rs2167270

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000230.3(LEP):​c.-39G>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.37 in 154,068 control chromosomes in the GnomAD database, including 10,689 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.37 ( 10565 hom., cov: 33)
Exomes 𝑓: 0.34 ( 124 hom. )

Consequence

LEP
NM_000230.3 5_prime_UTR

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.12
Variant links:
Genes affected
LEP (HGNC:6553): (leptin) This gene encodes a protein that is secreted by white adipocytes into the circulation and plays a major role in the regulation of energy homeostasis. Circulating leptin binds to the leptin receptor in the brain, which activates downstream signaling pathways that inhibit feeding and promote energy expenditure. This protein also has several endocrine functions, and is involved in the regulation of immune and inflammatory responses, hematopoiesis, angiogenesis, reproduction, bone formation and wound healing. Mutations in this gene and its regulatory regions cause severe obesity and morbid obesity with hypogonadism in human patients. A mutation in this gene has also been linked to type 2 diabetes mellitus development. [provided by RefSeq, Aug 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.79).
BP6
Variant 7-128241296-G-A is Benign according to our data. Variant chr7-128241296-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 358814.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.403 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LEPNM_000230.3 linkuse as main transcriptc.-39G>A 5_prime_UTR_variant 1/3 ENST00000308868.5 NP_000221.1
LEPXM_005250340.6 linkuse as main transcriptc.-39G>A 5_prime_UTR_variant 1/3 XP_005250397.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LEPENST00000308868.5 linkuse as main transcriptc.-39G>A 5_prime_UTR_variant 1/31 NM_000230.3 ENSP00000312652 P1

Frequencies

GnomAD3 genomes
AF:
0.370
AC:
56252
AN:
151972
Hom.:
10557
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.408
Gnomad AMI
AF:
0.313
Gnomad AMR
AF:
0.378
Gnomad ASJ
AF:
0.350
Gnomad EAS
AF:
0.199
Gnomad SAS
AF:
0.295
Gnomad FIN
AF:
0.342
Gnomad MID
AF:
0.348
Gnomad NFE
AF:
0.370
Gnomad OTH
AF:
0.366
GnomAD4 exome
AF:
0.335
AC:
663
AN:
1978
Hom.:
124
Cov.:
0
AF XY:
0.337
AC XY:
361
AN XY:
1072
show subpopulations
Gnomad4 AFR exome
AF:
0.594
Gnomad4 AMR exome
AF:
0.417
Gnomad4 ASJ exome
AF:
0.462
Gnomad4 EAS exome
AF:
0.141
Gnomad4 SAS exome
AF:
0.500
Gnomad4 FIN exome
AF:
0.354
Gnomad4 NFE exome
AF:
0.344
Gnomad4 OTH exome
AF:
0.350
GnomAD4 genome
AF:
0.370
AC:
56309
AN:
152090
Hom.:
10565
Cov.:
33
AF XY:
0.366
AC XY:
27225
AN XY:
74348
show subpopulations
Gnomad4 AFR
AF:
0.409
Gnomad4 AMR
AF:
0.378
Gnomad4 ASJ
AF:
0.350
Gnomad4 EAS
AF:
0.198
Gnomad4 SAS
AF:
0.295
Gnomad4 FIN
AF:
0.342
Gnomad4 NFE
AF:
0.370
Gnomad4 OTH
AF:
0.364
Alfa
AF:
0.372
Hom.:
10793
Bravo
AF:
0.380
Asia WGS
AF:
0.238
AC:
830
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxDec 21, 2020This variant is associated with the following publications: (PMID: 23751306) -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Monogenic Non-Syndromic Obesity Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Obesity due to congenital leptin deficiency Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.79
CADD
Benign
13
DANN
Benign
0.68

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: rs2167270; hg19: chr7-127881349; COSMIC: COSV58241049; API