2-135788540-A-G

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_002299.4(LCT):​c.5568T>C​(p.Ala1856Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.726 in 1,603,220 control chromosomes in the GnomAD database, including 442,835 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.60 ( 29596 hom., cov: 31)
Exomes 𝑓: 0.74 ( 413239 hom. )

Consequence

LCT
NM_002299.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.140

Publications

26 publications found
Variant links:
Genes affected
LCT (HGNC:6530): (lactase) The protein encoded by this gene belongs to the glycosyl hydrolase 1 family of proteins. The encoded preproprotein is proteolytically processed to generate the mature enzyme. This enzyme is integral to the plasma membrane and has both phlorizin hydrolase activity and lactase activity. Mutations in this gene are associated with congenital lactase deficiency. Polymorphisms in this gene are associated with lactase persistence, in which intestinal lactase activity persists at childhood levels into adulthood. [provided by RefSeq, Jan 2016]
LCT Gene-Disease associations (from GenCC):
  • congenital lactase deficiency
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 2-135788540-A-G is Benign according to our data. Variant chr2-135788540-A-G is described in ClinVar as Benign. ClinVar VariationId is 331164.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.14 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.756 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002299.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LCT
NM_002299.4
MANE Select
c.5568T>Cp.Ala1856Ala
synonymous
Exon 17 of 17NP_002290.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LCT
ENST00000264162.7
TSL:1 MANE Select
c.5568T>Cp.Ala1856Ala
synonymous
Exon 17 of 17ENSP00000264162.2

Frequencies

GnomAD3 genomes
AF:
0.597
AC:
90631
AN:
151862
Hom.:
29593
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.384
Gnomad AMI
AF:
0.783
Gnomad AMR
AF:
0.479
Gnomad ASJ
AF:
0.424
Gnomad EAS
AF:
0.443
Gnomad SAS
AF:
0.443
Gnomad FIN
AF:
0.747
Gnomad MID
AF:
0.335
Gnomad NFE
AF:
0.761
Gnomad OTH
AF:
0.537
GnomAD2 exomes
AF:
0.621
AC:
156029
AN:
251154
AF XY:
0.622
show subpopulations
Gnomad AFR exome
AF:
0.379
Gnomad AMR exome
AF:
0.517
Gnomad ASJ exome
AF:
0.426
Gnomad EAS exome
AF:
0.442
Gnomad FIN exome
AF:
0.748
Gnomad NFE exome
AF:
0.752
Gnomad OTH exome
AF:
0.614
GnomAD4 exome
AF:
0.739
AC:
1072495
AN:
1451240
Hom.:
413239
Cov.:
30
AF XY:
0.729
AC XY:
526552
AN XY:
722514
show subpopulations
African (AFR)
AF:
0.354
AC:
11786
AN:
33276
American (AMR)
AF:
0.512
AC:
22891
AN:
44708
Ashkenazi Jewish (ASJ)
AF:
0.428
AC:
11157
AN:
26090
East Asian (EAS)
AF:
0.476
AC:
18862
AN:
39652
South Asian (SAS)
AF:
0.476
AC:
40896
AN:
85982
European-Finnish (FIN)
AF:
0.747
AC:
39865
AN:
53398
Middle Eastern (MID)
AF:
0.362
AC:
1516
AN:
4184
European-Non Finnish (NFE)
AF:
0.802
AC:
885061
AN:
1104000
Other (OTH)
AF:
0.675
AC:
40461
AN:
59950
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
12324
24648
36971
49295
61619
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20320
40640
60960
81280
101600
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.597
AC:
90662
AN:
151980
Hom.:
29596
Cov.:
31
AF XY:
0.586
AC XY:
43523
AN XY:
74260
show subpopulations
African (AFR)
AF:
0.384
AC:
15895
AN:
41438
American (AMR)
AF:
0.479
AC:
7315
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.424
AC:
1472
AN:
3468
East Asian (EAS)
AF:
0.442
AC:
2277
AN:
5154
South Asian (SAS)
AF:
0.445
AC:
2141
AN:
4814
European-Finnish (FIN)
AF:
0.747
AC:
7885
AN:
10550
Middle Eastern (MID)
AF:
0.344
AC:
101
AN:
294
European-Non Finnish (NFE)
AF:
0.761
AC:
51742
AN:
67976
Other (OTH)
AF:
0.532
AC:
1120
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1626
3251
4877
6502
8128
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
740
1480
2220
2960
3700
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.622
Hom.:
20534
Bravo
AF:
0.571
Asia WGS
AF:
0.443
AC:
1540
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Nov 12, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:2
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Lactose intolerance Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Congenital lactase deficiency Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
2.4
DANN
Benign
0.62
PhyloP100
0.14
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs2278544; hg19: chr2-136546110; COSMIC: COSV51548301; COSMIC: COSV51548301; API