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rs141158742

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 2P and 12B. PM2BP4_StrongBP6_Very_Strong

The NM_005566.4(LDHA):ā€‹c.696G>Cā€‹(p.Lys232Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000116 in 1,575,894 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 Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.00064 ( 0 hom., cov: 33)
Exomes š‘“: 0.000060 ( 0 hom. )

Consequence

LDHA
NM_005566.4 missense

Scores

1
7
10

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 2.08
Variant links:
Genes affected
LDHA (HGNC:6535): (lactate dehydrogenase A) This gene encodes the A subunit of lactate dehydrogenase enzyme which catalyzes the reversible conversion of pyruvate to lactate with the concomitant oxidation of NADH to NAD in anaerobic glycolysis. The protein is found predominantly in skeletal muscle and belongs to the lactate dehydrogenase family. Mutations in this gene have been linked to exertional myoglobinuria. The human genome contains several non-transcribed pseudogenes of this gene. [provided by RefSeq, Sep 2023]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.022305012).
BP6
Variant 11-18403797-G-C is Benign according to our data. Variant chr11-18403797-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 471325.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LDHANM_005566.4 linkuse as main transcriptc.696G>C p.Lys232Asn missense_variant 6/8 ENST00000422447.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LDHAENST00000422447.8 linkuse as main transcriptc.696G>C p.Lys232Asn missense_variant 6/81 NM_005566.4 P1P00338-1

Frequencies

GnomAD3 genomes
AF:
0.000644
AC:
98
AN:
152204
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00234
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000159
AC:
40
AN:
251424
Hom.:
0
AF XY:
0.000132
AC XY:
18
AN XY:
135886
show subpopulations
Gnomad AFR exome
AF:
0.00240
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.0000597
AC:
85
AN:
1423572
Hom.:
0
Cov.:
26
AF XY:
0.0000549
AC XY:
39
AN XY:
710562
show subpopulations
Gnomad4 AFR exome
AF:
0.00239
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.28e-7
Gnomad4 OTH exome
AF:
0.0000508
GnomAD4 genome
AF:
0.000643
AC:
98
AN:
152322
Hom.:
0
Cov.:
33
AF XY:
0.000564
AC XY:
42
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.00233
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000138
Hom.:
0
Bravo
AF:
0.000729
ESP6500AA
AF:
0.00227
AC:
10
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000214
AC:
26
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Glycogen storage disease due to lactate dehydrogenase M-subunit deficiency Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeDec 19, 2023- -
LDHA-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesAug 23, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.56
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.86
D;.;.;.;D;D
Eigen
Benign
-0.30
Eigen_PC
Benign
-0.26
FATHMM_MKL
Uncertain
0.90
D
M_CAP
Benign
0.075
D
MetaRNN
Benign
0.022
T;T;T;T;T;T
MetaSVM
Benign
-0.57
T
MutationAssessor
Uncertain
2.4
M;.;M;.;M;M
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Uncertain
-4.2
D;D;D;D;D;D
REVEL
Benign
0.27
Sift
Uncertain
0.0060
D;D;D;D;D;D
Sift4G
Benign
0.080
T;T;T;T;T;T
Polyphen
0.035
B;.;.;.;B;B
Vest4
0.63
MutPred
0.58
Loss of methylation at K232 (P = 0.012);.;Loss of methylation at K232 (P = 0.012);.;Loss of methylation at K232 (P = 0.012);Loss of methylation at K232 (P = 0.012);
MVP
0.71
MPC
1.0
ClinPred
0.12
T
GERP RS
-0.046
Varity_R
0.90
gMVP
0.85

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: rs141158742; hg19: chr11-18425344; API