11-18465640-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_144972.5(LDHAL6A):ā€‹c.248A>Gā€‹(p.Tyr83Cys) variant causes a missense change. The variant allele was found at a frequency of 0.000000685 in 1,459,236 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 31)
Exomes š‘“: 6.9e-7 ( 0 hom. )

Consequence

LDHAL6A
NM_144972.5 missense

Scores

4
8
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.00
Variant links:
Genes affected
LDHAL6A (HGNC:28335): (lactate dehydrogenase A like 6A) Predicted to enable L-lactate dehydrogenase activity. Predicted to be involved in carbohydrate metabolic process and carboxylic acid metabolic process. Located in extracellular exosome. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.939

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDHAL6ANM_144972.5 linkuse as main transcriptc.248A>G p.Tyr83Cys missense_variant 3/7 ENST00000280706.3 NP_659409.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDHAL6AENST00000280706.3 linkuse as main transcriptc.248A>G p.Tyr83Cys missense_variant 3/72 NM_144972.5 ENSP00000280706 P1
LDHAL6AENST00000396213.7 linkuse as main transcriptc.248A>G p.Tyr83Cys missense_variant 4/81 ENSP00000379516 P1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000403
AC:
1
AN:
248218
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
134174
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000297
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1459236
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
725940
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000227
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 09, 2024The c.248A>G (p.Y83C) alteration is located in exon 3 (coding exon 3) of the LDHAL6A gene. This alteration results from a A to G substitution at nucleotide position 248, causing the tyrosine (Y) at amino acid position 83 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
0.010
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.87
.;D;D
Eigen
Benign
-0.18
Eigen_PC
Benign
-0.26
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.85
D;.;D
M_CAP
Benign
0.062
D
MetaRNN
Pathogenic
0.94
D;D;D
MetaSVM
Uncertain
0.38
D
MutationAssessor
Pathogenic
4.2
.;H;H
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.44
T
PROVEAN
Pathogenic
-6.9
.;D;D
REVEL
Uncertain
0.55
Sift
Uncertain
0.0030
.;D;D
Sift4G
Uncertain
0.013
D;D;D
Polyphen
0.0040
.;B;B
Vest4
0.74
MutPred
0.77
Gain of catalytic residue at L84 (P = 0.0117);Gain of catalytic residue at L84 (P = 0.0117);Gain of catalytic residue at L84 (P = 0.0117);
MVP
0.93
MPC
0.52
ClinPred
0.66
D
GERP RS
1.4
Varity_R
0.48
gMVP
0.29

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: rs1404251385; hg19: chr11-18487187; API