NM_002299.4:c.5768C>A

Variant summary

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

The NM_002299.4(LCT):​c.5768C>A​(p.Pro1923Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00284 in 1,612,928 control chromosomes in the GnomAD database, including 105 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.016 ( 55 hom., cov: 33)
Exomes 𝑓: 0.0015 ( 50 hom. )

Consequence

LCT
NM_002299.4 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.695
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0015354455).
BP6
Variant 2-135788340-G-T is Benign according to our data. Variant chr2-135788340-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 331162.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.053 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LCTNM_002299.4 linkc.5768C>A p.Pro1923Gln missense_variant Exon 17 of 17 ENST00000264162.7 NP_002290.2 P09848

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LCTENST00000264162.7 linkc.5768C>A p.Pro1923Gln missense_variant Exon 17 of 17 1 NM_002299.4 ENSP00000264162.2 P09848

Frequencies

GnomAD3 genomes
AF:
0.0158
AC:
2410
AN:
152128
Hom.:
55
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0549
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00602
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.0124
GnomAD3 exomes
AF:
0.00389
AC:
978
AN:
251284
Hom.:
23
AF XY:
0.00273
AC XY:
371
AN XY:
135836
show subpopulations
Gnomad AFR exome
AF:
0.0539
Gnomad AMR exome
AF:
0.00225
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000123
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.00149
AC:
2172
AN:
1460682
Hom.:
50
Cov.:
34
AF XY:
0.00131
AC XY:
949
AN XY:
726718
show subpopulations
Gnomad4 AFR exome
AF:
0.0536
Gnomad4 AMR exome
AF:
0.00293
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000580
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000423
Gnomad4 OTH exome
AF:
0.00316
GnomAD4 genome
AF:
0.0158
AC:
2412
AN:
152246
Hom.:
55
Cov.:
33
AF XY:
0.0147
AC XY:
1095
AN XY:
74444
show subpopulations
Gnomad4 AFR
AF:
0.0549
Gnomad4 AMR
AF:
0.00602
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000250
Gnomad4 OTH
AF:
0.0123
Alfa
AF:
0.000761
Hom.:
3
Bravo
AF:
0.0182
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.0517
AC:
228
ESP6500EA
AF:
0.000581
AC:
5
ExAC
AF:
0.00475
AC:
577
Asia WGS
AF:
0.00231
AC:
8
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000178

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

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

- -

LCT-related disorder Benign:1
May 08, 2019
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

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

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.74
T
BayesDel_noAF
Benign
-0.79
CADD
Benign
0.053
DANN
Benign
0.58
DEOGEN2
Benign
0.27
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.031
N
LIST_S2
Benign
0.31
T
MetaRNN
Benign
0.0015
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.1
L
PrimateAI
Benign
0.22
T
PROVEAN
Benign
0.28
N
REVEL
Benign
0.0070
Sift
Benign
0.24
T
Sift4G
Benign
0.20
T
Polyphen
0.0050
B
Vest4
0.079
MVP
0.092
MPC
0.58
ClinPred
0.0058
T
GERP RS
-4.3
Varity_R
0.031
gMVP
0.31

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: rs114828879; hg19: chr2-136545910; COSMIC: COSV99078432; COSMIC: COSV99078432; API