11-18465711-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_144972.5(LDHAL6A):​c.319C>A​(p.Leu107Ile) variant causes a missense change. The variant allele was found at a frequency of 0.0000157 in 1,461,624 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.000016 ( 0 hom. )

Consequence

LDHAL6A
NM_144972.5 missense

Scores

3
11
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.25
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 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.83

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDHAL6ANM_144972.5 linkuse as main transcriptc.319C>A p.Leu107Ile missense_variant 3/7 ENST00000280706.3 NP_659409.2 Q6ZMR3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDHAL6AENST00000280706.3 linkuse as main transcriptc.319C>A p.Leu107Ile missense_variant 3/72 NM_144972.5 ENSP00000280706.2 Q6ZMR3
LDHAL6AENST00000396213.7 linkuse as main transcriptc.319C>A p.Leu107Ile missense_variant 4/81 ENSP00000379516.3 Q6ZMR3

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.0000278
AC:
7
AN:
251446
Hom.:
0
AF XY:
0.0000294
AC XY:
4
AN XY:
135902
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.0000615
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000157
AC:
23
AN:
1461624
Hom.:
0
Cov.:
30
AF XY:
0.0000165
AC XY:
12
AN XY:
727142
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.00
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:
0.0000162
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
Cov.:
31
Alfa
AF:
0.0000312
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000178

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 GeneticsAug 28, 2024The c.319C>A (p.L107I) alteration is located in exon 3 (coding exon 3) of the LDHAL6A gene. This alteration results from a C to A substitution at nucleotide position 319, causing the leucine (L) at amino acid position 107 to be replaced by an isoleucine (I). 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
0.13
BayesDel_addAF
Benign
0.0085
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.61
.;D;D
Eigen
Uncertain
0.60
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.97
D;.;T
M_CAP
Uncertain
0.088
D
MetaRNN
Pathogenic
0.83
D;D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Uncertain
2.8
.;M;M
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-1.7
.;N;N
REVEL
Uncertain
0.64
Sift
Uncertain
0.0010
.;D;D
Sift4G
Uncertain
0.056
T;D;D
Polyphen
1.0
.;D;D
Vest4
0.38
MutPred
0.88
Gain of methylation at K102 (P = 0.0649);Gain of methylation at K102 (P = 0.0649);Gain of methylation at K102 (P = 0.0649);
MVP
0.94
MPC
0.49
ClinPred
0.73
D
GERP RS
4.4
Varity_R
0.53
gMVP
0.096

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: rs749518468; hg19: chr11-18487258; API