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rs371771794

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PVS1_ModeratePM2

The NM_032551.5(KISS1R):c.1167C>A(p.Cys389Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000397 in 1,304,108 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 Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00038 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00040 ( 0 hom. )

Consequence

KISS1R
NM_032551.5 stop_gained

Scores

1
6

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: -4.12
Variant links:
Genes affected
KISS1R (HGNC:4510): (KISS1 receptor) The protein encoded by this gene is a galanin-like G protein-coupled receptor that binds metastin, a peptide encoded by the metastasis suppressor gene KISS1. The tissue distribution of the expressed gene suggests that it is involved in the regulation of endocrine function, and this is supported by the finding that this gene appears to play a role in the onset of puberty. Mutations in this gene have been associated with hypogonadotropic hypogonadism and central precocious puberty. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.0251 CDS is truncated, and there are 2 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
KISS1RNM_032551.5 linkuse as main transcriptc.1167C>A p.Cys389Ter stop_gained 5/5 ENST00000234371.10
KISS1RXM_047439545.1 linkuse as main transcriptc.1350C>A p.Cys450Ter stop_gained 4/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
KISS1RENST00000234371.10 linkuse as main transcriptc.1167C>A p.Cys389Ter stop_gained 5/51 NM_032551.5 P1
KISS1RENST00000606939.2 linkuse as main transcriptc.*253C>A 3_prime_UTR_variant 4/45

Frequencies

GnomAD3 genomes
AF:
0.000381
AC:
58
AN:
152186
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000413
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000706
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000355
AC:
12
AN:
33798
Hom.:
0
AF XY:
0.000311
AC XY:
6
AN XY:
19300
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00100
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000481
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000399
AC:
460
AN:
1151804
Hom.:
0
Cov.:
32
AF XY:
0.000440
AC XY:
244
AN XY:
554058
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000855
Gnomad4 ASJ exome
AF:
0.0000630
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000813
Gnomad4 FIN exome
AF:
0.0000382
Gnomad4 NFE exome
AF:
0.000435
Gnomad4 OTH exome
AF:
0.000234
GnomAD4 genome
AF:
0.000381
AC:
58
AN:
152304
Hom.:
1
Cov.:
33
AF XY:
0.000309
AC XY:
23
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.0000722
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.0000943
Gnomad4 NFE
AF:
0.000706
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000356
Hom.:
0
Bravo
AF:
0.000298
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000133
AC:
1
ExAC
AF:
0.000184
AC:
20
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpOct 16, 2023Variant summary: KISS1R c.1167C>A (p.Cys389X) results in a premature termination codon, predicted to cause a truncation of the encoded protein. This variant was predicted as not involved in nonsense mediated decay. The variant allele was found at a frequency of 0.00034 in 34898 control chromosomes (gnomAD). c.1167C>A has been reported in the literature in individuals affected with Hypogonadotropic Hypogonadism (Shaw_2011, Knskoski_2014, Cangiano_2019). These reports do not provide unequivocal conclusions about association of the variant with Hypogonadotropic Hypogonadism 8 With Or Without Anosmia. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 30669598, 24522099, 21209029, 21704672). Three submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. All submitters classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 10, 2016- -
not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingInvitaeDec 11, 2023This sequence change creates a premature translational stop signal (p.Cys389*) in the KISS1R gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 10 amino acid(s) of the KISS1R protein. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This premature translational stop signal has been observed in individual(s) with KISS1R-related conditions (PMID: 21209029, 24522099). This variant is also known as GPR54 C389X. ClinVar contains an entry for this variant (Variation ID: 435653). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may create or strengthen a splice site. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxJun 12, 2019Identified in two individuals with normosmic hypogonadotropic hypogonadism; however, neither individual was reported to have a second KISS1R variant and it is unclear whether the presence of variants in other genes associated with hypogonadotropic hypogonadism was excluded (Shaw et al., 2011; Kansakoski et al., 2014); Nonsense variant predicted to result in protein truncation, although loss-of-function variants have not been reported downstream of this position in the protein; This variant is associated with the following publications: (PMID: 24522099, 21209029) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.055
T
BayesDel_noAF
Uncertain
0.060
Cadd
Uncertain
25
Dann
Benign
0.95
Eigen
Benign
-0.68
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.023
N
MutationTaster
Benign
0.95
N
Vest4
0.69
GERP RS
-6.3

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs371771794; hg19: chr19-920718; API