rs6356

Variant summary

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

The NM_000360.4(TH):​c.241G>A​(p.Val81Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.381 in 1,612,890 control chromosomes in the GnomAD database, including 124,968 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.33 ( 9792 hom., cov: 33)
Exomes 𝑓: 0.39 ( 115176 hom. )

Consequence

TH
NM_000360.4 missense

Scores

17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:14O:1

Conservation

PhyloP100: -0.303

Publications

115 publications found
Variant links:
Genes affected
TH (HGNC:11782): (tyrosine hydroxylase) The protein encoded by this gene is involved in the conversion of tyrosine to dopamine. It is the rate-limiting enzyme in the synthesis of catecholamines, hence plays a key role in the physiology of adrenergic neurons. Mutations in this gene have been associated with autosomal recessive Segawa syndrome. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Jul 2008]
TH Gene-Disease associations (from GenCC):
  • TH-deficient dopa-responsive dystonia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet, G2P
  • tyrosine hydroxylase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health, ClinGen

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=1.8311916E-6).
BP6
Variant 11-2169721-C-T is Benign according to our data. Variant chr11-2169721-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 21866.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.769 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000360.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TH
NM_000360.4
MANE Select
c.241G>Ap.Val81Met
missense
Exon 2 of 13NP_000351.2P07101-3
TH
NM_199292.3
c.334G>Ap.Val112Met
missense
Exon 3 of 14NP_954986.2P07101-1
TH
NM_199293.3
c.322G>Ap.Val108Met
missense
Exon 3 of 14NP_954987.2P07101-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TH
ENST00000352909.8
TSL:1 MANE Select
c.241G>Ap.Val81Met
missense
Exon 2 of 13ENSP00000325951.4P07101-3
TH
ENST00000381178.5
TSL:1
c.334G>Ap.Val112Met
missense
Exon 3 of 14ENSP00000370571.1P07101-1
TH
ENST00000381175.5
TSL:1
c.322G>Ap.Val108Met
missense
Exon 3 of 14ENSP00000370567.1P07101-2

Frequencies

GnomAD3 genomes
AF:
0.332
AC:
50411
AN:
151958
Hom.:
9794
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.144
Gnomad AMI
AF:
0.243
Gnomad AMR
AF:
0.376
Gnomad ASJ
AF:
0.386
Gnomad EAS
AF:
0.789
Gnomad SAS
AF:
0.554
Gnomad FIN
AF:
0.447
Gnomad MID
AF:
0.509
Gnomad NFE
AF:
0.364
Gnomad OTH
AF:
0.366
GnomAD2 exomes
AF:
0.429
AC:
106793
AN:
249138
AF XY:
0.438
show subpopulations
Gnomad AFR exome
AF:
0.132
Gnomad AMR exome
AF:
0.435
Gnomad ASJ exome
AF:
0.387
Gnomad EAS exome
AF:
0.799
Gnomad FIN exome
AF:
0.454
Gnomad NFE exome
AF:
0.372
Gnomad OTH exome
AF:
0.423
GnomAD4 exome
AF:
0.387
AC:
564672
AN:
1460814
Hom.:
115176
Cov.:
64
AF XY:
0.392
AC XY:
285107
AN XY:
726702
show subpopulations
African (AFR)
AF:
0.134
AC:
4480
AN:
33478
American (AMR)
AF:
0.427
AC:
19082
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.391
AC:
10212
AN:
26128
East Asian (EAS)
AF:
0.742
AC:
29459
AN:
39696
South Asian (SAS)
AF:
0.551
AC:
47544
AN:
86244
European-Finnish (FIN)
AF:
0.446
AC:
23449
AN:
52570
Middle Eastern (MID)
AF:
0.472
AC:
2716
AN:
5752
European-Non Finnish (NFE)
AF:
0.363
AC:
403276
AN:
1111858
Other (OTH)
AF:
0.405
AC:
24454
AN:
60370
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
21128
42257
63385
84514
105642
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
12938
25876
38814
51752
64690
<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:
0.331
AC:
50412
AN:
152076
Hom.:
9792
Cov.:
33
AF XY:
0.343
AC XY:
25518
AN XY:
74360
show subpopulations
African (AFR)
AF:
0.144
AC:
5965
AN:
41512
American (AMR)
AF:
0.376
AC:
5753
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.386
AC:
1337
AN:
3468
East Asian (EAS)
AF:
0.790
AC:
4061
AN:
5142
South Asian (SAS)
AF:
0.553
AC:
2667
AN:
4824
European-Finnish (FIN)
AF:
0.447
AC:
4741
AN:
10610
Middle Eastern (MID)
AF:
0.524
AC:
154
AN:
294
European-Non Finnish (NFE)
AF:
0.364
AC:
24735
AN:
67912
Other (OTH)
AF:
0.369
AC:
777
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1621
3242
4864
6485
8106
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
514
1028
1542
2056
2570
<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:
0.362
Hom.:
17022
Bravo
AF:
0.321
TwinsUK
AF:
0.372
AC:
1380
ALSPAC
AF:
0.347
AC:
1337
ESP6500AA
AF:
0.142
AC:
623
ESP6500EA
AF:
0.363
AC:
3121
ExAC
AF:
0.422
AC:
51182
Asia WGS
AF:
0.638
AC:
2220
AN:
3478
EpiCase
AF:
0.376
EpiControl
AF:
0.378

ClinVar

ClinVar submissions
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
6
Autosomal recessive DOPA responsive dystonia (7)
-
-
4
not specified (4)
-
-
3
not provided (3)
-
-
1
Schizophrenia (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
1.1
DANN
Benign
0.95
DEOGEN2
Benign
0.27
T
Eigen
Benign
-0.95
Eigen_PC
Benign
-0.99
FATHMM_MKL
Benign
0.077
N
LIST_S2
Benign
0.67
T
MetaRNN
Benign
0.0000018
T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
0.69
N
PhyloP100
-0.30
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.15
N
REVEL
Benign
0.18
Sift
Benign
0.22
T
Sift4G
Benign
0.19
T
Polyphen
0.016
B
Vest4
0.038
MPC
0.046
ClinPred
0.00092
T
GERP RS
-1.8
Varity_R
0.034
gMVP
0.39
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs6356; hg19: chr11-2190951; COSMIC: COSV60767756; COSMIC: COSV60767756; API