rs6176

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000163.5(GHR):​c.1473C>T​(p.Ser491Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0236 in 1,611,654 control chromosomes in the GnomAD database, including 564 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.021 ( 42 hom., cov: 32)
Exomes 𝑓: 0.024 ( 522 hom. )

Consequence

GHR
NM_000163.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.214

Publications

7 publications found
Variant links:
Genes affected
GHR (HGNC:4263): (growth hormone receptor) This gene encodes a member of the type I cytokine receptor family, which is a transmembrane receptor for growth hormone. Binding of growth hormone to the receptor leads to receptor dimerization and the activation of an intra- and intercellular signal transduction pathway leading to growth. Mutations in this gene have been associated with Laron syndrome, also known as the growth hormone insensitivity syndrome (GHIS), a disorder characterized by short stature. In humans and rabbits, but not rodents, growth hormone binding protein (GHBP) is generated by proteolytic cleavage of the extracellular ligand-binding domain from the mature growth hormone receptor protein. Multiple alternatively spliced transcript variants have been found for this gene.[provided by RefSeq, Jun 2011]
GHR Gene-Disease associations (from GenCC):
  • Laron syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • short stature due to partial GHR deficiency
    Inheritance: Unknown, AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.47).
BP6
Variant 5-42718980-C-T is Benign according to our data. Variant chr5-42718980-C-T is described in ClinVar as [Benign]. Clinvar id is 255404.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.214 with no splicing effect.
BA1
GnomAdExome4 highest subpopulation (MID) allele frequency at 95% confidence interval = 0.0583 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GHRNM_000163.5 linkc.1473C>T p.Ser491Ser synonymous_variant Exon 10 of 10 ENST00000230882.9 NP_000154.1 P10912-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GHRENST00000230882.9 linkc.1473C>T p.Ser491Ser synonymous_variant Exon 10 of 10 1 NM_000163.5 ENSP00000230882.4 P10912-1

Frequencies

GnomAD3 genomes
AF:
0.0208
AC:
3161
AN:
152056
Hom.:
42
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00795
Gnomad AMI
AF:
0.0406
Gnomad AMR
AF:
0.0268
Gnomad ASJ
AF:
0.0398
Gnomad EAS
AF:
0.0193
Gnomad SAS
AF:
0.0238
Gnomad FIN
AF:
0.0141
Gnomad MID
AF:
0.0570
Gnomad NFE
AF:
0.0266
Gnomad OTH
AF:
0.0273
GnomAD2 exomes
AF:
0.0226
AC:
5657
AN:
250096
AF XY:
0.0240
show subpopulations
Gnomad AFR exome
AF:
0.00695
Gnomad AMR exome
AF:
0.0162
Gnomad ASJ exome
AF:
0.0451
Gnomad EAS exome
AF:
0.0182
Gnomad FIN exome
AF:
0.0147
Gnomad NFE exome
AF:
0.0250
Gnomad OTH exome
AF:
0.0280
GnomAD4 exome
AF:
0.0239
AC:
34875
AN:
1459480
Hom.:
522
Cov.:
34
AF XY:
0.0243
AC XY:
17651
AN XY:
725700
show subpopulations
African (AFR)
AF:
0.00886
AC:
296
AN:
33416
American (AMR)
AF:
0.0178
AC:
794
AN:
44634
Ashkenazi Jewish (ASJ)
AF:
0.0468
AC:
1216
AN:
26006
East Asian (EAS)
AF:
0.0240
AC:
952
AN:
39662
South Asian (SAS)
AF:
0.0289
AC:
2483
AN:
85998
European-Finnish (FIN)
AF:
0.0148
AC:
787
AN:
53332
Middle Eastern (MID)
AF:
0.0637
AC:
367
AN:
5764
European-Non Finnish (NFE)
AF:
0.0238
AC:
26444
AN:
1110376
Other (OTH)
AF:
0.0255
AC:
1536
AN:
60292
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
1966
3932
5897
7863
9829
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
978
1956
2934
3912
4890
<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:
0.0208
AC:
3160
AN:
152174
Hom.:
42
Cov.:
32
AF XY:
0.0204
AC XY:
1517
AN XY:
74396
show subpopulations
African (AFR)
AF:
0.00793
AC:
329
AN:
41510
American (AMR)
AF:
0.0267
AC:
408
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.0398
AC:
138
AN:
3470
East Asian (EAS)
AF:
0.0193
AC:
100
AN:
5172
South Asian (SAS)
AF:
0.0239
AC:
115
AN:
4818
European-Finnish (FIN)
AF:
0.0141
AC:
149
AN:
10602
Middle Eastern (MID)
AF:
0.0612
AC:
18
AN:
294
European-Non Finnish (NFE)
AF:
0.0266
AC:
1809
AN:
67998
Other (OTH)
AF:
0.0270
AC:
57
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
166
332
497
663
829
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
44
88
132
176
220
<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:
0.0250
Hom.:
40
Bravo
AF:
0.0208
Asia WGS
AF:
0.0140
AC:
50
AN:
3478
EpiCase
AF:
0.0263
EpiControl
AF:
0.0312

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Sep 01, 2020
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

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

- -

Laron-type isolated somatotropin defect Benign:1
Jan 13, 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.47
CADD
Benign
8.2
DANN
Benign
0.85
PhyloP100
-0.21
Mutation Taster
=99/1
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs6176; hg19: chr5-42719082; COSMIC: COSV50134809; COSMIC: COSV50134809; API