rs1475397

Variant names:

• chr1-65517475-C-T
• rs1475397
• NM_002303.6:c.-20-48071C>T

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_002303.6(LEPR):​c.-20-48071C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.372 in 152,040 control chromosomes in the GnomAD database, including 12,831 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.37 (12831 hom., cov: 32)
• Consequence: LEPR NM_002303.6 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.0910
• Publications: 10 publications found

Genes affected

LEPR (HGNC:6554): (leptin receptor) The protein encoded by this gene belongs to the gp130 family of cytokine receptors that are known to stimulate gene transcription via activation of cytosolic STAT proteins. This protein is a receptor for leptin (an adipocyte-specific hormone that regulates body weight), and is involved in the regulation of fat metabolism, as well as in a novel hematopoietic pathway that is required for normal lymphopoiesis. Mutations in this gene have been associated with obesity and pituitary dysfunction. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. It is noteworthy that this gene and LEPROT gene (GeneID:54741) share the same promoter and the first 2 exons, however, encode distinct proteins (PMID:9207021).[provided by RefSeq, Nov 2010]

LEPR Gene-Disease associations (from GenCC):

• obesity due to leptin receptor gene deficiency

  Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.98).
• BA1: GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.627 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002303.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	LEPR	NM_002303.6	MANE Select	c.-20-48071C>T		intron	N/A	NP_002294.2
	LEPR	NM_001003680.3		c.-20-48071C>T		intron	N/A	NP_001003680.1	P48357-3
	LEPR	NM_001003679.3		c.-20-48071C>T		intron	N/A	NP_001003679.1	P48357-2

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	LEPR	ENST00000349533.11	TSL:1 MANE Select	c.-20-48071C>T		intron	N/A	ENSP00000330393.7	P48357-1
	LEPR	ENST00000371059.7	TSL:1	c.-20-48071C>T		intron	N/A	ENSP00000360098.3	P48357-3
	LEPR	ENST00000371060.7	TSL:1	c.-20-48071C>T		intron	N/A	ENSP00000360099.3	P48357-2

Frequencies

GnomAD3 genomes AF: 0.372 AC: 56461 AN: 151924 Hom.: 12798 Cov.: 32

Gnomad AFR AF: 0.634

Gnomad AMI AF: 0.411

Gnomad AMR AF: 0.337

Gnomad ASJ AF: 0.418

Gnomad EAS AF: 0.108

Gnomad SAS AF: 0.461

Gnomad FIN AF: 0.169

Gnomad MID AF: 0.475

Gnomad NFE AF: 0.262

Gnomad OTH AF: 0.362

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.372 AC: 56546 AN: 152040 Hom.: 12831 Cov.: 32 AF XY: 0.369 AC XY: 27401 AN XY: 74316

African (AFR) AF: 0.634 AC: 26269 AN: 41442

American (AMR) AF: 0.337 AC: 5150 AN: 15300

Ashkenazi Jewish (ASJ) AF: 0.418 AC: 1451 AN: 3470

East Asian (EAS) AF: 0.108 AC: 558 AN: 5176

South Asian (SAS) AF: 0.461 AC: 2221 AN: 4818

European-Finnish (FIN) AF: 0.169 AC: 1785 AN: 10568

Middle Eastern (MID) AF: 0.473 AC: 139 AN: 294

European-Non Finnish (NFE) AF: 0.262 AC: 17833 AN: 67950

Other (OTH) AF: 0.363 AC: 765 AN: 2110

Alfa AF: 0.315 Hom.: 9249

Bravo AF: 0.390

Asia WGS AF: 0.357 AC: 1246 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.98
CADD	Benign	3.4
DANN	Benign	0.44
PhyloP100		-0.091
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs1475397; hg19: chr1-65983158;