ClinVar Miner

Submissions for variant NM_000369.5(TSHR):c.2161G>T (p.Val721Phe)

gnomAD frequency: 0.00035  dbSNP: rs61745409
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Illumina Laboratory Services, Illumina RCV000299331 SCV000389154 benign Familial hyperthyroidism due to mutations in TSH receptor 2018-01-13 criteria provided, single submitter clinical testing This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.
Illumina Laboratory Services, Illumina RCV000356472 SCV000389155 uncertain significance Hypothyroidism due to TSH receptor mutations 2018-01-13 criteria provided, single submitter clinical testing This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.
Labcorp Genetics (formerly Invitae), Labcorp RCV000873340 SCV001015319 benign not provided 2024-01-29 criteria provided, single submitter clinical testing
ITMI RCV000122253 SCV000086477 not provided not specified 2013-09-19 no assertion provided reference population
Department of Pathology and Laboratory Medicine, Sinai Health System RCV000873340 SCV001548930 uncertain significance not provided no assertion criteria provided clinical testing The TSHR p.V721F variant was not identified in the literature but was identified in dbSNP (ID: rs61745409) and ClinVar (classified as uncertain significance by Illumina for congenital nongoitrous hypothyroidism 1; and as benign by Invitae Illumina for non-autoimmune hyperthyroidism). The variant was identified in control databases in 354 of 282230 chromosomes (2 homozygous) at a frequency of 0.001254, and was observed at the highest frequency in the Ashkenazi Jewish population in 291 of 10266 chromosomes (2 homozygous) (freq: 0.02835) (Genome Aggregation Database March 6, 2019, v2.1.1). The p.V721 residue is not conserved in mammals and computational analyses (MUT Assesor, PolyPhen-2, SIFT, MutationTaster, Revel, FATHMM, MetaLR, DANN) do not suggest a high likelihood of impact the protein. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (Splice AI exome) do not predict a difference in splicing. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign.

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