chr11-68312746-C-T

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4

The NM_001291902.2(LRP5):​c.-1734C>T variant causes a 5 prime UTR premature start codon gain change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000754 in 1,061,244 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000069 ( 0 hom., cov: 29)
Exomes 𝑓: 0.0000076 ( 0 hom. )

Consequence

LRP5
NM_001291902.2 5_prime_UTR_premature_start_codon_gain

Scores

2
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -2.04

Publications

1 publications found
Variant links:
Genes affected
LRP5 (HGNC:6697): (LDL receptor related protein 5) This gene encodes a transmembrane low-density lipoprotein receptor that binds and internalizes ligands in the process of receptor-mediated endocytosis. This protein also acts as a co-receptor with Frizzled protein family members for transducing signals by Wnt proteins and was originally cloned on the basis of its association with type 1 diabetes mellitus in humans. This protein plays a key role in skeletal homeostasis and many bone density related diseases are caused by mutations in this gene. Mutations in this gene also cause familial exudative vitreoretinopathy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, May 2014]
LRP5 Gene-Disease associations (from GenCC):
  • bone mineral density quantitative trait locus 1
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • LRP5-related exudative vitreoretinopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • osteoporosis-pseudoglioma syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • exudative vitreoretinopathy 4
    Inheritance: Unknown, AD, SD Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • autosomal dominant osteosclerosis, Worth type
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
  • polycystic liver disease 4 with or without kidney cysts
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • autosomal dominant osteopetrosis 1
    Inheritance: AD Classification: MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet
  • exudative vitreoretinopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hyperostosis corticalis generalisata
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • osteosclerosis-developmental delay-craniosynostosis syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • polycystic liver disease 1
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.2690171).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001291902.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LRP5
NM_002335.4
MANE Select
c.32C>Tp.Pro11Leu
missense
Exon 1 of 23NP_002326.2O75197
LRP5
NM_001291902.2
c.-1734C>T
5_prime_UTR_premature_start_codon_gain
Exon 1 of 23NP_001278831.1
LRP5
NM_001291902.2
c.-1734C>T
5_prime_UTR
Exon 1 of 23NP_001278831.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LRP5
ENST00000294304.12
TSL:1 MANE Select
c.32C>Tp.Pro11Leu
missense
Exon 1 of 23ENSP00000294304.6O75197
LRP5
ENST00000529993.5
TSL:1
n.32C>T
non_coding_transcript_exon
Exon 1 of 23ENSP00000436652.1E9PHY1
LRP5
ENST00000909991.1
c.32C>Tp.Pro11Leu
missense
Exon 1 of 23ENSP00000580050.1

Frequencies

GnomAD3 genomes
AF:
0.00000693
AC:
1
AN:
144332
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000153
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000763
AC:
7
AN:
916912
Hom.:
0
Cov.:
30
AF XY:
0.00000684
AC XY:
3
AN XY:
438488
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
17012
American (AMR)
AF:
0.000301
AC:
2
AN:
6652
Ashkenazi Jewish (ASJ)
AF:
0.000246
AC:
2
AN:
8138
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5840
South Asian (SAS)
AF:
0.00
AC:
0
AN:
28828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5870
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
1966
European-Non Finnish (NFE)
AF:
0.00000370
AC:
3
AN:
811342
Other (OTH)
AF:
0.00
AC:
0
AN:
31264
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.246
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00000693
AC:
1
AN:
144332
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
70222
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
39912
American (AMR)
AF:
0.00
AC:
0
AN:
14634
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3366
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4942
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4750
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8356
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
298
European-Non Finnish (NFE)
AF:
0.0000153
AC:
1
AN:
65194
Other (OTH)
AF:
0.00
AC:
0
AN:
1998
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.625
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
0

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
0.0082
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
6.3
DANN
Benign
0.92
DEOGEN2
Benign
0.27
T
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.59
FATHMM_MKL
Benign
0.0090
N
LIST_S2
Benign
0.40
T
M_CAP
Pathogenic
0.74
D
MetaRNN
Benign
0.27
T
MetaSVM
Uncertain
-0.059
T
MutationAssessor
Benign
0.55
N
PhyloP100
-2.0
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
0.55
N
REVEL
Uncertain
0.33
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.20
T
Polyphen
0.98
D
Vest4
0.15
MutPred
0.50
Gain of helix (P = 0.0034)
MVP
0.31
MPC
0.42
ClinPred
0.16
T
GERP RS
0.60
PromoterAI
-0.018
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.10
gMVP
0.28
Mutation Taster
=93/7
polymorphism

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

Other links and lift over

dbSNP: rs1282312295; hg19: chr11-68080214; API