21-46228579-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP5

The NM_002340.6(LSS):​c.35G>A​(p.Gly12Asp) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000208 in 1,439,794 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

LSS
NM_002340.6 missense

Scores

4
10
5

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 7.31
Variant links:
Genes affected
LSS (HGNC:6708): (lanosterol synthase) The protein encoded by this gene catalyzes the conversion of (S)-2,3 oxidosqualene to lanosterol. The encoded protein is a member of the terpene cyclase/mutase family and catalyzes the first step in the biosynthesis of cholesterol, steroid hormones, and vitamin D. Alternative splicing results in multiple transcript variants encoding different isoforms.[provided by RefSeq, Feb 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 21-46228579-C-T is Pathogenic according to our data. Variant chr21-46228579-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 834068.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LSSNM_002340.6 linkuse as main transcriptc.35G>A p.Gly12Asp missense_variant 2/22 ENST00000397728.8 NP_002331.3
LSSNM_001001438.3 linkuse as main transcriptc.35G>A p.Gly12Asp missense_variant 2/23 NP_001001438.1
LSSNM_001145436.2 linkuse as main transcriptc.35G>A p.Gly12Asp missense_variant 2/22 NP_001138908.1
LSSNM_001145437.2 linkuse as main transcriptc.-206G>A 5_prime_UTR_variant 1/21 NP_001138909.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LSSENST00000397728.8 linkuse as main transcriptc.35G>A p.Gly12Asp missense_variant 2/221 NM_002340.6 ENSP00000380837.2 P48449-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000482
AC:
1
AN:
207352
Hom.:
0
AF XY:
0.00000861
AC XY:
1
AN XY:
116088
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000109
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000208
AC:
3
AN:
1439794
Hom.:
0
Cov.:
33
AF XY:
0.00000140
AC XY:
1
AN XY:
716280
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000181
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Alopecia-intellectual disability syndrome 4 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMFeb 10, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.75
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Uncertain
-0.070
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.10
T;T;.;.
Eigen
Uncertain
0.66
Eigen_PC
Uncertain
0.60
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.91
.;D;D;D
M_CAP
Uncertain
0.086
D
MetaRNN
Uncertain
0.60
D;D;D;D
MetaSVM
Benign
-0.77
T
MutationAssessor
Pathogenic
3.0
M;M;M;.
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
-1.7
N;N;N;N
REVEL
Benign
0.26
Sift
Uncertain
0.019
D;D;D;D
Sift4G
Uncertain
0.0070
D;D;D;D
Polyphen
1.0
D;D;.;.
Vest4
0.71
MutPred
0.27
Loss of catalytic residue at G12 (P = 0.012);Loss of catalytic residue at G12 (P = 0.012);Loss of catalytic residue at G12 (P = 0.012);.;
MVP
0.67
MPC
1.1
ClinPred
0.98
D
GERP RS
4.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.81
gMVP
0.71

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: rs763705074; hg19: chr21-47648493; API