rs6123837

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_ModerateBP7BA1

The ENST00000461152.6(GNAS):​c.636G>A​(p.Ser212Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.311 in 152,126 control chromosomes in the GnomAD database, including 9,353 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.31 ( 9329 hom., cov: 32)
Exomes 𝑓: 0.43 ( 24 hom. )

Consequence

GNAS
ENST00000461152.6 synonymous

Scores

2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.15

Publications

21 publications found
Variant links:
Genes affected
GNAS (HGNC:4392): (GNAS complex locus) This locus has a highly complex imprinted expression pattern. It gives rise to maternally, paternally, and biallelically expressed transcripts that are derived from four alternative promoters and 5' exons. Some transcripts contain a differentially methylated region (DMR) at their 5' exons, and this DMR is commonly found in imprinted genes and correlates with transcript expression. An antisense transcript is produced from an overlapping locus on the opposite strand. One of the transcripts produced from this locus, and the antisense transcript, are paternally expressed noncoding RNAs, and may regulate imprinting in this region. In addition, one of the transcripts contains a second overlapping ORF, which encodes a structurally unrelated protein - Alex. Alternative splicing of downstream exons is also observed, which results in different forms of the stimulatory G-protein alpha subunit, a key element of the classical signal transduction pathway linking receptor-ligand interactions with the activation of adenylyl cyclase and a variety of cellular reponses. Multiple transcript variants encoding different isoforms have been found for this gene. Mutations in this gene result in pseudohypoparathyroidism type 1a, pseudohypoparathyroidism type 1b, Albright hereditary osteodystrophy, pseudopseudohypoparathyroidism, McCune-Albright syndrome, progressive osseus heteroplasia, polyostotic fibrous dysplasia of bone, and some pituitary tumors. [provided by RefSeq, Aug 2012]
GNAS Gene-Disease associations (from GenCC):
  • McCune-Albright syndrome
    Inheritance: AD, Unknown Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics
  • progressive osseous heteroplasia
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE, NO_KNOWN Submitted by: G2P, Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • pseudohypoparathyroidism type 1B
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, G2P, Orphanet
  • pseudohypoparathyroidism type 1C
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, G2P, Orphanet
  • pseudopseudohypoparathyroidism
    Inheritance: AD, Mitochondrial Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae), Orphanet
  • pseudohypoparathyroidism type 1A
    Inheritance: Mitochondrial, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.42).
BP7
Synonymous conserved (PhyloP=1.15 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.653 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GNASNM_080425.4 linkc.2069-5096G>A intron_variant Intron 1 of 12 ENST00000371100.9 NP_536350.2
GNASNM_016592.5 linkc.*43-5096G>A intron_variant Intron 1 of 12 ENST00000371075.7 NP_057676.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GNASENST00000461152.6 linkc.636G>A p.Ser212Ser synonymous_variant Exon 1 of 3 5 ENSP00000499274.1
GNASENST00000371100.9 linkc.2069-5096G>A intron_variant Intron 1 of 12 5 NM_080425.4 ENSP00000360141.3
GNASENST00000371075.7 linkc.*43-5096G>A intron_variant Intron 1 of 12 1 NM_016592.5 ENSP00000360115.3
GNASENST00000676826.2 linkc.2069-5096G>A intron_variant Intron 1 of 12 ENSP00000504675.2
GNASENST00000371102.8 linkc.2069-5096G>A intron_variant Intron 1 of 11 5 ENSP00000360143.4
GNASENST00000470512.6 linkc.-39+1163G>A intron_variant Intron 1 of 12 5 ENSP00000499552.2
GNASENST00000480232.6 linkc.-39+967G>A intron_variant Intron 2 of 13 5 ENSP00000499545.2
GNASENST00000663479.2 linkc.-38-5096G>A intron_variant Intron 1 of 12 ENSP00000499353.2
GNASENST00000462499.6 linkc.-38-5096G>A intron_variant Intron 1 of 11 2 ENSP00000499758.2
GNASENST00000467227.6 linkc.-38-5096G>A intron_variant Intron 2 of 12 3 ENSP00000499681.2
GNASENST00000478585.6 linkc.-39+1163G>A intron_variant Intron 1 of 11 2 ENSP00000499762.2
GNASENST00000481039.6 linkc.-39+1608G>A intron_variant Intron 1 of 11 5 ENSP00000499767.2
GNASENST00000485673.6 linkc.-39+967G>A intron_variant Intron 1 of 11 5 ENSP00000499334.2
GNASENST00000488546.6 linkc.-39+1698G>A intron_variant Intron 1 of 11 5 ENSP00000499332.2
GNASENST00000453292.7 linkc.*43-5096G>A intron_variant Intron 1 of 11 5 ENSP00000392000.2

Frequencies

GnomAD3 genomes
AF:
0.311
AC:
47218
AN:
151782
Hom.:
9334
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0826
Gnomad AMI
AF:
0.466
Gnomad AMR
AF:
0.429
Gnomad ASJ
AF:
0.432
Gnomad EAS
AF:
0.672
Gnomad SAS
AF:
0.602
Gnomad FIN
AF:
0.359
Gnomad MID
AF:
0.392
Gnomad NFE
AF:
0.359
Gnomad OTH
AF:
0.339
GnomAD4 exome
AF:
0.432
AC:
102
AN:
236
Hom.:
24
AF XY:
0.443
AC XY:
78
AN XY:
176
show subpopulations
African (AFR)
AF:
0.167
AC:
1
AN:
6
American (AMR)
AF:
1.00
AC:
4
AN:
4
Ashkenazi Jewish (ASJ)
AF:
0.333
AC:
2
AN:
6
East Asian (EAS)
AF:
1.00
AC:
2
AN:
2
South Asian (SAS)
AF:
1.00
AC:
2
AN:
2
European-Finnish (FIN)
AF:
0.667
AC:
4
AN:
6
Middle Eastern (MID)
AF:
0.500
AC:
1
AN:
2
European-Non Finnish (NFE)
AF:
0.412
AC:
84
AN:
204
Other (OTH)
AF:
0.500
AC:
2
AN:
4
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.519
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.311
AC:
47205
AN:
151890
Hom.:
9329
Cov.:
32
AF XY:
0.321
AC XY:
23785
AN XY:
74204
show subpopulations
African (AFR)
AF:
0.0823
AC:
3419
AN:
41526
American (AMR)
AF:
0.429
AC:
6562
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.432
AC:
1501
AN:
3472
East Asian (EAS)
AF:
0.672
AC:
3402
AN:
5060
South Asian (SAS)
AF:
0.601
AC:
2898
AN:
4820
European-Finnish (FIN)
AF:
0.359
AC:
3798
AN:
10568
Middle Eastern (MID)
AF:
0.373
AC:
109
AN:
292
European-Non Finnish (NFE)
AF:
0.359
AC:
24380
AN:
67850
Other (OTH)
AF:
0.337
AC:
712
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
1515
3029
4544
6058
7573
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
476
952
1428
1904
2380
<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:
0.334
Hom.:
11422
Bravo
AF:
0.307
Asia WGS
AF:
0.584
AC:
2020
AN:
3460

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.42
CADD
Benign
15
DANN
Benign
0.97
PhyloP100
1.1
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs6123837; hg19: chr20-57465571; API