rs144038427

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_001289750.1(DLD):​c.-94C>G 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 0.000459 in 1,613,344 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00038 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00047 ( 0 hom. )

Consequence

DLD
NM_001289750.1 5_prime_UTR_premature_start_codon_gain

Scores

3
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:5B:2

Conservation

PhyloP100: 3.51

Publications

2 publications found
Variant links:
Genes affected
DLD (HGNC:2898): (dihydrolipoamide dehydrogenase) This gene encodes a member of the class-I pyridine nucleotide-disulfide oxidoreductase family. The encoded protein has been identified as a moonlighting protein based on its ability to perform mechanistically distinct functions. In homodimeric form, the encoded protein functions as a dehydrogenase and is found in several multi-enzyme complexes that regulate energy metabolism. However, as a monomer, this protein can function as a protease. Mutations in this gene have been identified in patients with E3-deficient maple syrup urine disease and lipoamide dehydrogenase deficiency. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2014]
DLD Gene-Disease associations (from GenCC):
  • Leigh syndrome
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • pyruvate dehydrogenase E3 deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Myriad Women’s Health, G2P, Genomics England PanelApp, Orphanet, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.03981507).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001289750.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DLD
NM_000108.5
MANE Select
c.55C>Gp.Arg19Gly
missense
Exon 2 of 14NP_000099.2A0A024R713
DLD
NM_001289750.1
c.-94C>G
5_prime_UTR_premature_start_codon_gain
Exon 2 of 12NP_001276679.1P09622-2
DLD
NM_001289751.1
c.55C>Gp.Arg19Gly
missense
Exon 2 of 13NP_001276680.1P09622

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DLD
ENST00000205402.10
TSL:1 MANE Select
c.55C>Gp.Arg19Gly
missense
Exon 2 of 14ENSP00000205402.3P09622-1
DLD
ENST00000451081.5
TSL:1
n.55C>G
non_coding_transcript_exon
Exon 2 of 9ENSP00000388077.1F2Z2E3
DLD
ENST00000880448.1
c.55C>Gp.Arg19Gly
missense
Exon 2 of 14ENSP00000550507.1

Frequencies

GnomAD3 genomes
AF:
0.000381
AC:
58
AN:
152170
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000654
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:
0.000588
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000331
AC:
83
AN:
250852
AF XY:
0.000317
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000379
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000925
Gnomad NFE exome
AF:
0.000581
Gnomad OTH exome
AF:
0.000327
GnomAD4 exome
AF:
0.000467
AC:
683
AN:
1461056
Hom.:
0
Cov.:
30
AF XY:
0.000483
AC XY:
351
AN XY:
726824
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33462
American (AMR)
AF:
0.000359
AC:
16
AN:
44626
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39674
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86102
European-Finnish (FIN)
AF:
0.000112
AC:
6
AN:
53374
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.000578
AC:
643
AN:
1111560
Other (OTH)
AF:
0.000282
AC:
17
AN:
60366
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.434
Heterozygous variant carriers
0
32
64
97
129
161
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
22
44
66
88
110
<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:
0.000381
AC:
58
AN:
152288
Hom.:
0
Cov.:
33
AF XY:
0.000322
AC XY:
24
AN XY:
74468
show subpopulations
African (AFR)
AF:
0.000193
AC:
8
AN:
41552
American (AMR)
AF:
0.000654
AC:
10
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000588
AC:
40
AN:
68028
Other (OTH)
AF:
0.00
AC:
0
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
3
7
10
14
17
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:
0.000617
Hom.:
0
Bravo
AF:
0.000366
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000698
AC:
6
ExAC
AF:
0.000362
AC:
44
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000984
EpiControl
AF:
0.000593

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
2
Pyruvate dehydrogenase E3 deficiency (3)
-
1
-
Leigh syndrome (1)
-
1
-
not provided (1)
-
1
-
not specified (1)
-
1
-
Pyruvate dehydrogenase complex deficiency (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.091
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.14
CADD
Benign
19
DANN
Benign
0.95
DEOGEN2
Uncertain
0.44
T
Eigen
Benign
-0.32
Eigen_PC
Benign
-0.12
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.88
D
M_CAP
Benign
0.025
T
MetaRNN
Benign
0.040
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.55
N
PhyloP100
3.5
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.54
N
REVEL
Benign
0.25
Sift
Benign
0.17
T
Sift4G
Benign
0.39
T
Polyphen
0.0
B
Vest4
0.70
MVP
0.69
MPC
0.25
ClinPred
0.029
T
GERP RS
5.0
Varity_R
0.12
gMVP
0.48
Mutation Taster
=81/19
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
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: rs144038427; hg19: chr7-107533660; API