11-71435748-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PM5PP5

The NM_001360.3(DHCR7):​c.1055G>T​(p.Arg352Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000137 in 1,459,660 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in Lovd as Likely pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R352Q) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 35)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

DHCR7
NM_001360.3 missense

Scores

8
3
5

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 6.88
Variant links:
Genes affected
DHCR7 (HGNC:2860): (7-dehydrocholesterol reductase) This gene encodes an enzyme that removes the C(7-8) double bond in the B ring of sterols and catalyzes the conversion of 7-dehydrocholesterol to cholesterol. This gene is ubiquitously expressed and its transmembrane protein localizes to the endoplasmic reticulum membrane and nuclear outer membrane. Mutations in this gene cause Smith-Lemli-Opitz syndrome (SLOS); a syndrome that is metabolically characterized by reduced serum cholesterol levels and elevated serum 7-dehydrocholesterol levels and phenotypically characterized by cognitive disability, facial dysmorphism, syndactyly of second and third toes, and holoprosencephaly in severe cases to minimal physical abnormalities and near-normal intelligence in mild cases. Alternative splicing results in multiple transcript variants that encode the same protein.[provided by RefSeq, Aug 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr11-71435748-C-T is described in Lovd as [Pathogenic].
PP5
Variant 11-71435748-C-A is Pathogenic according to our data. Variant chr11-71435748-C-A is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DHCR7NM_001360.3 linkuse as main transcriptc.1055G>T p.Arg352Leu missense_variant 9/9 ENST00000355527.8 NP_001351.2 Q9UBM7A0A024R5F7
DHCR7NM_001163817.2 linkuse as main transcriptc.1055G>T p.Arg352Leu missense_variant 9/9 NP_001157289.1 Q9UBM7A0A024R5F7
DHCR7XM_011544777.3 linkuse as main transcriptc.1189G>T p.Gly397Trp missense_variant 9/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DHCR7ENST00000355527.8 linkuse as main transcriptc.1055G>T p.Arg352Leu missense_variant 9/91 NM_001360.3 ENSP00000347717.4 Q9UBM7
DHCR7ENST00000685320.1 linkuse as main transcriptc.470G>T p.Arg157Leu missense_variant 8/8 ENSP00000509319.1 B4E1K5

Frequencies

GnomAD3 genomes
Cov.:
35
GnomAD3 exomes
AF:
0.00000402
AC:
1
AN:
248990
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135224
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:
0.00000893
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1459660
Hom.:
0
Cov.:
37
AF XY:
0.00
AC XY:
0
AN XY:
725918
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
35
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Pathogenic
0.45
D
BayesDel_noAF
Pathogenic
0.58
CADD
Pathogenic
29
DANN
Benign
0.95
DEOGEN2
Benign
0.22
T
Eigen
Pathogenic
0.91
Eigen_PC
Pathogenic
0.82
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.30
T
M_CAP
Pathogenic
0.30
D
MetaRNN
Uncertain
0.74
D
MetaSVM
Pathogenic
1.1
D
PROVEAN
Benign
-0.17
N
REVEL
Uncertain
0.61
Sift
Pathogenic
0.0
D
MutPred
0.20
Loss of glycosylation at S185 (P = 0.0364);
MVP
0.88
ClinPred
1.0
D
GERP RS
5.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
3.3

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs121909768; hg19: chr11-71146794; API