19-11131239-A-G

Variant summary

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

The NM_000527.5(LDLR):​c.2548-42A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.466 in 1,609,990 control chromosomes in the GnomAD database, including 179,445 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.40 ( 13268 hom., cov: 32)
Exomes 𝑓: 0.47 ( 166177 hom. )

Consequence

LDLR
NM_000527.5 intron

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -0.486
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88).
BP6
Variant 19-11131239-A-G is Benign according to our data. Variant chr19-11131239-A-G is described in ClinVar as [Benign]. Clinvar id is 252355.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11131239-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.477 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDLRNM_000527.5 linkuse as main transcriptc.2548-42A>G intron_variant ENST00000558518.6 NP_000518.1 P01130-1A0A024R7D5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDLRENST00000558518.6 linkuse as main transcriptc.2548-42A>G intron_variant 1 NM_000527.5 ENSP00000454071.1 P01130-1

Frequencies

GnomAD3 genomes
AF:
0.397
AC:
60356
AN:
151928
Hom.:
13273
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.197
Gnomad AMI
AF:
0.441
Gnomad AMR
AF:
0.465
Gnomad ASJ
AF:
0.470
Gnomad EAS
AF:
0.296
Gnomad SAS
AF:
0.468
Gnomad FIN
AF:
0.525
Gnomad MID
AF:
0.462
Gnomad NFE
AF:
0.482
Gnomad OTH
AF:
0.418
GnomAD3 exomes
AF:
0.448
AC:
112489
AN:
251028
Hom.:
26138
AF XY:
0.455
AC XY:
61722
AN XY:
135746
show subpopulations
Gnomad AFR exome
AF:
0.189
Gnomad AMR exome
AF:
0.469
Gnomad ASJ exome
AF:
0.485
Gnomad EAS exome
AF:
0.315
Gnomad SAS exome
AF:
0.464
Gnomad FIN exome
AF:
0.522
Gnomad NFE exome
AF:
0.478
Gnomad OTH exome
AF:
0.456
GnomAD4 exome
AF:
0.473
AC:
689913
AN:
1457944
Hom.:
166177
Cov.:
34
AF XY:
0.474
AC XY:
343966
AN XY:
725604
show subpopulations
Gnomad4 AFR exome
AF:
0.185
Gnomad4 AMR exome
AF:
0.470
Gnomad4 ASJ exome
AF:
0.487
Gnomad4 EAS exome
AF:
0.280
Gnomad4 SAS exome
AF:
0.468
Gnomad4 FIN exome
AF:
0.509
Gnomad4 NFE exome
AF:
0.488
Gnomad4 OTH exome
AF:
0.458
GnomAD4 genome
AF:
0.397
AC:
60370
AN:
152046
Hom.:
13268
Cov.:
32
AF XY:
0.400
AC XY:
29739
AN XY:
74300
show subpopulations
Gnomad4 AFR
AF:
0.197
Gnomad4 AMR
AF:
0.464
Gnomad4 ASJ
AF:
0.470
Gnomad4 EAS
AF:
0.296
Gnomad4 SAS
AF:
0.467
Gnomad4 FIN
AF:
0.525
Gnomad4 NFE
AF:
0.482
Gnomad4 OTH
AF:
0.415
Alfa
AF:
0.470
Hom.:
30557
Bravo
AF:
0.382
Asia WGS
AF:
0.321
AC:
1117
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, 20160/190 non-FH alleles -
Benign, criteria provided, single submitterresearchLDLR-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
-0.88
CADD
Benign
0.27
DANN
Benign
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: rs6413504; hg19: chr19-11241915; COSMIC: COSV52942246; COSMIC: COSV52942246; API