chr7-128257016-C-A

Variant summary

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

The NM_000230.3(LEP):​c.*2253C>A variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.444 in 152,118 control chromosomes in the GnomAD database, including 17,319 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.44 ( 17279 hom., cov: 31)
Exomes 𝑓: 0.54 ( 40 hom. )

Consequence

LEP
NM_000230.3 3_prime_UTR

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.0650
Variant links:
Genes affected
LEP (HGNC:6553): (leptin) This gene encodes a protein that is secreted by white adipocytes into the circulation and plays a major role in the regulation of energy homeostasis. Circulating leptin binds to the leptin receptor in the brain, which activates downstream signaling pathways that inhibit feeding and promote energy expenditure. This protein also has several endocrine functions, and is involved in the regulation of immune and inflammatory responses, hematopoiesis, angiogenesis, reproduction, bone formation and wound healing. Mutations in this gene and its regulatory regions cause severe obesity and morbid obesity with hypogonadism in human patients. A mutation in this gene has also been linked to type 2 diabetes mellitus development. [provided by RefSeq, Aug 2017]

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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 (BayesDel_noAF=-0.97).
BP6
Variant 7-128257016-C-A is Benign according to our data. Variant chr7-128257016-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 358845.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.714 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LEPNM_000230.3 linkuse as main transcriptc.*2253C>A 3_prime_UTR_variant 3/3 ENST00000308868.5
LEPXM_005250340.6 linkuse as main transcriptc.*2253C>A 3_prime_UTR_variant 3/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LEPENST00000308868.5 linkuse as main transcriptc.*2253C>A 3_prime_UTR_variant 3/31 NM_000230.3 P1

Frequencies

GnomAD3 genomes
AF:
0.444
AC:
67401
AN:
151726
Hom.:
17271
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.175
Gnomad AMI
AF:
0.647
Gnomad AMR
AF:
0.517
Gnomad ASJ
AF:
0.557
Gnomad EAS
AF:
0.732
Gnomad SAS
AF:
0.578
Gnomad FIN
AF:
0.495
Gnomad MID
AF:
0.532
Gnomad NFE
AF:
0.542
Gnomad OTH
AF:
0.483
GnomAD4 exome
AF:
0.540
AC:
148
AN:
274
Hom.:
40
Cov.:
0
AF XY:
0.531
AC XY:
86
AN XY:
162
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.750
Gnomad4 ASJ exome
AF:
0.750
Gnomad4 EAS exome
AF:
0.750
Gnomad4 SAS exome
AF:
0.500
Gnomad4 FIN exome
AF:
0.509
Gnomad4 NFE exome
AF:
0.578
Gnomad4 OTH exome
AF:
0.462
GnomAD4 genome
AF:
0.444
AC:
67426
AN:
151844
Hom.:
17279
Cov.:
31
AF XY:
0.448
AC XY:
33223
AN XY:
74210
show subpopulations
Gnomad4 AFR
AF:
0.175
Gnomad4 AMR
AF:
0.517
Gnomad4 ASJ
AF:
0.557
Gnomad4 EAS
AF:
0.733
Gnomad4 SAS
AF:
0.578
Gnomad4 FIN
AF:
0.495
Gnomad4 NFE
AF:
0.542
Gnomad4 OTH
AF:
0.489
Alfa
AF:
0.467
Hom.:
4401
Bravo
AF:
0.429
Asia WGS
AF:
0.648
AC:
2251
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Monogenic Non-Syndromic Obesity Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Obesity due to congenital leptin deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.97
CADD
Benign
0.85
DANN
Benign
0.50

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: rs11761556; hg19: chr7-127897069; API