rs760146185

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 2P and 5B. PM2BP4_StrongBP7

The NM_000516.7(GNAS):​c.138G>A​(p.Leu46Leu) variant causes a splice region, synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000377 in 1,060,800 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. L46L) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 28)
Exomes 𝑓: 0.0000038 ( 0 hom. )

Consequence

GNAS
NM_000516.7 splice_region, synonymous

Scores

2
Splicing: ADA: 0.0006679
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1B:1

Conservation

PhyloP100: 2.61

Publications

0 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

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56).
BP7
Synonymous conserved (PhyloP=2.61 with no splicing effect.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GNASNM_000516.7 linkc.138G>A p.Leu46Leu splice_region_variant, synonymous_variant Exon 1 of 13 ENST00000371085.8 NP_000507.1 P63092-1O95467A0A0S2Z3H8
GNASNM_016592.5 linkc.*43-3748G>A intron_variant Intron 1 of 12 ENST00000371075.7 NP_057676.1 O95467-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GNASENST00000371085.8 linkc.138G>A p.Leu46Leu splice_region_variant, synonymous_variant Exon 1 of 13 1 NM_000516.7 ENSP00000360126.3 P63092-1
GNASENST00000354359.12 linkc.138G>A p.Leu46Leu splice_region_variant, synonymous_variant Exon 1 of 13 1 ENSP00000346328.7 P63092-4
GNASENST00000371095.7 linkc.138G>A p.Leu46Leu splice_region_variant, synonymous_variant Exon 1 of 12 1 ENSP00000360136.3 P63092-2
GNASENST00000371075.7 linkc.*43-3748G>A intron_variant Intron 1 of 12 1 NM_016592.5 ENSP00000360115.3 O95467-1
GNASENST00000676826.2 linkc.2069-3748G>A intron_variant Intron 1 of 12 ENSP00000504675.2 A0A7I2V5R6
GNASENST00000371102.8 linkc.2069-3748G>A intron_variant Intron 1 of 11 5 ENSP00000360143.4 Q5JWF2-2
GNASENST00000470512.6 linkc.-39+2511G>A intron_variant Intron 1 of 12 5 ENSP00000499552.2 A0A590UJQ9
GNASENST00000480232.6 linkc.-39+2315G>A intron_variant Intron 2 of 13 5 ENSP00000499545.2 A0A590UJQ9
GNASENST00000663479.2 linkc.-38-3748G>A intron_variant Intron 1 of 12 ENSP00000499353.2 A0A590UJQ9
GNASENST00000462499.6 linkc.-38-3748G>A intron_variant Intron 1 of 11 2 ENSP00000499758.2 A0A590UK28
GNASENST00000467227.6 linkc.-38-3748G>A intron_variant Intron 2 of 12 3 ENSP00000499681.2 A0A590UK28
GNASENST00000478585.6 linkc.-39+2511G>A intron_variant Intron 1 of 11 2 ENSP00000499762.2 A0A590UK28
GNASENST00000481039.6 linkc.-39+2956G>A intron_variant Intron 1 of 11 5 ENSP00000499767.2 A0A590UK28
GNASENST00000485673.6 linkc.-39+2315G>A intron_variant Intron 1 of 11 5 ENSP00000499334.2 A0A590UK28
GNASENST00000488546.6 linkc.-39+3046G>A intron_variant Intron 1 of 11 5 ENSP00000499332.2 A0A590UK28
GNASENST00000461152.6 linkc.*51+1075G>A intron_variant Intron 1 of 2 5 ENSP00000499274.1 A0A590UJ46
GNASENST00000453292.7 linkc.*43-3748G>A intron_variant Intron 1 of 11 5 ENSP00000392000.2 O95467-1A2A2S1
GNASENST00000492907.6 linkc.-384G>A upstream_gene_variant 3 ENSP00000499443.2 A0A590UK28

Frequencies

GnomAD3 genomes
Cov.:
28
GnomAD2 exomes
AF:
0.00000553
AC:
1
AN:
180912
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000121
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000377
AC:
4
AN:
1060800
Hom.:
0
Cov.:
31
AF XY:
0.00000383
AC XY:
2
AN XY:
521512
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
21216
American (AMR)
AF:
0.00
AC:
0
AN:
27496
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
13088
East Asian (EAS)
AF:
0.00
AC:
0
AN:
8942
South Asian (SAS)
AF:
0.00
AC:
0
AN:
58788
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
24046
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2614
European-Non Finnish (NFE)
AF:
0.00000460
AC:
4
AN:
868688
Other (OTH)
AF:
0.00
AC:
0
AN:
35922
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.438
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
Cov.:
28

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Apr 14, 2015
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

GNAS-related disorder Benign:1
Sep 07, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.56
CADD
Benign
16
DANN
Benign
0.90
PhyloP100
2.6
PromoterAI
0.0062
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.3

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00067
dbscSNV1_RF
Benign
0.0040
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: rs760146185; hg19: chr20-57466919; API