19-11116790-G-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000527.5(LDLR):​c.1706-69G>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.158 in 1,569,414 control chromosomes in the GnomAD database, including 23,290 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.21 ( 4311 hom., cov: 33)
Exomes 𝑓: 0.15 ( 18979 hom. )

Consequence

LDLR
NM_000527.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -1.85
Variant links:
Genes affected
LDLR (HGNC:6547): (low density lipoprotein receptor) The low density lipoprotein receptor (LDLR) gene family consists of cell surface proteins involved in receptor-mediated endocytosis of specific ligands. The encoded protein is normally bound at the cell membrane, where it binds low density lipoprotein/cholesterol and is taken into the cell. Lysosomes release the cholesterol, which is made available for repression of microsomal enzyme 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase, the rate-limiting step in cholesterol synthesis. At the same time, a reciprocal stimulation of cholesterol ester synthesis takes place. Mutations in this gene cause the autosomal dominant disorder, familial hypercholesterolemia. Alternate splicing results in multiple transcript variants.[provided by RefSeq, May 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 19-11116790-G-T is Benign according to our data. Variant chr19-11116790-G-T is described in ClinVar as [Benign]. Clinvar id is 251985.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11116790-G-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.364 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDLRNM_000527.5 linkuse as main transcriptc.1706-69G>T intron_variant ENST00000558518.6 NP_000518.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDLRENST00000558518.6 linkuse as main transcriptc.1706-69G>T intron_variant 1 NM_000527.5 ENSP00000454071 P3P01130-1

Frequencies

GnomAD3 genomes
AF:
0.211
AC:
32053
AN:
152038
Hom.:
4298
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.370
Gnomad AMI
AF:
0.179
Gnomad AMR
AF:
0.150
Gnomad ASJ
AF:
0.156
Gnomad EAS
AF:
0.373
Gnomad SAS
AF:
0.179
Gnomad FIN
AF:
0.130
Gnomad MID
AF:
0.156
Gnomad NFE
AF:
0.135
Gnomad OTH
AF:
0.180
GnomAD4 exome
AF:
0.152
AC:
215490
AN:
1417258
Hom.:
18979
AF XY:
0.152
AC XY:
107736
AN XY:
707552
show subpopulations
Gnomad4 AFR exome
AF:
0.388
Gnomad4 AMR exome
AF:
0.159
Gnomad4 ASJ exome
AF:
0.154
Gnomad4 EAS exome
AF:
0.403
Gnomad4 SAS exome
AF:
0.176
Gnomad4 FIN exome
AF:
0.136
Gnomad4 NFE exome
AF:
0.134
Gnomad4 OTH exome
AF:
0.161
GnomAD4 genome
AF:
0.211
AC:
32100
AN:
152156
Hom.:
4311
Cov.:
33
AF XY:
0.209
AC XY:
15543
AN XY:
74386
show subpopulations
Gnomad4 AFR
AF:
0.369
Gnomad4 AMR
AF:
0.151
Gnomad4 ASJ
AF:
0.156
Gnomad4 EAS
AF:
0.374
Gnomad4 SAS
AF:
0.180
Gnomad4 FIN
AF:
0.130
Gnomad4 NFE
AF:
0.135
Gnomad4 OTH
AF:
0.181
Alfa
AF:
0.0925
Hom.:
151
Bravo
AF:
0.220
Asia WGS
AF:
0.223
AC:
777
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hypercholesterolemia, familial, 1 Benign:3
Benign, criteria provided, single submitterresearchCardiovascular Research Group, Instituto Nacional de Saude Doutor Ricardo JorgeMar 01, 20163 hmz + 28 htz / 125 non-FH individuals -
Benign, criteria provided, single submitterliterature onlyLDLR-LOVD, British Heart FoundationMar 25, 2016- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJun 10, 2021- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
0.18
DANN
Benign
0.66

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: rs7259278; hg19: chr19-11227466; COSMIC: COSV52946963; COSMIC: COSV52946963; API