rs201806251

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 2P and 16B. PM2BP4_StrongBP6_Very_StrongBS1

The NM_024884.3(L2HGDH):​c.137C>T​(p.Thr46Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000314 in 1,563,862 control chromosomes in the GnomAD database, including 1 homozygotes. 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 0.0014 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00020 ( 0 hom. )

Consequence

L2HGDH
NM_024884.3 missense

Scores

1
3
15

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 1.56
Variant links:
Genes affected
L2HGDH (HGNC:20499): (L-2-hydroxyglutarate dehydrogenase) This gene encodes L-2-hydroxyglutarate dehydrogenase, a FAD-dependent enzyme that oxidizes L-2-hydroxyglutarate to alpha-ketoglutarate in a variety of mammalian tissues. Mutations in this gene cause L-2-hydroxyglutaric aciduria, a rare autosomal recessive neurometabolic disorder resulting in moderate to severe cognitive disability. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0071794093).
BP6
Variant 14-50312014-G-A is Benign according to our data. Variant chr14-50312014-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 435697.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00141 (214/152306) while in subpopulation AFR AF= 0.00464 (193/41574). AF 95% confidence interval is 0.00411. There are 1 homozygotes in gnomad4. There are 99 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
L2HGDHNM_024884.3 linkuse as main transcriptc.137C>T p.Thr46Ile missense_variant 1/10 ENST00000267436.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
L2HGDHENST00000267436.9 linkuse as main transcriptc.137C>T p.Thr46Ile missense_variant 1/101 NM_024884.3 P1Q9H9P8-1

Frequencies

GnomAD3 genomes
AF:
0.00141
AC:
214
AN:
152188
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00466
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000785
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:
0.0000441
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.000387
AC:
64
AN:
165552
Hom.:
0
AF XY:
0.000310
AC XY:
28
AN XY:
90194
show subpopulations
Gnomad AFR exome
AF:
0.00495
Gnomad AMR exome
AF:
0.000449
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000408
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000757
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000196
AC:
277
AN:
1411556
Hom.:
0
Cov.:
31
AF XY:
0.000185
AC XY:
129
AN XY:
698248
show subpopulations
Gnomad4 AFR exome
AF:
0.00560
Gnomad4 AMR exome
AF:
0.000449
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000124
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000321
Gnomad4 OTH exome
AF:
0.000564
GnomAD4 genome
AF:
0.00141
AC:
214
AN:
152306
Hom.:
1
Cov.:
32
AF XY:
0.00133
AC XY:
99
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.00464
Gnomad4 AMR
AF:
0.000784
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.000114
Hom.:
0
Bravo
AF:
0.00165
ESP6500AA
AF:
0.00264
AC:
11
ESP6500EA
AF:
0.000122
AC:
1
ExAC
AF:
0.000435
AC:
51
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoFeb 10, 2018- -
L-2-hydroxyglutaric aciduria Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 25, 2024- -
L2HGDH-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesDec 02, 2019This 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
Benign
0.13
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
17
DANN
Benign
0.93
DEOGEN2
Benign
0.023
T;T;T;.;T
Eigen
Benign
-0.69
Eigen_PC
Benign
-0.57
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.84
T;.;T;T;T
M_CAP
Pathogenic
0.40
D
MetaRNN
Benign
0.0072
T;T;T;T;T
MetaSVM
Uncertain
-0.16
T
MutationAssessor
Benign
0.69
.;N;N;.;.
MutationTaster
Benign
0.64
D;D;D;D;D;D
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-1.8
N;N;N;N;N
REVEL
Benign
0.17
Sift
Benign
0.11
T;T;T;T;T
Sift4G
Benign
0.16
T;T;T;T;T
Polyphen
0.0080
B;B;B;.;.
Vest4
0.40
MVP
0.70
MPC
0.23
ClinPred
0.020
T
GERP RS
2.6
Varity_R
0.077
gMVP
0.26

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: rs201806251; hg19: chr14-50778732; API