NM_170707.4:c.1358G>C

Variant names:

• chr1-156136414-G-C
• rs267607598
• NM_170707.4:c.1358G>C

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PM1 PM2 PM5 PP3_Strong PP5_Moderate

The NM_170707.4(LMNA):​c.1358G>C​(p.Arg453Pro) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R453Q) has been classified as Uncertain significance.

• Frequency: Genomes: not found (cov: 32)
• Consequence: LMNA NM_170707.4 missense
• Clinical Significance: Pathogenic criteria provided, single submitter P:1 O:1
• Conservation: PhyloP100: 4.80
• Publications: 7 publications found

Genes affected

LMNA (HGNC:6636): (lamin A/C) The protein encoded by this gene is part of the nuclear lamina, a two-dimensional matrix of proteins located next to the inner nuclear membrane. The lamin family of proteins make up the matrix and are highly conserved in evolution. During mitosis, the lamina matrix is reversibly disassembled as the lamin proteins are phosphorylated. Lamin proteins are thought to be involved in nuclear stability, chromatin structure and gene expression. Vertebrate lamins consist of two types, A and B. Alternative splicing results in multiple transcript variants. Mutations in this gene lead to several diseases: Emery-Dreifuss muscular dystrophy, familial partial lipodystrophy, limb girdle muscular dystrophy, dilated cardiomyopathy, Charcot-Marie-Tooth disease, and Hutchinson-Gilford progeria syndrome. [provided by RefSeq, May 2022]

LMNA Gene-Disease associations (from GenCC):

• dilated cardiomyopathy

  Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
• dilated cardiomyopathy 1A

  Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Ambry Genetics, Orphanet
• familial partial lipodystrophy, Dunnigan type

  Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae)
• Hutchinson-Gilford progeria syndrome

  Inheritance: AD, SD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
• restrictive dermopathy 2

  Inheritance: AR, AD Classification: DEFINITIVE, LIMITED Submitted by: G2P
• Emery-Dreifuss muscular dystrophy 2, autosomal dominant

  Inheritance: SD, AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
• atrioventricular block

  Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
• heart-hand syndrome, Slovenian type

  Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics, G2P
• Charcot-Marie-Tooth disease type 2B1

  Inheritance: AR, AD Classification: STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: G2P, Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
• Emery-Dreifuss muscular dystrophy 3, autosomal recessive

  Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
• mandibuloacral dysplasia with type A lipodystrophy

  Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
• atrial fibrillation

  Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
• atypical Werner syndrome

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• autosomal dominant Emery-Dreifuss muscular dystrophy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• congenital muscular dystrophy due to LMNA mutation

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• familial isolated dilated cardiomyopathy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• lethal restrictive dermopathy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• LMNA-related cardiocutaneous progeria syndrome

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• autosomal recessive Emery-Dreifuss muscular dystrophy

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
• dilated cardiomyopathy-hypergonadotropic hypogonadism syndrome

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
• autosomal semi-dominant severe lipodystrophic laminopathy

  Inheritance: SD Classification: SUPPORTIVE Submitted by: Orphanet
• arrhythmogenic right ventricular cardiomyopathy

  Inheritance: AD Classification: LIMITED Submitted by: ClinGen

ACMG classification

Our verdict: Pathogenic. The variant received 12 ACMG points.

• PM1: In a hotspot region, there are 12 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 17 uncertain in NM_170707.4
• PM2: Very rare variant in population databases, with high coverage
• PM5: Other missense variant is known to change same aminoacid residue: Variant chr1-156136413-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 14478.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.959
• PP5: Variant 1-156136414-G-C is Pathogenic according to our data. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-156136414-G-C is described in CliVar as Pathogenic. Clinvar id is 66808.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
LMNA	NM_170707.4	c.1358G>C	p.Arg453Pro	missense_variant	Exon 7 of 12	ENST00000368300.9	NP_733821.1
LMNA	NM_005572.4	c.1358G>C	p.Arg453Pro	missense_variant	Exon 7 of 10	ENST00000677389.1	NP_005563.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
LMNA	ENST00000368300.9	c.1358G>C	p.Arg453Pro	missense_variant	Exon 7 of 12	1	NM_170707.4	ENSP00000357283.4
LMNA	ENST00000677389.1	c.1358G>C	p.Arg453Pro	missense_variant	Exon 7 of 10		NM_005572.4	ENSP00000503633.1

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 33

GnomAD4 genome Cov.: 32

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1 Other:1

Revision: criteria provided, single submitter

Submissions by phenotype

Charcot-Marie-Tooth disease type 2 Pathogenic:1

Aug 28, 2022

Labcorp Genetics (formerly Invitae), Labcorp

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

This variant is not present in population databases (gnomAD no frequency). This sequence change replaces arginine, which is basic and polar, with proline, which is neutral and non-polar, at codon 453 of the LMNA protein (p.Arg453Pro). This missense change has been observed in individual(s) with autosomal dominant congenital muscular dystrophy (PMID: 18551513, 34240052). In at least one individual the variant was observed to be de novo. ClinVar contains an entry for this variant (Variation ID: 66808). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be disruptive. This variant disrupts the p.Arg453 amino acid residue in LMNA. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 10080180, 14749366, 18396274, 20980393, 21173262, 22326558, 24642510). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -

not provided Other:1

-

Epithelial Biology; Institute of Medical Biology, Singapore

Significance: not provided

Review Status: no classification provided

Collection Method: literature only

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Pathogenic	1.0
CardioboostCm	Uncertain	0.82
BayesDel_addAF	Pathogenic	0.53	D
BayesDel_noAF	Pathogenic	0.53
CADD	Pathogenic	32
DANN	Uncertain	1.0
DEOGEN2	Pathogenic	0.99	.;.;D;.;.;.;.;T
Eigen	Pathogenic	0.84
Eigen_PC	Pathogenic	0.81
FATHMM_MKL	Uncertain	0.96	D
LIST_S2	Uncertain	0.91	D;D;D;D;D;D;D;D
M_CAP	Pathogenic	0.71	D
MetaRNN	Pathogenic	0.96	D;D;D;D;D;D;D;D
MetaSVM	Pathogenic	1.1	D
MutationAssessor	Pathogenic	3.0	M;M;M;M;.;.;.;.
PhyloP100		4.8
PrimateAI	Uncertain	0.61	T
PROVEAN	Pathogenic	-4.8	D;D;D;D;D;D;D;D
REVEL	Pathogenic	0.96
Sift	Uncertain	0.0020	D;D;D;D;D;D;D;D
Sift4G	Uncertain	0.0080	D;D;D;D;D;D;D;D
Polyphen		1.0	D;D;D;.;.;D;.;.
Vest4		0.92
MutPred		0.82		Loss of MoRF binding (P = 0.0069);Loss of MoRF binding (P = 0.0069);Loss of MoRF binding (P = 0.0069);Loss of MoRF binding (P = 0.0069);.;.;.;.;
MVP		0.98
MPC		1.3
ClinPred		0.99	D
GERP RS		5.7
RBP_binding_hub_radar		0.0
RBP_regulation_power_radar		1.8
Varity_R		0.99
gMVP		0.99
Mutation Taster		=0/100	disease causing

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

Other links and lift over

dbSNP: rs267607598; hg19: chr1-156106205;