rs4988498

Variant summary

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

The NM_000823.4(GHRHR):​c.363G>T​(p.Glu121Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0539 in 1,190,478 control chromosomes in the GnomAD database, including 2,189 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.069 ( 521 hom., cov: 32)
Exomes 𝑓: 0.052 ( 1668 hom. )

Consequence

GHRHR
NM_000823.4 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.00900
Variant links:
Genes affected
GHRHR (HGNC:4266): (growth hormone releasing hormone receptor) This gene encodes a receptor for growth hormone-releasing hormone. Binding of this hormone to the receptor leads to synthesis and release of growth hormone. Mutations in this gene have been associated with isolated growth hormone deficiency (IGHD), also known as Dwarfism of Sindh, a disorder characterized by short stature. [provided by RefSeq, Jun 2010]

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=0.0023173988).
BP6
Variant 7-30969961-G-T is Benign according to our data. Variant chr7-30969961-G-T is described in ClinVar as [Benign]. Clinvar id is 36274.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-30969961-G-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.13 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GHRHRNM_000823.4 linkuse as main transcriptc.363G>T p.Glu121Asp missense_variant 4/13 ENST00000326139.7 NP_000814.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GHRHRENST00000326139.7 linkuse as main transcriptc.363G>T p.Glu121Asp missense_variant 4/131 NM_000823.4 ENSP00000320180 P1

Frequencies

GnomAD3 genomes
AF:
0.0691
AC:
10517
AN:
152152
Hom.:
522
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.133
Gnomad AMI
AF:
0.0658
Gnomad AMR
AF:
0.0435
Gnomad ASJ
AF:
0.0639
Gnomad EAS
AF:
0.000963
Gnomad SAS
AF:
0.0275
Gnomad FIN
AF:
0.0160
Gnomad MID
AF:
0.0886
Gnomad NFE
AF:
0.0530
Gnomad OTH
AF:
0.0670
GnomAD3 exomes
AF:
0.0455
AC:
11440
AN:
251486
Hom.:
425
AF XY:
0.0440
AC XY:
5977
AN XY:
135922
show subpopulations
Gnomad AFR exome
AF:
0.143
Gnomad AMR exome
AF:
0.0259
Gnomad ASJ exome
AF:
0.0613
Gnomad EAS exome
AF:
0.000272
Gnomad SAS exome
AF:
0.0321
Gnomad FIN exome
AF:
0.0174
Gnomad NFE exome
AF:
0.0525
Gnomad OTH exome
AF:
0.0440
GnomAD4 exome
AF:
0.0517
AC:
53695
AN:
1038208
Hom.:
1668
Cov.:
14
AF XY:
0.0506
AC XY:
27080
AN XY:
535624
show subpopulations
Gnomad4 AFR exome
AF:
0.143
Gnomad4 AMR exome
AF:
0.0282
Gnomad4 ASJ exome
AF:
0.0660
Gnomad4 EAS exome
AF:
0.000132
Gnomad4 SAS exome
AF:
0.0339
Gnomad4 FIN exome
AF:
0.0176
Gnomad4 NFE exome
AF:
0.0562
Gnomad4 OTH exome
AF:
0.0545
GnomAD4 genome
AF:
0.0691
AC:
10527
AN:
152270
Hom.:
521
Cov.:
32
AF XY:
0.0657
AC XY:
4892
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.133
Gnomad4 AMR
AF:
0.0434
Gnomad4 ASJ
AF:
0.0639
Gnomad4 EAS
AF:
0.000966
Gnomad4 SAS
AF:
0.0276
Gnomad4 FIN
AF:
0.0160
Gnomad4 NFE
AF:
0.0529
Gnomad4 OTH
AF:
0.0663
Alfa
AF:
0.0545
Hom.:
668
Bravo
AF:
0.0748
TwinsUK
AF:
0.0558
AC:
207
ALSPAC
AF:
0.0568
AC:
219
ESP6500AA
AF:
0.141
AC:
622
ESP6500EA
AF:
0.0540
AC:
464
ExAC
AF:
0.0473
AC:
5740
Asia WGS
AF:
0.0270
AC:
97
AN:
3478
EpiCase
AF:
0.0545
EpiControl
AF:
0.0544

ClinVar

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

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxJun 10, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
GHRHR-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 28, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Idiopathic growth hormone deficiency Benign:1
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 18, 2011- -
Isolated growth hormone deficiency type IB Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.098
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
14
DANN
Benign
0.90
DEOGEN2
Benign
0.11
T;.
Eigen
Benign
-0.63
Eigen_PC
Benign
-0.50
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.53
T;T
MetaRNN
Benign
0.0023
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.86
L;.
MutationTaster
Benign
0.68
P;P;P;P;P
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.030
N;N
REVEL
Benign
0.032
Sift
Benign
0.66
T;T
Sift4G
Benign
0.44
T;T
Polyphen
0.0010
B;B
Vest4
0.15
MutPred
0.11
Gain of loop (P = 0.0851);.;
MPC
0.083
ClinPred
0.0059
T
GERP RS
2.3
Varity_R
0.070
gMVP
0.36

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: rs4988498; hg19: chr7-31009576; COSMIC: COSV58196373; COSMIC: COSV58196373; API