VCV002203646.3 - ClinVar

NM_000163.5(GHR):c.440-1G>A

Germline

Classification

The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.

(2)

Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.

Pathogenic

criteria provided, multiple submitters, no conflicts

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NM_000163.5(GHR):c.440-1G>A

Variation ID: 2203646 Accession: VCV002203646.3

Type and length

single nucleotide variant, 1 bp

Location

Cytogenetic: 5p12 5: 42699823 (GRCh38) [ NCBI UCSC ] 5: 42699925 (GRCh37) [ NCBI UCSC ]

Timeline in ClinVar

	First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.	Last submission Help The date of the most recent submission for each type of classification for this variant.	Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline	Feb 8, 2023	Feb 14, 2024	Sep 20, 2023

HGVS

Nucleotide	Protein	Molecular consequence
NM_000163.5:c.440-1G>A MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.		splice acceptor
NM_001242399.2:c.461-1G>A		splice acceptor
NM_001242400.2:c.440-1G>A		splice acceptor
NM_001242401.4:c.440-1G>A		splice acceptor
NM_001242402.2:c.440-1G>A		splice acceptor
NM_001242403.3:c.440-1G>A		splice acceptor
NM_001242404.2:c.440-1G>A		splice acceptor
NM_001242405.2:c.440-1G>A		splice acceptor
NM_001242406.2:c.440-1G>A		splice acceptor
NM_001242460.2:c.374-1G>A		splice acceptor
NM_001242462.1:c.440-1G>A		splice acceptor
NC_000005.10:g.42699823G>A
NC_000005.9:g.42699925G>A
NG_011688.2:g.280900G>A

... more HGVS ... less HGVS

Protein change

Other names

Canonical SPDI

NC_000005.10:42699822:G:A

Functional consequence Help The effect of the variant on RNA or protein function, based on experimental evidence from submitters.

Global minor allele frequency (GMAF) Help The global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.

Allele frequency Help The frequency of the allele represented by this VCV record.

Links

VarSome

Genes

Gene	OMIM	ClinGen Gene Dosage Sensitivity Curation		Variation Viewer Help Links to Variation Viewer, a genome browser to view variation data from NCBI databases.	Related variants
Gene	OMIM	HI score Help The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.	TS score Help The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.		Within gene Help The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants.	All Help The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene.
GHR		-	-	GRCh38 GRCh37	482	525

Conditions - Germline

Condition Help The condition for this variant-condition (RCV) record in ClinVar.	Classification Help The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions)	Review status Help The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status.	Last evaluated Help The most recent date that a submitter evaluated this variant for the condition.	Variation/condition record Help The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page.
not provided	Pathogenic (2)	criteria provided, multiple submitters, no conflicts	Sep 20, 2023	RCV002651909.3

Submissions - Germline

Classification Help The submitted germline classification for each SCV record. (Last evaluated)	Review status Help Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria)	Condition Help The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant.	Submitter Help The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar.	More information Help This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter.
Pathogenic (Sep 20, 2023)	criteria provided, single submitter (GeneDx Variant Classification Process June 2021) Method: clinical testing	Not Provided Affected status: yes Allele origin: germline	GeneDx Accession: SCV004036867.1 First in ClinVar: Sep 30, 2023 Last updated: Sep 30, 2023	Comment: Canonical splice site variant predicted to result in a null allele in a gene for which loss-of-function is a known mechanism of disease; Not observed … (more) Canonical splice site variant predicted to result in a null allele in a gene for which loss-of-function is a known mechanism of disease; Not observed at a significant frequency in large population cohorts (gnomAD); Identified as a private variant in a large-scale study of genomic sequencing. No clinical information was provided (Abouelhoda et al., 2016); This variant is associated with the following publications: (PMID: 27124789) (less)
Pathogenic (Jan 17, 2023)	criteria provided, single submitter (Invitae Variant Classification Sherloc (09022015)) Method: clinical testing	not provided Affected status: unknown Allele origin: germline	Labcorp Genetics (formerly Invitae), Labcorp Accession: SCV003525822.2 First in ClinVar: Feb 07, 2023 Last updated: Feb 14, 2024	Publications: PubMed (5) PubMed: 8504296‚ 28743110‚ 16199547‚ 1999489‚ 8488849 Comment: For these reasons, this variant has been classified as Pathogenic. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this … (more) For these reasons, this variant has been classified as Pathogenic. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. Disruption of this splice site has been observed in individuals with Laron syndrome (PMID: 8504296, 28743110). This variant is present in population databases (rs753270641, gnomAD 0.002%). This sequence change affects an acceptor splice site in intron 5 of the GHR gene. It is expected to disrupt RNA splicing. Variants that disrupt the donor or acceptor splice site typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in GHR are known to be pathogenic (PMID: 1999489, 8488849). (less)

Comment:

Canonical splice site variant predicted to result in a null allele in a gene for which loss-of-function is a known mechanism of disease; Not observed at a significant frequency in large population cohorts (gnomAD); Identified as a private variant in a large-scale study of genomic sequencing. No clinical information was provided (Abouelhoda et al., 2016); This variant is associated with the following publications: (PMID: 27124789)

Comment:

For these reasons, this variant has been classified as Pathogenic. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. Disruption of this splice site has been observed in individuals with Laron syndrome (PMID: 8504296, 28743110). This variant is present in population databases (rs753270641, gnomAD 0.002%). This sequence change affects an acceptor splice site in intron 5 of the GHR gene. It is expected to disrupt RNA splicing. Variants that disrupt the donor or acceptor splice site typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in GHR are known to be pathogenic (PMID: 1999489, 8488849).

Germline Functional Evidence

There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Comment:

Citations for germline classification of this variant

Title	Author	Journal	Year	Link
Clinical, Endocrine, and Molecular Genetic Analysis of a Large Cohort of Saudi Arabian Patients with Laron Syndrome.	Al-Ashwal AA	Hormone research in paediatrics	2017	PMID: 28743110
Splicing in action: assessing disease causing sequence changes.	Baralle D	Journal of medical genetics	2005	PMID: 16199547
Spectrum of growth hormone receptor mutations and associated haplotypes in Laron syndrome.	Amselem S	Human molecular genetics	1993	PMID: 8504296
Diverse growth hormone receptor gene mutations in Laron syndrome.	Berg MA	American journal of human genetics	1993	PMID: 8488849
Recurrent nonsense mutations in the growth hormone receptor from patients with Laron dwarfism.	Amselem S	The Journal of clinical investigation	1991	PMID: 1999489

Text-mined citations for this variant ...

Record last updated Sep 29, 2024

ClinVar Genomic variation as it relates to human health

NM_000163.5(GHR):c.440-1G>A

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for this variant ...