12-57143756-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 5P and 1B. PM1PM2PP2BP4

The NM_002332.3(LRP1):​c.406A>C​(p.Asn136His) 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

LRP1
NM_002332.3 missense

Scores

8
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.08
Variant links:
Genes affected
LRP1 (HGNC:6692): (LDL receptor related protein 1) This gene encodes a member of the low-density lipoprotein receptor family of proteins. The encoded preproprotein is proteolytically processed by furin to generate 515 kDa and 85 kDa subunits that form the mature receptor (PMID: 8546712). This receptor is involved in several cellular processes, including intracellular signaling, lipid homeostasis, and clearance of apoptotic cells. In addition, the encoded protein is necessary for the alpha 2-macroglobulin-mediated clearance of secreted amyloid precursor protein and beta-amyloid, the main component of amyloid plaques found in Alzheimer patients. Expression of this gene decreases with age and has been found to be lower than controls in brain tissue from Alzheimer's disease patients. [provided by RefSeq, Oct 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a glycosylation_site N-linked (GlcNAc...) asparagine (size 0) in uniprot entity LRP1_HUMAN
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), LRP1. . Gene score misZ 8.2463 (greater than the threshold 3.09). Trascript score misZ 12.011 (greater than threshold 3.09). GenCC has associacion of gene with schizophrenia, atrophoderma vermiculata, keratosis pilaris atrophicans, keratosis follicularis spinulosa decalvans.
BP4
Computational evidence support a benign effect (MetaRNN=0.27520633).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LRP1NM_002332.3 linkuse as main transcriptc.406A>C p.Asn136His missense_variant 4/89 ENST00000243077.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LRP1ENST00000243077.8 linkuse as main transcriptc.406A>C p.Asn136His missense_variant 4/891 NM_002332.3 P1Q07954-1
LRP1ENST00000554174.1 linkuse as main transcriptc.406A>C p.Asn136His missense_variant 4/81
LRP1ENST00000553277.5 linkuse as main transcriptc.406A>C p.Asn136His missense_variant 4/71
LRP1ENST00000338962.8 linkuse as main transcriptc.406A>C p.Asn136His missense_variant 4/71 Q07954-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
250970
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135640
show subpopulations
Gnomad AFR exome
AF:
0.0000616
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000936
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000824
AC:
1

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 GeneticsApr 19, 2024The c.406A>C (p.N136H) alteration is located in exon 4 (coding exon 4) of the LRP1 gene. This alteration results from a A to C substitution at nucleotide position 406, causing the asparagine (N) at amino acid position 136 to be replaced by a histidine (H). 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
0.15
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Uncertain
-0.060
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.15
.;T;.;T
Eigen
Uncertain
0.24
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.86
D;T;D;T
M_CAP
Benign
0.056
D
MetaRNN
Benign
0.28
T;T;T;T
MetaSVM
Uncertain
0.78
D
MutationAssessor
Benign
1.1
.;L;L;.
MutationTaster
Benign
0.62
D;D;D;D
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-0.23
N;N;N;N
REVEL
Benign
0.11
Sift
Benign
0.10
T;T;T;T
Sift4G
Benign
0.11
T;T;T;T
Polyphen
0.98
D;P;.;P
Vest4
0.38
MutPred
0.49
Gain of catalytic residue at S137 (P = 0);Gain of catalytic residue at S137 (P = 0);Gain of catalytic residue at S137 (P = 0);Gain of catalytic residue at S137 (P = 0);
MVP
0.61
ClinPred
0.74
D
GERP RS
4.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.10
gMVP
0.64

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: rs759830238; hg19: chr12-57537539; API