LDB3 p.Ala78Thr

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 1P and 5B. PP3BP6BS1

The NM_007078.3(LDB3):​c.2092G>A​(p.Ala698Thr) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000495 in 1,613,004 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A698S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00052 ( 0 hom. )

Consequence

LDB3
NM_007078.3 missense, splice_region

Scores

3
8
8
Splicing: ADA: 0.9587
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:4

Conservation

PhyloP100: 10.0

Publications

20 publications found
Variant links:
Genes affected
LDB3 (HGNC:15710): (LIM domain binding 3) This gene encodes a PDZ domain-containing protein. PDZ motifs are modular protein-protein interaction domains consisting of 80-120 amino acid residues. PDZ domain-containing proteins interact with each other in cytoskeletal assembly or with other proteins involved in targeting and clustering of membrane proteins. The protein encoded by this gene interacts with alpha-actinin-2 through its N-terminal PDZ domain and with protein kinase C via its C-terminal LIM domains. The LIM domain is a cysteine-rich motif defined by 50-60 amino acids containing two zinc-binding modules. This protein also interacts with all three members of the myozenin family. Mutations in this gene have been associated with myofibrillar myopathy and dilated cardiomyopathy. Alternatively spliced transcript variants encoding different isoforms have been identified; all isoforms have N-terminal PDZ domains while only longer isoforms (1, 2 and 5) have C-terminal LIM domains. [provided by RefSeq, Jan 2010]
LDB3 Gene-Disease associations (from GenCC):
  • dilated cardiomyopathy
    Inheritance: AD, AR Classification: STRONG, LIMITED Submitted by: ClinGen
  • myofibrillar myopathy 4
    Inheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial dilated cardiomyopathy
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
  • arrhythmogenic right ventricular cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

new If you want to explore the variant's impact on the transcript NM_007078.3, check out the Mutation Effect Viewer. This is especially useful for frameshift variants or if you want to visualize the effect of exon loss / intron retention.

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.
BP6
Variant 10-86726250-G-A is Benign according to our data. Variant chr10-86726250-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 36446.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000236 (36/152264) while in subpopulation NFE AF = 0.000265 (18/68024). AF 95% confidence interval is 0.000171. There are 0 homozygotes in GnomAd4. There are 13 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_007078.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LDB3
NM_007078.3
MANE Select
c.2092G>Ap.Ala698Thr
missense splice_region
Exon 13 of 14NP_009009.1O75112-1
LDB3
NM_001171610.2
c.2107G>Ap.Ala703Thr
missense splice_region
Exon 13 of 14NP_001165081.1O75112-7
LDB3
NM_001368066.1
c.1951G>Ap.Ala651Thr
missense splice_region
Exon 14 of 15NP_001354995.1A0A8I5KV04

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LDB3
ENST00000477489.1
TSL:1
c.232G>Ap.Ala78Thr
missense
Exon 2 of 2ENSP00000485538.1A0A096LPD7
LDB3
ENST00000361373.9
TSL:1 MANE Select
c.2092G>Ap.Ala698Thr
missense splice_region
Exon 13 of 14ENSP00000355296.3O75112-1
LDB3
ENST00000945680.1
c.2296G>Ap.Ala766Thr
missense splice_region
Exon 13 of 14ENSP00000615739.1

Frequencies

GnomAD3 genomes
AF:
0.000237
AC:
36
AN:
152146
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000471
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000265
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.000235
AC:
59
AN:
251374
AF XY:
0.000243
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.000431
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000522
AC:
762
AN:
1460740
Hom.:
0
Cov.:
30
AF XY:
0.000472
AC XY:
343
AN XY:
726738
show subpopulations
African (AFR)
AF:
0.000209
AC:
7
AN:
33458
American (AMR)
AF:
0.0000895
AC:
4
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26130
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39692
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86238
European-Finnish (FIN)
AF:
0.000187
AC:
10
AN:
53418
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5720
European-Non Finnish (NFE)
AF:
0.000652
AC:
724
AN:
1111012
Other (OTH)
AF:
0.000265
AC:
16
AN:
60356
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
35
70
105
140
175
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
30
60
90
120
150
<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:
0.000236
AC:
36
AN:
152264
Hom.:
0
Cov.:
32
AF XY:
0.000175
AC XY:
13
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.000241
AC:
10
AN:
41564
American (AMR)
AF:
0.0000654
AC:
1
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4810
European-Finnish (FIN)
AF:
0.000471
AC:
5
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000265
AC:
18
AN:
68024
Other (OTH)
AF:
0.000474
AC:
1
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000430
Hom.:
0
Bravo
AF:
0.000302
EpiCase
AF:
0.000600
EpiControl
AF:
0.000296

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
1
1
not specified (2)
-
1
-
Cardiomyopathy (1)
-
1
-
Cardiovascular phenotype (1)
-
-
1
Dilated cardiomyopathy 1C (1)
-
1
-
Myofibrillar myopathy 4 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.0072
T
BayesDel_noAF
Uncertain
0.11
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.56
D
Eigen
Uncertain
0.60
Eigen_PC
Uncertain
0.66
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.94
D
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.35
T
MetaSVM
Uncertain
0.095
D
MutationAssessor
Benign
1.1
L
PhyloP100
10
PrimateAI
Pathogenic
0.85
D
PROVEAN
Benign
-2.0
N
REVEL
Uncertain
0.55
Sift
Benign
0.077
T
Sift4G
Benign
0.063
T
Varity_R
0.20
gMVP
0.60
Mutation Taster
=33/67
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.96
dbscSNV1_RF
Pathogenic
0.82
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

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Publications

Other links and lift over

dbSNP: rs45577134;
hg19: chr10-88486007;
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