rs4988498

Variant summary

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

The ENST00000409316.5(GHRHR):​c.-185G>T variant causes a 5 prime UTR premature start codon gain 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. 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
ENST00000409316.5 5_prime_UTR_premature_start_codon_gain

Scores

1
16

Clinical Significance

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

Conservation

PhyloP100: 0.00900

Publications

22 publications found
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]
GHRHR Gene-Disease associations (from GenCC):
  • isolated growth hormone deficiency type IB
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Laboratory for Molecular Medicine
  • isolated growth hormone deficiency, type 4
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)

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

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000409316.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GHRHR
NM_000823.4
MANE Select
c.363G>Tp.Glu121Asp
missense
Exon 4 of 13NP_000814.2A0A090N8Y6

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GHRHR
ENST00000409316.5
TSL:1
c.-185G>T
5_prime_UTR_premature_start_codon_gain
Exon 2 of 10ENSP00000386602.1Q9HB43
GHRHR
ENST00000326139.7
TSL:1 MANE Select
c.363G>Tp.Glu121Asp
missense
Exon 4 of 13ENSP00000320180.2Q02643
GHRHR
ENST00000409904.7
TSL:1
c.171G>Tp.Glu57Asp
missense
Exon 1 of 10ENSP00000387113.3Q9HB45

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
GnomAD2 exomes
AF:
0.0455
AC:
11440
AN:
251486
AF XY:
0.0440
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 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
African (AFR)
AF:
0.143
AC:
3646
AN:
25584
American (AMR)
AF:
0.0282
AC:
1249
AN:
44224
Ashkenazi Jewish (ASJ)
AF:
0.0660
AC:
1553
AN:
23546
East Asian (EAS)
AF:
0.000132
AC:
5
AN:
37788
South Asian (SAS)
AF:
0.0339
AC:
2644
AN:
77988
European-Finnish (FIN)
AF:
0.0176
AC:
938
AN:
53254
Middle Eastern (MID)
AF:
0.0785
AC:
391
AN:
4980
European-Non Finnish (NFE)
AF:
0.0562
AC:
40732
AN:
724286
Other (OTH)
AF:
0.0545
AC:
2537
AN:
46558
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
2746
5492
8238
10984
13730
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1288
2576
3864
5152
6440
<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:
0.0691
AC:
10527
AN:
152270
Hom.:
521
Cov.:
32
AF XY:
0.0657
AC XY:
4892
AN XY:
74468
show subpopulations
African (AFR)
AF:
0.133
AC:
5505
AN:
41534
American (AMR)
AF:
0.0434
AC:
664
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.0639
AC:
222
AN:
3472
East Asian (EAS)
AF:
0.000966
AC:
5
AN:
5178
South Asian (SAS)
AF:
0.0276
AC:
133
AN:
4824
European-Finnish (FIN)
AF:
0.0160
AC:
170
AN:
10622
Middle Eastern (MID)
AF:
0.0884
AC:
26
AN:
294
European-Non Finnish (NFE)
AF:
0.0529
AC:
3602
AN:
68028
Other (OTH)
AF:
0.0663
AC:
140
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
508
1016
1524
2032
2540
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
114
228
342
456
570
<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:
0.0579
Hom.:
1021
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

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
-
1
GHRHR-related disorder (1)
-
-
1
Idiopathic growth hormone deficiency (1)
-
-
1
Isolated growth hormone deficiency type IB (1)

Computational scores

Source: dbNSFP v4.9

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
MetaRNN
Benign
0.0023
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.86
L
PhyloP100
0.0090
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.030
N
REVEL
Benign
0.032
Sift
Benign
0.66
T
Sift4G
Benign
0.44
T
Polyphen
0.0010
B
Vest4
0.15
MutPred
0.11
Gain of loop (P = 0.0851)
MPC
0.083
ClinPred
0.0059
T
GERP RS
2.3
PromoterAI
0.072
Neutral
Varity_R
0.070
gMVP
0.36
Mutation Taster
=98/2
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: rs4988498; hg19: chr7-31009576; COSMIC: COSV58196373; COSMIC: COSV58196373; API