rs200930841

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBS1BS2

The NM_015922.3(NSDHL):​c.356G>A​(p.Arg119Lys) variant causes a missense change. The variant allele was found at a frequency of 0.000509 in 1,203,375 control chromosomes in the GnomAD database, including 1 homozygotes. There are 202 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00056 ( 0 hom., 17 hem., cov: 23)
Exomes 𝑓: 0.00050 ( 1 hom. 185 hem. )

Consequence

NSDHL
NM_015922.3 missense

Scores

3
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 4.34

Publications

1 publications found
Variant links:
Genes affected
NSDHL (HGNC:13398): (NAD(P) dependent steroid dehydrogenase-like) The protein encoded by this gene is localized in the endoplasmic reticulum and is involved in cholesterol biosynthesis. Mutations in this gene are associated with CHILD syndrome, which is a X-linked dominant disorder of lipid metabolism with disturbed cholesterol biosynthesis, and typically lethal in males. Alternatively spliced transcript variants with differing 5' UTR have been found for this gene. [provided by RefSeq, Jul 2008]
NSDHL Gene-Disease associations (from GenCC):
  • CHILD syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Orphanet, G2P
  • CK syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), ClinGen, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.12504587).
BP6
Variant X-152858858-G-A is Benign according to our data. Variant chrX-152858858-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 211750.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.000563 (63/111834) while in subpopulation AMR AF = 0.000758 (8/10550). AF 95% confidence interval is 0.000503. There are 0 homozygotes in GnomAd4. There are 17 alleles in the male GnomAd4 subpopulation. Median coverage is 23. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 17 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NSDHLNM_015922.3 linkc.356G>A p.Arg119Lys missense_variant Exon 4 of 8 ENST00000370274.8 NP_057006.1 Q15738A0A384NPZ7
NSDHLNM_001129765.2 linkc.356G>A p.Arg119Lys missense_variant Exon 5 of 9 NP_001123237.1 Q15738A0A384NPZ7
NSDHLNM_001441099.1 linkc.356G>A p.Arg119Lys missense_variant Exon 6 of 10 NP_001428028.1
NSDHLXM_017029564.2 linkc.404G>A p.Arg135Lys missense_variant Exon 4 of 8 XP_016885053.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NSDHLENST00000370274.8 linkc.356G>A p.Arg119Lys missense_variant Exon 4 of 8 1 NM_015922.3 ENSP00000359297.3 Q15738
NSDHLENST00000440023.5 linkc.356G>A p.Arg119Lys missense_variant Exon 5 of 9 5 ENSP00000391854.1 Q15738
NSDHLENST00000432467.1 linkc.356G>A p.Arg119Lys missense_variant Exon 5 of 8 3 ENSP00000396266.1 C9JDR0

Frequencies

GnomAD3 genomes
AF:
0.000564
AC:
63
AN:
111780
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000358
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000759
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000379
Gnomad FIN
AF:
0.000656
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000677
Gnomad OTH
AF:
0.00199
GnomAD2 exomes
AF:
0.000523
AC:
96
AN:
183468
AF XY:
0.000648
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.000255
Gnomad ASJ exome
AF:
0.000267
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000125
Gnomad NFE exome
AF:
0.000903
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.000504
AC:
550
AN:
1091541
Hom.:
1
Cov.:
28
AF XY:
0.000518
AC XY:
185
AN XY:
357049
show subpopulations
African (AFR)
AF:
0.0000761
AC:
2
AN:
26296
American (AMR)
AF:
0.000284
AC:
10
AN:
35201
Ashkenazi Jewish (ASJ)
AF:
0.000258
AC:
5
AN:
19347
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30176
South Asian (SAS)
AF:
0.000222
AC:
12
AN:
53987
European-Finnish (FIN)
AF:
0.000222
AC:
9
AN:
40534
Middle Eastern (MID)
AF:
0.00533
AC:
22
AN:
4127
European-Non Finnish (NFE)
AF:
0.000535
AC:
447
AN:
835992
Other (OTH)
AF:
0.000937
AC:
43
AN:
45881
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
19
37
56
74
93
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000563
AC:
63
AN:
111834
Hom.:
0
Cov.:
23
AF XY:
0.000500
AC XY:
17
AN XY:
34010
show subpopulations
African (AFR)
AF:
0.000358
AC:
11
AN:
30763
American (AMR)
AF:
0.000758
AC:
8
AN:
10550
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2651
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3561
South Asian (SAS)
AF:
0.000380
AC:
1
AN:
2630
European-Finnish (FIN)
AF:
0.000656
AC:
4
AN:
6101
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
215
European-Non Finnish (NFE)
AF:
0.000677
AC:
36
AN:
53150
Other (OTH)
AF:
0.00197
AC:
3
AN:
1526
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.000790
Hom.:
33
Bravo
AF:
0.000604
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000692
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000446
AC:
3
ExAC
AF:
0.000634
AC:
77
EpiCase
AF:
0.00115
EpiControl
AF:
0.00172

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:1
Apr 16, 2015
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
14
DANN
Benign
0.96
DEOGEN2
Uncertain
0.51
D;D;T
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.69
T;.;T
M_CAP
Uncertain
0.27
D
MetaRNN
Benign
0.13
T;T;T
MetaSVM
Benign
-0.69
T
MutationAssessor
Benign
0.020
N;N;.
PhyloP100
4.3
PrimateAI
Benign
0.48
T
PROVEAN
Benign
0.20
N;N;N
REVEL
Benign
0.25
Sift
Benign
0.77
T;T;T
Sift4G
Benign
1.0
T;T;T
Polyphen
0.0040
B;B;.
Vest4
0.041
MVP
0.61
MPC
0.22
ClinPred
0.012
T
GERP RS
4.0
Varity_R
0.37
gMVP
0.80
Mutation Taster
=96/4
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

Publications

Other links and lift over

dbSNP: rs200930841; hg19: chrX-152027402; COSMIC: COSV64744041; API