rs11800231

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_174936.4(PCSK9):​c.524-11G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0495 in 1,613,694 control chromosomes in the GnomAD database, including 2,863 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.079 ( 772 hom., cov: 32)
Exomes 𝑓: 0.046 ( 2091 hom. )

Consequence

PCSK9
NM_174936.4 intron

Scores

2
Splicing: ADA: 0.00006677
1

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: -0.0920

Publications

14 publications found
Variant links:
Genes affected
PCSK9 (HGNC:20001): (proprotein convertase subtilisin/kexin type 9) This gene encodes a member of the subtilisin-like proprotein convertase family, which includes proteases that process protein and peptide precursors trafficking through regulated or constitutive branches of the secretory pathway. The encoded protein undergoes an autocatalytic processing event with its prosegment in the ER and is constitutively secreted as an inactive protease into the extracellular matrix and trans-Golgi network. It is expressed in liver, intestine and kidney tissues and escorts specific receptors for lysosomal degradation. It plays a role in cholesterol and fatty acid metabolism. Mutations in this gene have been associated with autosomal dominant familial hypercholesterolemia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2014]
PCSK9 Gene-Disease associations (from GenCC):
  • hypercholesterolemia, autosomal dominant, 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • homozygous familial hypercholesterolemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.91).
BP6
Variant 1-55052267-G-A is Benign according to our data. Variant chr1-55052267-G-A is described in ClinVar as Benign. ClinVar VariationId is 36671.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.17 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PCSK9NM_174936.4 linkc.524-11G>A intron_variant Intron 3 of 11 ENST00000302118.5 NP_777596.2 Q8NBP7-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PCSK9ENST00000302118.5 linkc.524-11G>A intron_variant Intron 3 of 11 1 NM_174936.4 ENSP00000303208.5 Q8NBP7-1

Frequencies

GnomAD3 genomes
AF:
0.0787
AC:
11959
AN:
151994
Hom.:
773
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.174
Gnomad AMI
AF:
0.0439
Gnomad AMR
AF:
0.0469
Gnomad ASJ
AF:
0.101
Gnomad EAS
AF:
0.0297
Gnomad SAS
AF:
0.0427
Gnomad FIN
AF:
0.0176
Gnomad MID
AF:
0.142
Gnomad NFE
AF:
0.0426
Gnomad OTH
AF:
0.0833
GnomAD2 exomes
AF:
0.0522
AC:
13121
AN:
251344
AF XY:
0.0496
show subpopulations
Gnomad AFR exome
AF:
0.183
Gnomad AMR exome
AF:
0.0342
Gnomad ASJ exome
AF:
0.106
Gnomad EAS exome
AF:
0.0295
Gnomad FIN exome
AF:
0.0217
Gnomad NFE exome
AF:
0.0457
Gnomad OTH exome
AF:
0.0552
GnomAD4 exome
AF:
0.0464
AC:
67857
AN:
1461582
Hom.:
2091
Cov.:
35
AF XY:
0.0460
AC XY:
33463
AN XY:
727088
show subpopulations
African (AFR)
AF:
0.176
AC:
5900
AN:
33470
American (AMR)
AF:
0.0363
AC:
1622
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.104
AC:
2714
AN:
26134
East Asian (EAS)
AF:
0.0263
AC:
1043
AN:
39698
South Asian (SAS)
AF:
0.0418
AC:
3605
AN:
86258
European-Finnish (FIN)
AF:
0.0235
AC:
1253
AN:
53228
Middle Eastern (MID)
AF:
0.130
AC:
747
AN:
5768
European-Non Finnish (NFE)
AF:
0.0429
AC:
47662
AN:
1111910
Other (OTH)
AF:
0.0548
AC:
3311
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
3657
7314
10971
14628
18285
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1870
3740
5610
7480
9350
<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:
0.0787
AC:
11970
AN:
152112
Hom.:
772
Cov.:
32
AF XY:
0.0747
AC XY:
5558
AN XY:
74366
show subpopulations
African (AFR)
AF:
0.174
AC:
7202
AN:
41460
American (AMR)
AF:
0.0469
AC:
716
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.101
AC:
350
AN:
3466
East Asian (EAS)
AF:
0.0296
AC:
153
AN:
5168
South Asian (SAS)
AF:
0.0426
AC:
205
AN:
4816
European-Finnish (FIN)
AF:
0.0176
AC:
187
AN:
10600
Middle Eastern (MID)
AF:
0.150
AC:
44
AN:
294
European-Non Finnish (NFE)
AF:
0.0426
AC:
2897
AN:
68012
Other (OTH)
AF:
0.0834
AC:
176
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
536
1072
1607
2143
2679
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
128
256
384
512
640
<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:
0.0655
Hom.:
128
Bravo
AF:
0.0862
Asia WGS
AF:
0.0560
AC:
196
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 14, 2017
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Hypercholesterolemia, autosomal dominant, 3 Benign:3
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Hypercholesterolemia, familial, 1 Benign:3
Aug 18, 2011
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 22, 2017
Color Diagnostics, LLC DBA Color Health
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 01, 2016
Cardiovascular Research Group, Instituto Nacional de Saude Doutor Ricardo Jorge
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

- -

Familial hypercholesterolemia Benign:2
Feb 09, 2023
Cohesion Phenomics
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 01, 2022
GENinCode PLC
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hypobetalipoproteinemia Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.91
CADD
Benign
4.8
DANN
Benign
0.60
PhyloP100
-0.092
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000067
SpliceAI score (max)
0.010
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: rs11800231; hg19: chr1-55517940; API