12-21638445-C-A
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Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 0P and 3B. BP4_ModerateBP7
The NM_002300.8(LDHB):c.621G>T(p.Val207=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00054 in 1,606,148 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00070 ( 1 hom., cov: 31)
Exomes 𝑓: 0.00052 ( 1 hom. )
Consequence
LDHB
NM_002300.8 synonymous
NM_002300.8 synonymous
Scores
2
Clinical Significance
Conservation
PhyloP100: 0.916
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 Likely_benign. Variant got -3 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.32).
BP7
Synonymous conserved (PhyloP=0.916 with no splicing effect.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
LDHB | NM_002300.8 | c.621G>T | p.Val207= | synonymous_variant | 6/8 | ENST00000350669.5 | NP_002291.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
LDHB | ENST00000350669.5 | c.621G>T | p.Val207= | synonymous_variant | 6/8 | 1 | NM_002300.8 | ENSP00000229319 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000698 AC: 105AN: 150440Hom.: 1 Cov.: 31
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GnomAD3 exomes AF: 0.000665 AC: 167AN: 250998Hom.: 1 AF XY: 0.000626 AC XY: 85AN XY: 135692
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GnomAD4 exome AF: 0.000523 AC: 762AN: 1455590Hom.: 1 Cov.: 32 AF XY: 0.000490 AC XY: 355AN XY: 724528
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GnomAD4 genome AF: 0.000697 AC: 105AN: 150558Hom.: 1 Cov.: 31 AF XY: 0.000749 AC XY: 55AN XY: 73424
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Glycogen storage disease due to lactate dehydrogenase H-subunit deficiency Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Jan 12, 2018 | This 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. - |
Computational scores
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at