ClinVar Miner

Submissions for variant NM_004004.6(GJB2):c.368C>A (p.Thr123Asn) (rs111033188)

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Total submissions: 10
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Laboratory for Molecular Medicine, Partners HealthCare Personalized Medicine RCV000037845 SCV000061507 likely benign not specified 2011-06-09 criteria provided, single submitter clinical testing Thr123Asn in exon 2 of GJB2: This variant has been previously reported in patien ts with hearing loss as well as in control subjects as a rare polymorphism (Park 2000, Tang 2006, Cryns 2004, Dai 2009, Hwa 2003, Oguchi 2005, Ohtsuka 2003, Shi 2004, Snoeckx 2005). The allele frequencies of this variant are higher in the c ontrol group (~0.9%) than in the patient group (~0.4%), suggesting that this var iant does not have clinical significance.
PreventionGenetics,PreventionGenetics RCV000037845 SCV000309915 benign not specified criteria provided, single submitter clinical testing
EGL Genetic Diagnostics,Eurofins Clinical Diagnostics RCV000037845 SCV000342929 likely benign not specified 2016-06-10 criteria provided, single submitter clinical testing
Illumina Clinical Services Laboratory,Illumina RCV000331479 SCV000383006 likely benign Hystrix-like ichthyosis with deafness 2017-04-27 criteria provided, single submitter clinical testing This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Illumina Clinical Services Laboratory,Illumina RCV000785600 SCV000383007 likely benign Deafness, autosomal dominant 3a 2017-04-27 criteria provided, single submitter clinical testing This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Illumina Clinical Services Laboratory,Illumina RCV000281969 SCV000383008 likely benign Deafness, autosomal recessive 1A 2017-04-27 criteria provided, single submitter clinical testing This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Integrated Genetics/Laboratory Corporation of America RCV000037845 SCV000698253 benign not specified 2019-05-06 criteria provided, single submitter clinical testing Variant summary: GJB2 c.368C>A (p.Thr123Asn) results in a non-conservative amino acid change located in the central part of the cytoplasmic loop (CL) domain (Locke 2009) of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. One study indicates potential phosphorylation at this residue, however the functional significance of this post-translational modification is unknown (Locke 2009). The variant allele was found at a frequency of 0.00059 in 255584 control chromosomes, predominantly observed in the East Asian subpopulation at a frequency of 0.0065 in the gnomAD database, including 1 homozygote. This frequency is lower than the estimated maximal expected allele frequency of a pathogenic GJB2 variant (0.025) (when considering autosomal recessive inheritance). However, in certain East Asian subpopulations even higher occurrences were reported e.g. in Koreans it was found at a frequency of 0.01 (gnomAD 2.1); that suggests the variant is likely a benign polymorphism found primarily in the populations of East Asian origin. This variant has been reported in multiple nonsyndromic sensorineural hearing loss (NSHL) patients (mainly East Asian ethnicity) without strong evidence for causality. The high occurrence in controls and the co-occurrence of other GJB2 disease variants in at least 2 patients argue against a potential dominant inheritance pattern (Dai 2009, Wu 2016). Many studies have reported the variant in patients with comparable frequencies (or lower than) detected in controls (e.g. Dai 2009, Nishio 2017), supporting the benign nature of this variant. A co-occurrence with a pathogenic variant (c.235delC) in trans was reported in a normal-hearing carrier (He 2017); further supporting a benign role for the variant. Though some studies raised the possibility that this variant can contribute to multigenic disorders, postulating that a combination of this variant with heterozygous alterations in other genes may be implicated in deafness (Chow 2017, Wu 2016), they provided no convincing evidence for the causative relationship. Two other clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation, and both of these laboratories classified the variant as likely benign. Based on the evidence outlined above, the variant was classified as benign.
Baylor-Hopkins Center for Mendelian Genomics,Johns Hopkins University RCV000785600 SCV000924177 likely benign Deafness, autosomal dominant 3a criteria provided, single submitter research
GeneDx RCV000590041 SCV000969487 likely benign not provided 2017-01-10 criteria provided, single submitter clinical testing This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease.
Invitae RCV000590041 SCV001083006 benign not provided 2019-12-31 criteria provided, single submitter clinical testing

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