12-21635704-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_002300.8(LDHB):​c.843G>A​(p.Met281Ile) variant causes a missense change. 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 Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)

Consequence

LDHB
NM_002300.8 missense

Scores

7
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.14

Publications

1 publications found
Variant links:
Genes affected
LDHB (HGNC:6541): (lactate dehydrogenase B) This gene encodes the B subunit of lactate dehydrogenase enzyme, which catalyzes the interconversion of pyruvate and lactate with concomitant interconversion of NADH and NAD+ in a post-glycolysis process. Alternatively spliced transcript variants have been found for this gene. Recent studies have shown that a C-terminally extended isoform is produced by use of an alternative in-frame translation termination codon via a stop codon readthrough mechanism, and that this isoform is localized in the peroxisomes. Mutations in this gene are associated with lactate dehydrogenase B deficiency. Pseudogenes have been identified on chromosomes X, 5 and 13. [provided by RefSeq, Feb 2016]
LDHB Gene-Disease associations (from GenCC):
  • glycogen storage disease due to lactate dehydrogenase H-subunit deficiency
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.398761).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002300.8. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LDHB
NM_002300.8
MANE Select
c.843G>Ap.Met281Ile
missense
Exon 8 of 8NP_002291.1Q5U077
LDHB
NM_001315537.2
c.843G>Ap.Met281Ile
missense
Exon 8 of 8NP_001302466.1A0A5F9ZHM4
LDHB
NM_001174097.3
c.843G>Ap.Met281Ile
missense
Exon 8 of 8NP_001167568.1Q5U077

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LDHB
ENST00000350669.5
TSL:1 MANE Select
c.843G>Ap.Met281Ile
missense
Exon 8 of 8ENSP00000229319.1P07195
LDHB
ENST00000470985.3
TSL:1
n.316G>A
non_coding_transcript_exon
Exon 3 of 3
ENSG00000285854
ENST00000647960.1
n.837+1367G>A
intron
N/AENSP00000497202.1A0A3B3IS95

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000399
AC:
1
AN:
250666
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00000824
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Glycogen storage disease due to lactate dehydrogenase H-subunit deficiency (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.36
BayesDel_addAF
Uncertain
0.031
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.40
T
Eigen
Uncertain
0.25
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Benign
0.70
T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.40
T
MetaSVM
Benign
-0.63
T
MutationAssessor
Benign
1.7
L
PhyloP100
6.1
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.12
Sift
Benign
0.26
T
Sift4G
Benign
0.31
T
Polyphen
0.19
B
Vest4
0.51
MutPred
0.32
Gain of catalytic residue at M281 (P = 0)
MVP
0.76
MPC
0.33
ClinPred
0.85
D
GERP RS
5.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.65
gMVP
0.81
Mutation Taster
=54/46
polymorphism

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

Other links and lift over

dbSNP: rs150060988; hg19: chr12-21788638; API