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12-21638338-T-C

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBA1

The NM_002300.8(LDHB):​c.713+15A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.987 in 1,298,656 control chromosomes in the GnomAD database, including 633,733 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.95 ( 68351 hom., cov: 30)
Exomes 𝑓: 0.99 ( 565382 hom. )

Consequence

LDHB
NM_002300.8 intron

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -1.57
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.91).
BP6
Variant 12-21638338-T-C is Benign according to our data. Variant chr12-21638338-T-C is described in ClinVar as [Benign]. Clinvar id is 308019.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr12-21638338-T-C is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.992 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LDHBNM_002300.8 linkuse as main transcriptc.713+15A>G intron_variant ENST00000350669.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LDHBENST00000350669.5 linkuse as main transcriptc.713+15A>G intron_variant 1 NM_002300.8 P1

Frequencies

GnomAD3 genomes
AF:
0.945
AC:
143474
AN:
151790
Hom.:
68309
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.815
Gnomad AMI
AF:
0.997
Gnomad AMR
AF:
0.979
Gnomad ASJ
AF:
0.968
Gnomad EAS
AF:
1.00
Gnomad SAS
AF:
0.992
Gnomad FIN
AF:
1.00
Gnomad MID
AF:
0.997
Gnomad NFE
AF:
0.999
Gnomad OTH
AF:
0.953
GnomAD3 exomes
AF:
0.983
AC:
246517
AN:
250698
Hom.:
121503
AF XY:
0.987
AC XY:
133775
AN XY:
135514
show subpopulations
Gnomad AFR exome
AF:
0.809
Gnomad AMR exome
AF:
0.990
Gnomad ASJ exome
AF:
0.975
Gnomad EAS exome
AF:
1.00
Gnomad SAS exome
AF:
0.992
Gnomad FIN exome
AF:
1.00
Gnomad NFE exome
AF:
0.999
Gnomad OTH exome
AF:
0.989
GnomAD4 exome
AF:
0.993
AC:
1138178
AN:
1146748
Hom.:
565382
Cov.:
15
AF XY:
0.993
AC XY:
582194
AN XY:
586172
show subpopulations
Gnomad4 AFR exome
AF:
0.807
Gnomad4 AMR exome
AF:
0.989
Gnomad4 ASJ exome
AF:
0.973
Gnomad4 EAS exome
AF:
1.00
Gnomad4 SAS exome
AF:
0.993
Gnomad4 FIN exome
AF:
1.00
Gnomad4 NFE exome
AF:
0.999
Gnomad4 OTH exome
AF:
0.984
GnomAD4 genome
AF:
0.945
AC:
143573
AN:
151908
Hom.:
68351
Cov.:
30
AF XY:
0.946
AC XY:
70225
AN XY:
74236
show subpopulations
Gnomad4 AFR
AF:
0.815
Gnomad4 AMR
AF:
0.979
Gnomad4 ASJ
AF:
0.968
Gnomad4 EAS
AF:
1.00
Gnomad4 SAS
AF:
0.993
Gnomad4 FIN
AF:
1.00
Gnomad4 NFE
AF:
0.999
Gnomad4 OTH
AF:
0.953
Alfa
AF:
0.969
Hom.:
13318
Bravo
AF:
0.939
Asia WGS
AF:
0.981
AC:
3411
AN:
3478

ClinVar

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

Submissions by phenotype

Glycogen storage disease due to lactate dehydrogenase H-subunit deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.91
CADD
Benign
1.0
DANN
Benign
0.31

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: rs1650289; hg19: chr12-21791272; API