chr11-18465661-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_144972.5(LDHAL6A):ā€‹c.269A>Gā€‹(p.Asn90Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000616 in 1,461,728 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 31)
Exomes š‘“: 0.0000062 ( 0 hom. )

Consequence

LDHAL6A
NM_144972.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.10
Variant links:
Genes affected
LDHAL6A (HGNC:28335): (lactate dehydrogenase A like 6A) Predicted to enable L-lactate dehydrogenase activity. Predicted to be involved in carbohydrate metabolic process and carboxylic acid metabolic process. Located in extracellular exosome. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.1171996).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDHAL6ANM_144972.5 linkuse as main transcriptc.269A>G p.Asn90Ser missense_variant 3/7 ENST00000280706.3 NP_659409.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDHAL6AENST00000280706.3 linkuse as main transcriptc.269A>G p.Asn90Ser missense_variant 3/72 NM_144972.5 ENSP00000280706 P1
LDHAL6AENST00000396213.7 linkuse as main transcriptc.269A>G p.Asn90Ser missense_variant 4/81 ENSP00000379516 P1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.0000159
AC:
4
AN:
251136
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135718
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000616
AC:
9
AN:
1461728
Hom.:
0
Cov.:
30
AF XY:
0.00000550
AC XY:
4
AN XY:
727166
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 25, 2023The c.269A>G (p.N90S) alteration is located in exon 3 (coding exon 3) of the LDHAL6A gene. This alteration results from a A to G substitution at nucleotide position 269, causing the asparagine (N) at amino acid position 90 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
8.4
DANN
Uncertain
0.98
DEOGEN2
Benign
0.36
.;T;T
Eigen
Benign
-0.97
Eigen_PC
Benign
-0.94
FATHMM_MKL
Benign
0.036
N
LIST_S2
Benign
0.78
T;.;T
M_CAP
Benign
0.032
D
MetaRNN
Benign
0.12
T;T;T
MetaSVM
Benign
-0.77
T
MutationAssessor
Benign
-0.20
.;N;N
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.52
.;N;N
REVEL
Benign
0.22
Sift
Benign
0.088
.;T;T
Sift4G
Benign
0.20
T;T;T
Polyphen
0.0020
.;B;B
Vest4
0.18
MutPred
0.59
Gain of MoRF binding (P = 0.1767);Gain of MoRF binding (P = 0.1767);Gain of MoRF binding (P = 0.1767);
MVP
0.81
MPC
0.071
ClinPred
0.057
T
GERP RS
-0.14
Varity_R
0.032
gMVP
0.15

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs761276946; hg19: chr11-18487208; API