1-156138613-C-T
Variant summary
Our verdict is Likely pathogenic. The variant received 8 ACMG points: 10P and 2B. PM2PP5_Very_StrongBP4BP7
The NM_170707.4(LMNA):c.1824C>T(p.Gly608Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. G608G) has been classified as Likely benign.
Frequency
Consequence
NM_170707.4 synonymous
Scores
Clinical Significance
Conservation
Publications
- dilated cardiomyopathyInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- dilated cardiomyopathy 1AInheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Ambry Genetics, Orphanet
- familial partial lipodystrophy, Dunnigan typeInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae)
- Hutchinson-Gilford progeria syndromeInheritance: AD, SD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
- restrictive dermopathy 2Inheritance: AR, AD Classification: DEFINITIVE, LIMITED Submitted by: G2P
- Emery-Dreifuss muscular dystrophy 2, autosomal dominantInheritance: SD, AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
- atrioventricular blockInheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
- heart-hand syndrome, Slovenian typeInheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics, G2P
- Charcot-Marie-Tooth disease type 2B1Inheritance: AR, AD Classification: STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: G2P, Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
- Emery-Dreifuss muscular dystrophy 3, autosomal recessiveInheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- mandibuloacral dysplasia with type A lipodystrophyInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
- atrial fibrillationInheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
- atypical Werner syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- autosomal dominant Emery-Dreifuss muscular dystrophyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- congenital muscular dystrophy due to LMNA mutationInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- familial isolated dilated cardiomyopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- lethal restrictive dermopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- LMNA-related cardiocutaneous progeria syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- autosomal recessive Emery-Dreifuss muscular dystrophyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- dilated cardiomyopathy-hypergonadotropic hypogonadism syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- autosomal semi-dominant severe lipodystrophic laminopathyInheritance: SD Classification: SUPPORTIVE Submitted by: Orphanet
- arrhythmogenic right ventricular cardiomyopathyInheritance: AD Classification: LIMITED Submitted by: ClinGen
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 8 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| LMNA | NM_170707.4 | c.1824C>T | p.Gly608Gly | synonymous_variant | Exon 11 of 12 | ENST00000368300.9 | NP_733821.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| LMNA | ENST00000368300.9 | c.1824C>T | p.Gly608Gly | synonymous_variant | Exon 11 of 12 | 1 | NM_170707.4 | ENSP00000357283.4 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD4 exome Cov.: 32
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Hutchinson-Gilford syndrome Pathogenic:4Other:1
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The variant is not observed in the gnomAD v2.1.1 dataset. Cryptic splice donor variant which results in abnormal splicing. Functional studies provide strong evidence of the variant having a damaging effect on the gene or gene product (PMID: 19172989 , 21875900). The variant has been previously reported as de novo in at least two similarly affected unrelated individuals (PMID: 12714972 , 17459035 , 22611635). The variant has been observed in multiple (>3) similarly affected unrelated individuals (PMID: 12714972 , 17459035 , 22611635). The variant has been reported at least twice as pathogenic with clinical assertions and evidence for the classification (ClinVar ID: VCV000014500 / 3billion dataset). Therefore, this variant is classified as Pathogenic according to the recommendation of ACMG/AMP guideline. -
not provided Pathogenic:3Other:1
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RNA studies demonstrate a damaging effect through a partial impact on splicing resulting in increased expression of truncated lamin A transcript with cell aging (PMID: 19172989); Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 24305605, 21251803, 12768443, 12702809, 22893709, 23969228, 22685055, 19172989, 23141186, 26670336, 15793835, 17459069, 17459035, 15982412, 30911407, 32297714, 36523395, 35801028, 16809772, 28679633, 31006814, 22611635, 17511383, 28878338, 33590899, 38191824, 21738662, 25946677, 32943904, 10939567, 21875900, 22148005, 20580717, 12714972, 25556323) -
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Charcot-Marie-Tooth disease type 2 Pathogenic:1
This sequence change affects codon 608 of the LMNA mRNA. It is a 'silent' change, meaning that it does not change the encoded amino acid sequence of the LMNA protein. This variant is not present in population databases (gnomAD no frequency). This variant has been observed in individual(s) with Hutchinson-Gilford progeria syndrome (HGPS) (PMID: 12714972, 12768443, 15793835, 17459035, 19172989, 22148005, 22611635, 22685055, 23141186, 25946677; Invitae). In at least one individual the variant was observed to be de novo. This variant is also known as c.2036C>T. ClinVar contains an entry for this variant (Variation ID: 14500). Algorithms developed to predict the effect of variants on protein structure and function are not available or were not evaluated for this variant. Experimental studies have shown that this variant affects LMNA function (PMID: 12714972, 19172989, 21875900, 22893709, 25567453). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. For these reasons, this variant has been classified as Pathogenic. -
Primary dilated cardiomyopathy;C0033300:Hutchinson-Gilford syndrome Pathogenic:1
proposed classification - variant undergoing re-assessment, contact laboratory -
Restrictive dermopathy 2 Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at