19-11128131-C-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.2389+46C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.244 in 1,553,346 control chromosomes in the GnomAD database, including 47,673 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.23 ( 4112 hom., cov: 31)
Exomes 𝑓: 0.25 ( 43561 hom. )

Consequence

LDLR
NM_000527.5 intron

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -1.00
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=-0.85).
BP6
Variant 19-11128131-C-T is Benign according to our data. Variant chr19-11128131-C-T is described in ClinVar as [Benign]. Clinvar id is 265907.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11128131-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.371 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LDLRNM_000527.5 linkuse as main transcriptc.2389+46C>T intron_variant ENST00000558518.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LDLRENST00000558518.6 linkuse as main transcriptc.2389+46C>T intron_variant 1 NM_000527.5 P3P01130-1

Frequencies

GnomAD3 genomes
AF:
0.225
AC:
34227
AN:
151926
Hom.:
4107
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.161
Gnomad AMI
AF:
0.189
Gnomad AMR
AF:
0.237
Gnomad ASJ
AF:
0.209
Gnomad EAS
AF:
0.386
Gnomad SAS
AF:
0.191
Gnomad FIN
AF:
0.220
Gnomad MID
AF:
0.206
Gnomad NFE
AF:
0.254
Gnomad OTH
AF:
0.226
GnomAD3 exomes
AF:
0.245
AC:
61232
AN:
250118
Hom.:
7918
AF XY:
0.241
AC XY:
32605
AN XY:
135338
show subpopulations
Gnomad AFR exome
AF:
0.160
Gnomad AMR exome
AF:
0.256
Gnomad ASJ exome
AF:
0.217
Gnomad EAS exome
AF:
0.383
Gnomad SAS exome
AF:
0.173
Gnomad FIN exome
AF:
0.223
Gnomad NFE exome
AF:
0.257
Gnomad OTH exome
AF:
0.253
GnomAD4 exome
AF:
0.246
AC:
344863
AN:
1401302
Hom.:
43561
Cov.:
23
AF XY:
0.244
AC XY:
170809
AN XY:
700566
show subpopulations
Gnomad4 AFR exome
AF:
0.149
Gnomad4 AMR exome
AF:
0.256
Gnomad4 ASJ exome
AF:
0.215
Gnomad4 EAS exome
AF:
0.400
Gnomad4 SAS exome
AF:
0.179
Gnomad4 FIN exome
AF:
0.233
Gnomad4 NFE exome
AF:
0.250
Gnomad4 OTH exome
AF:
0.242
GnomAD4 genome
AF:
0.225
AC:
34251
AN:
152044
Hom.:
4112
Cov.:
31
AF XY:
0.224
AC XY:
16618
AN XY:
74334
show subpopulations
Gnomad4 AFR
AF:
0.161
Gnomad4 AMR
AF:
0.238
Gnomad4 ASJ
AF:
0.209
Gnomad4 EAS
AF:
0.385
Gnomad4 SAS
AF:
0.192
Gnomad4 FIN
AF:
0.220
Gnomad4 NFE
AF:
0.254
Gnomad4 OTH
AF:
0.225
Alfa
AF:
0.178
Hom.:
529
Bravo
AF:
0.227
Asia WGS
AF:
0.295
AC:
1023
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:4
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJun 10, 2021- -
Benign, criteria provided, single submitterresearchLaboratory of Genetics and Molecular Cardiology, University of São PauloMar 01, 2016- -
Benign, no assertion criteria providedresearchLaboratorium voor Moleculaire Diagnostiek Experimentele Vasculaire Geneeskunde, Academisch Medisch Centrum-- -
Benign, criteria provided, single submitterresearchCardiovascular Research Group, Instituto Nacional de Saude Doutor Ricardo JorgeMar 01, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
0.052
DANN
Benign
0.54
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs2738460; hg19: chr19-11238807; COSMIC: COSV52942258; COSMIC: COSV52942258; API