rs779187338

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PP3PP5_Moderate

The NM_000823.4(GHRHR):​c.458C>A​(p.Ala153Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.8e-7 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

GHRHR
NM_000823.4 missense

Scores

1
3
15

Clinical Significance

Likely pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 1.57
Variant links:
Genes affected
GHRHR (HGNC:4266): (growth hormone releasing hormone receptor) This gene encodes a receptor for growth hormone-releasing hormone. Binding of this hormone to the receptor leads to synthesis and release of growth hormone. Mutations in this gene have been associated with isolated growth hormone deficiency (IGHD), also known as Dwarfism of Sindh, a disorder characterized by short stature. [provided by RefSeq, Jun 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a topological_domain Cytoplasmic (size 15) in uniprot entity GHRHR_HUMAN there are 6 pathogenic changes around while only 1 benign (86%) in NM_000823.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.817
PP5
Variant 7-30971210-C-A is Pathogenic according to our data. Variant chr7-30971210-C-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 191335.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr7-30971210-C-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GHRHRNM_000823.4 linkuse as main transcriptc.458C>A p.Ala153Asp missense_variant 5/13 ENST00000326139.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GHRHRENST00000326139.7 linkuse as main transcriptc.458C>A p.Ala153Asp missense_variant 5/131 NM_000823.4 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
7.77e-7
AC:
1
AN:
1286620
Hom.:
0
Cov.:
20
AF XY:
0.00
AC XY:
0
AN XY:
641052
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000103
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, flagged submissionresearchCenter for Genomic Medicine, King Faisal Specialist Hospital and Research Center-- -
Isolated growth hormone deficiency, type 4 Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingCenter for Genomic Medicine, King Faisal Specialist Hospital and Research CenterApr 04, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.45
BayesDel_addAF
Benign
-0.065
T
BayesDel_noAF
Benign
-0.33
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.42
T;.
Eigen
Benign
0.18
Eigen_PC
Benign
0.13
FATHMM_MKL
Benign
0.42
N
LIST_S2
Benign
0.74
T;T
M_CAP
Benign
0.013
T
MetaRNN
Pathogenic
0.82
D;D
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
1.9
L;.
MutationTaster
Benign
0.71
D;D;D;D;D
PrimateAI
Benign
0.37
T
PROVEAN
Uncertain
-3.3
D;D
REVEL
Benign
0.21
Sift
Benign
0.13
T;T
Sift4G
Benign
0.20
T;T
Polyphen
1.0
D;D
Vest4
0.74
MutPred
0.66
Gain of sheet (P = 0.0827);.;
MVP
0.57
MPC
0.45
ClinPred
0.95
D
GERP RS
5.3
Varity_R
0.72
gMVP
0.62

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: rs779187338; hg19: chr7-31010825; API