rs121908338

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001368067.1(LDB3):​c.349G>A​(p.Asp117Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00376 in 1,613,780 control chromosomes in the GnomAD database, including 39 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0071 ( 8 hom., cov: 33)
Exomes 𝑓: 0.0034 ( 31 hom. )

Consequence

LDB3
NM_001368067.1 missense

Scores

1
3
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:18

Conservation

PhyloP100: 6.87
Variant links:
Genes affected
LDB3 (HGNC:15710): (LIM domain binding 3) This gene encodes a PDZ domain-containing protein. PDZ motifs are modular protein-protein interaction domains consisting of 80-120 amino acid residues. PDZ domain-containing proteins interact with each other in cytoskeletal assembly or with other proteins involved in targeting and clustering of membrane proteins. The protein encoded by this gene interacts with alpha-actinin-2 through its N-terminal PDZ domain and with protein kinase C via its C-terminal LIM domains. The LIM domain is a cysteine-rich motif defined by 50-60 amino acids containing two zinc-binding modules. This protein also interacts with all three members of the myozenin family. Mutations in this gene have been associated with myofibrillar myopathy and dilated cardiomyopathy. Alternatively spliced transcript variants encoding different isoforms have been identified; all isoforms have N-terminal PDZ domains while only longer isoforms (1, 2 and 5) have C-terminal LIM domains. [provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.018208385).
BP6
Variant 10-86687073-G-A is Benign according to our data. Variant chr10-86687073-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 4733.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Benign=11, Uncertain_significance=1}. Variant chr10-86687073-G-A is described in Lovd as [Benign]. Variant chr10-86687073-G-A is described in Lovd as [Likely_benign]. Variant chr10-86687073-G-A is described in Lovd as [Pathogenic].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00708 (1077/152102) while in subpopulation AFR AF= 0.0149 (620/41494). AF 95% confidence interval is 0.014. There are 8 homozygotes in gnomad4. There are 517 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 1077 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDB3NM_001368067.1 linkuse as main transcriptc.349G>A p.Asp117Asn missense_variant 6/9 ENST00000263066.11 NP_001354996.1
LDB3NM_007078.3 linkuse as main transcriptc.690-4823G>A intron_variant ENST00000361373.9 NP_009009.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDB3ENST00000263066.11 linkuse as main transcriptc.349G>A p.Asp117Asn missense_variant 6/91 NM_001368067.1 ENSP00000263066 O75112-6
LDB3ENST00000361373.9 linkuse as main transcriptc.690-4823G>A intron_variant 1 NM_007078.3 ENSP00000355296 P4O75112-1

Frequencies

GnomAD3 genomes
AF:
0.00710
AC:
1079
AN:
151984
Hom.:
8
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0150
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00879
Gnomad ASJ
AF:
0.00922
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00333
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.0823
Gnomad NFE
AF:
0.00322
Gnomad OTH
AF:
0.0139
GnomAD3 exomes
AF:
0.00450
AC:
1122
AN:
249184
Hom.:
6
AF XY:
0.00457
AC XY:
618
AN XY:
135214
show subpopulations
Gnomad AFR exome
AF:
0.0157
Gnomad AMR exome
AF:
0.00542
Gnomad ASJ exome
AF:
0.0104
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00252
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.00404
Gnomad OTH exome
AF:
0.00876
GnomAD4 exome
AF:
0.00342
AC:
4996
AN:
1461678
Hom.:
31
Cov.:
33
AF XY:
0.00356
AC XY:
2586
AN XY:
727106
show subpopulations
Gnomad4 AFR exome
AF:
0.0170
Gnomad4 AMR exome
AF:
0.00608
Gnomad4 ASJ exome
AF:
0.0101
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00255
Gnomad4 FIN exome
AF:
0.000131
Gnomad4 NFE exome
AF:
0.00278
Gnomad4 OTH exome
AF:
0.00613
GnomAD4 genome
AF:
0.00708
AC:
1077
AN:
152102
Hom.:
8
Cov.:
33
AF XY:
0.00695
AC XY:
517
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.0149
Gnomad4 AMR
AF:
0.00878
Gnomad4 ASJ
AF:
0.00922
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00334
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.00321
Gnomad4 OTH
AF:
0.0137
Alfa
AF:
0.00470
Hom.:
3
Bravo
AF:
0.00821
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.0125
AC:
51
ESP6500EA
AF:
0.00397
AC:
33
ExAC
AF:
0.00454
AC:
549
Asia WGS
AF:
0.00346
AC:
12
AN:
3478
EpiCase
AF:
0.00567
EpiControl
AF:
0.00729

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:18
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineAug 07, 2013Asp117Asn in exon 6 of LDB3: This variant is not expected to have clinical signi ficance because it has been identified in 1.3% (51/4090) of African American chr omosomes from a broad population by the NHLBI Exome Sequencing Project (http://e vs.gs.washington.edu/EVS; dbSNP rs121908338). It has been reported in 2 individu als with DCM and 1 individual with LVNC (Vatta 2002, Xi 2012). In vitro studies suggest that it may have functional consequences (Xi 2012), though it should be noted that in vitro studies may not accurately represent biological function and /or may not translate to disease. In summary, the frequency of this variant in the general population suggests that it does not cause disease on its own. It re mains possible that it modifies disease expression. -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJan 02, 2020- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 23, 2015- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
not provided Benign:7
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024LDB3: BP4, BS1, BS2 -
Benign, criteria provided, single submitterclinical testingGeneDxDec 03, 2018This variant is associated with the following publications: (PMID: 14662268, 26636822, 26419279, 28416588, 22929165, 23299917, 22995991, 22619057, 27884173, 27896284, 30293248, 30972196, 25214167) -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsApr 01, 2016- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesOct 26, 2023- -
Likely benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Dilated cardiomyopathy 1C Uncertain:2
Uncertain significance, no assertion criteria providedliterature onlyOMIMDec 03, 2003- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
Primary dilated cardiomyopathy Benign:2
Benign, criteria provided, single submitterresearchBiesecker Lab/Clinical Genomics Section, National Institutes of HealthJun 24, 2013- -
Benign, criteria provided, single submitterclinical testingCenter for Advanced Laboratory Medicine, UC San Diego Health, University of California San DiegoFeb 28, 2017- -
Myofibrillar myopathy 4 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Cardiovascular phenotype Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 11, 2016This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
20
DANN
Uncertain
1.0
Eigen
Benign
-0.14
Eigen_PC
Benign
0.058
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.93
D;.;D;D;D
MetaRNN
Benign
0.018
T;T;T;T;T
MetaSVM
Benign
-0.54
T
MutationTaster
Benign
0.031
A;A;A;A;A;A;A;A;A;A
PROVEAN
Benign
-1.2
N;.;N;N;N
REVEL
Benign
0.27
Sift
Uncertain
0.018
D;.;T;D;T
Sift4G
Benign
0.41
T;T;T;T;T
Polyphen
0.0040, 0.69, 0.30
.;.;B;P;B
Vest4
0.46
MVP
0.78
MPC
0.26
ClinPred
0.027
T
GERP RS
4.1
gMVP
0.55

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: rs121908338; hg19: chr10-88446830; COSMIC: COSV53941502; API