11-18394597-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_005566.4(LDHA):​c.-64T>C variant causes a 5 prime UTR premature start codon gain change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000716 in 454,052 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0015 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00033 ( 1 hom. )

Consequence

LDHA
NM_005566.4 5_prime_UTR_premature_start_codon_gain

Scores

2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -4.98
Variant links:
Genes affected
LDHA (HGNC:6535): (lactate dehydrogenase A) This gene encodes the A subunit of lactate dehydrogenase enzyme which catalyzes the reversible conversion of pyruvate to lactate with the concomitant oxidation of NADH to NAD in anaerobic glycolysis. The protein is found predominantly in skeletal muscle and belongs to the lactate dehydrogenase family. Mutations in this gene have been linked to exertional myoglobinuria. The human genome contains several non-transcribed pseudogenes of this gene. [provided by RefSeq, Sep 2023]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.81).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDHANM_005566.4 linkuse as main transcriptc.-64T>C 5_prime_UTR_premature_start_codon_gain_variant 1/8 ENST00000422447.8 NP_005557.1 P00338-1V9HWB9
LDHANM_005566.4 linkuse as main transcriptc.-64T>C 5_prime_UTR_variant 1/8 ENST00000422447.8 NP_005557.1 P00338-1V9HWB9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDHAENST00000422447 linkuse as main transcriptc.-64T>C 5_prime_UTR_premature_start_codon_gain_variant 1/81 NM_005566.4 ENSP00000395337.3 P00338-1
LDHAENST00000422447 linkuse as main transcriptc.-64T>C 5_prime_UTR_variant 1/81 NM_005566.4 ENSP00000395337.3 P00338-1

Frequencies

GnomAD3 genomes
AF:
0.00146
AC:
222
AN:
152136
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00476
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000523
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.000433
AC:
56
AN:
129476
Hom.:
1
AF XY:
0.000325
AC XY:
23
AN XY:
70746
show subpopulations
Gnomad AFR exome
AF:
0.00493
Gnomad AMR exome
AF:
0.000164
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000268
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000287
Gnomad OTH exome
AF:
0.000500
GnomAD4 exome
AF:
0.000331
AC:
100
AN:
301798
Hom.:
1
Cov.:
0
AF XY:
0.000250
AC XY:
43
AN XY:
172000
show subpopulations
Gnomad4 AFR exome
AF:
0.00514
Gnomad4 AMR exome
AF:
0.000257
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000235
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000132
Gnomad4 OTH exome
AF:
0.000641
GnomAD4 genome
AF:
0.00148
AC:
225
AN:
152254
Hom.:
0
Cov.:
32
AF XY:
0.00148
AC XY:
110
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.00481
Gnomad4 AMR
AF:
0.000523
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000147
Gnomad4 OTH
AF:
0.00236
Alfa
AF:
0.00111
Hom.:
0
Bravo
AF:
0.00167
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Glycogen storage disease due to lactate dehydrogenase M-subunit deficiency Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.81
CADD
Benign
0.30
DANN
Benign
0.44
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.2

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs200916427; hg19: chr11-18416144; API