2-135833176-CAG-C
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Variant summary
Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PVS1PM2PP5
The NM_002299.4(LCT):c.653_654del(p.Ser218CysfsTer6) variant causes a frameshift change. The variant allele was found at a frequency of 0.000000684 in 1,461,702 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: not found (cov: 29)
Exomes 𝑓: 6.8e-7 ( 0 hom. )
Consequence
LCT
NM_002299.4 frameshift
NM_002299.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 4.82
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]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 11 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-135833176-CAG-C is Pathogenic according to our data. Variant chr2-135833176-CAG-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 56393.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr2-135833176-CAG-C is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
LCT | NM_002299.4 | c.653_654del | p.Ser218CysfsTer6 | frameshift_variant | 2/17 | ENST00000264162.7 | NP_002290.2 | |
LCT | XM_017004088.3 | c.653_654del | p.Ser218CysfsTer6 | frameshift_variant | 2/15 | XP_016859577.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
LCT | ENST00000264162.7 | c.653_654del | p.Ser218CysfsTer6 | frameshift_variant | 2/17 | 1 | NM_002299.4 | ENSP00000264162 | P1 |
Frequencies
GnomAD3 genomes Cov.: 29
GnomAD3 genomes
Cov.:
29
GnomAD4 exome AF: 6.84e-7 AC: 1AN: 1461702Hom.: 0 AF XY: 0.00000138 AC XY: 1AN XY: 727164
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GnomAD4 genome Cov.: 29
GnomAD4 genome
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29
ClinVar
Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
Congenital lactase deficiency Pathogenic:1
Likely pathogenic, no assertion criteria provided | literature only | Juha Muilu Group; Institute for Molecular Medicine Finland (FIMM) | - | - - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at