.;.;.;T;.
Eigen
Benign
-0.79
Eigen_PC
Benign
-0.75
FATHMM_MKL
Benign
0.048
N
LIST_S2
Benign
0.82
.;T;T;T;T;T
MetaRNN
Benign
0.0012
T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.55
.;N;.;.;.;N
PhyloP100
0.053
PrimateAI
Benign
0.31
T
PROVEAN
Benign
0.49
N;N;N;.;N;N
REVEL
Benign
0.043
Sift
Benign
0.62
T;T;T;.;T;T
Sift4G
Benign
0.58
T;T;T;.;T;T
Polyphen
0.0030
.;B;.;.;.;.
Vest4
0.053
MPC
0.17
ClinPred
0.0091
T
GERP RS
0.66
PromoterAI
0.068
Neutral
gMVP
0.49
Mutation Taster
=100/0
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: rs2234919; hg19: chr14-81422178; COSMIC: COSV53318216; COSMIC: COSV53318216; API