rs696217

Variant summary

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

The NM_016362.5(GHRL):​c.214C>A​(p.Leu72Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0819 in 1,601,724 control chromosomes in the GnomAD database, including 6,195 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.073 ( 565 hom., cov: 31)
Exomes 𝑓: 0.083 ( 5630 hom. )

Consequence

GHRL
NM_016362.5 missense

Scores

4
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts P:1B:3O:1

Conservation

PhyloP100: 2.30
Variant links:
Genes affected
GHRL (HGNC:18129): (ghrelin and obestatin prepropeptide) This gene encodes the ghrelin-obestatin preproprotein that is cleaved to yield two peptides, ghrelin and obestatin. Ghrelin is a powerful appetite stimulant and plays an important role in energy homeostasis. Its secretion is initiated when the stomach is empty, whereupon it binds to the growth hormone secretagogue receptor in the hypothalamus which results in the secretion of growth hormone (somatotropin). Ghrelin is thought to regulate multiple activities, including hunger, reward perception via the mesolimbic pathway, gastric acid secretion, gastrointestinal motility, and pancreatic glucose-stimulated insulin secretion. It was initially proposed that obestatin plays an opposing role to ghrelin by promoting satiety and thus decreasing food intake, but this action is still debated. Recent reports suggest multiple metabolic roles for obestatin, including regulating adipocyte function and glucose metabolism. Alternative splicing results in multiple transcript variants. In addition, antisense transcripts for this gene have been identified and may potentially regulate ghrelin-obestatin preproprotein expression. [provided by RefSeq, Nov 2014]
GHRLOS (HGNC:33885): (ghrelin opposite strand/antisense RNA) This gene is an antisense gene of the ghrelin/obestatin prepropeptide gene. Alternatively spliced transcript variants have been identified and they may function as non-coding regulatory RNAs. [provided by RefSeq, Jan 2013]

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=0.0015681088).
BP6
Variant 3-10289773-G-T is Benign according to our data. Variant chr3-10289773-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 5062.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.185 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GHRLNM_016362.5 linkuse as main transcriptc.214C>A p.Leu72Met missense_variant 4/6 ENST00000335542.13 NP_057446.1
GHRLOSNR_024145.2 linkuse as main transcriptn.555+1671G>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GHRLENST00000335542.13 linkuse as main transcriptc.214C>A p.Leu72Met missense_variant 4/61 NM_016362.5 ENSP00000335074 P4Q9UBU3-1
GHRLOSENST00000439539.3 linkuse as main transcriptn.326+1671G>T intron_variant, non_coding_transcript_variant 1

Frequencies

GnomAD3 genomes
AF:
0.0728
AC:
11029
AN:
151572
Hom.:
565
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0217
Gnomad AMI
AF:
0.0352
Gnomad AMR
AF:
0.0729
Gnomad ASJ
AF:
0.127
Gnomad EAS
AF:
0.195
Gnomad SAS
AF:
0.0910
Gnomad FIN
AF:
0.137
Gnomad MID
AF:
0.0886
Gnomad NFE
AF:
0.0811
Gnomad OTH
AF:
0.0707
GnomAD3 exomes
AF:
0.0877
AC:
22035
AN:
251348
Hom.:
1191
AF XY:
0.0898
AC XY:
12198
AN XY:
135858
show subpopulations
Gnomad AFR exome
AF:
0.0183
Gnomad AMR exome
AF:
0.0478
Gnomad ASJ exome
AF:
0.126
Gnomad EAS exome
AF:
0.189
Gnomad SAS exome
AF:
0.0908
Gnomad FIN exome
AF:
0.131
Gnomad NFE exome
AF:
0.0807
Gnomad OTH exome
AF:
0.0888
GnomAD4 exome
AF:
0.0829
AC:
120137
AN:
1450032
Hom.:
5630
Cov.:
30
AF XY:
0.0834
AC XY:
60262
AN XY:
722218
show subpopulations
Gnomad4 AFR exome
AF:
0.0185
Gnomad4 AMR exome
AF:
0.0506
Gnomad4 ASJ exome
AF:
0.127
Gnomad4 EAS exome
AF:
0.193
Gnomad4 SAS exome
AF:
0.0892
Gnomad4 FIN exome
AF:
0.124
Gnomad4 NFE exome
AF:
0.0785
Gnomad4 OTH exome
AF:
0.0865
GnomAD4 genome
AF:
0.0727
AC:
11026
AN:
151692
Hom.:
565
Cov.:
31
AF XY:
0.0759
AC XY:
5630
AN XY:
74146
show subpopulations
Gnomad4 AFR
AF:
0.0217
Gnomad4 AMR
AF:
0.0728
Gnomad4 ASJ
AF:
0.127
Gnomad4 EAS
AF:
0.195
Gnomad4 SAS
AF:
0.0913
Gnomad4 FIN
AF:
0.137
Gnomad4 NFE
AF:
0.0810
Gnomad4 OTH
AF:
0.0705
Alfa
AF:
0.0770
Hom.:
876
Bravo
AF:
0.0637
TwinsUK
AF:
0.0833
AC:
309
ALSPAC
AF:
0.0807
AC:
311
ESP6500AA
AF:
0.0232
AC:
102
ESP6500EA
AF:
0.0771
AC:
663
ExAC
AF:
0.0856
AC:
10388
Asia WGS
AF:
0.121
AC:
422
AN:
3478
EpiCase
AF:
0.0780
EpiControl
AF:
0.0837

ClinVar

Significance: Benign/Likely benign
Submissions summary: Pathogenic:1Benign:3Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018This variant is associated with the following publications: (PMID: 28481975, 25257375, 23321590, 31440212, 30487812, 24132517, 25540946, 24341728, 11502844, 12181387, 22876551, 16793966, 21195705, 18848536) -
Obesity, age at onset of Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 01, 2005- -
Obesity Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 19, 2022- -
Metabolic syndrome, susceptibility to Other:1
risk factor, no assertion criteria providedliterature onlyOMIMDec 01, 2005- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.19
T;.;.;.;.;.;T;T
Eigen
Uncertain
0.39
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Benign
0.74
D
LIST_S2
Benign
0.71
.;.;T;T;T;T;.;T
MetaRNN
Benign
0.0016
T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.4
M;.;M;.;.;.;M;M
MutationTaster
Benign
0.98
P;P;P;P;P;P;P;P;P;P;P;P
PrimateAI
Benign
0.45
T
PROVEAN
Benign
-0.42
N;N;N;N;N;N;N;N
REVEL
Benign
0.12
Sift
Benign
0.11
T;T;D;D;T;T;T;T
Sift4G
Benign
0.19
T;T;D;D;D;T;T;T
Polyphen
1.0
D;D;.;D;D;D;D;D
Vest4
0.38
MPC
0.054
ClinPred
0.025
T
GERP RS
3.4
Varity_R
0.10
gMVP
0.12

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: rs696217; hg19: chr3-10331457; COSMIC: COSV55056089; COSMIC: COSV55056089; API