1-11952690-C-A
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2
The NM_000302.4(PLOD1):c.534C>A(p.Ser178Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000248 in 1,613,960 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S178N) has been classified as Uncertain significance.
Frequency
Consequence
NM_000302.4 missense
Scores
Clinical Significance
Conservation
Publications
- Ehlers-Danlos syndrome, kyphoscoliotic type 1Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet, PanelApp Australia, G2P
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ACMG classification
Our verdict: Uncertain_significance. The variant received 2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152156Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.00000796 AC: 2AN: 251398 AF XY: 0.00000736 show subpopulations
GnomAD4 exome AF: 0.0000260 AC: 38AN: 1461686Hom.: 0 Cov.: 31 AF XY: 0.0000220 AC XY: 16AN XY: 727182 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152274Hom.: 0 Cov.: 32 AF XY: 0.0000134 AC XY: 1AN XY: 74458 show subpopulations
ClinVar
Submissions by phenotype
Ehlers-Danlos syndrome, kyphoscoliotic type 1 Uncertain:2
This variant has been reported in the literature in the heterozygous state in an individual with aortic aneurysm, segregating with aortic dilation or dissection in at least 4 family members (Koenig 2021 PMID:34400365). This variant is present in 0.003% (1/34592) of Latino alleles in the Genome Aggregation Database (https://gnomad.broadinstitute.org/variant/1-12012747-C-A?dataset=gnomad_r2_1) and in ClinVar (Variation ID:459821). Computational predictive tools for this variant suggest that this variant does not impact the protein, but evolutionary conservation is unclear. In vitro functional study and computational structural analysis suggest that this variant may have a minor impact on the protein (Koenig 2021 PMID:34400365). However, these studies may not accurately represent in vivo biological function. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. -
This sequence change replaces serine, which is neutral and polar, with arginine, which is basic and polar, at codon 178 of the PLOD1 protein (p.Ser178Arg). This variant is present in population databases (rs113384442, gnomAD 0.003%). This variant has not been reported in the literature in individuals affected with PLOD1-related conditions. ClinVar contains an entry for this variant (Variation ID: 459821). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C15"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Familial thoracic aortic aneurysm and aortic dissection Uncertain:1
The p.S178R variant (also known as c.534C>A), located in coding exon 5 of the PLOD1 gene, results from a C to A substitution at nucleotide position 534. The serine at codon 178 is replaced by arginine, an amino acid with dissimilar properties. This variant was identified in the heterozygous state in one or more individuals with features consistent with thoracic aortic aneurysm and dissection (TAAD) and segregated with disease in at least one family (Koenig SN et al. Transl Res, 2022 Jan;239:1-17). Functional studies suggest this variant may impact protein function; however, the physiological relevance of this finding is unclear (Koenig SN et al. Transl Res, 2022 Jan;239:1-17). This amino acid position is well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Based on the available evidence, the clinical significance of this variant remains unclear. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at