rs2275591

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_024884.3(L2HGDH):​c.53T>G​(p.Leu18Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.574 in 1,605,690 control chromosomes in the GnomAD database, including 264,691 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.57 ( 24879 hom., cov: 33)
Exomes 𝑓: 0.57 ( 239812 hom. )

Consequence

L2HGDH
NM_024884.3 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -4.90

Publications

48 publications found
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]
DMAC2L (HGNC:18799): (distal membrane arm assembly component 2 like) This gene encodes a subunit of mitochondrial ATP synthase. Mitochondrial ATP synthase catalyzes ATP synthesis, utilizing an electrochemical gradient of protons across the inner membrane during oxidative phosphorylation. ATP synthase is composed of two linked multi-subunit complexes: the soluble catalytic core, F1, and the membrane-spanning component, Fo, comprising the proton channel. This gene encodes the subunit s, also known as factor B, of the proton channel. This subunit is necessary for the energy transduction activity of the ATP synthase complexes. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.3381955E-5).
BP6
Variant 14-50312098-A-C is Benign according to our data. Variant chr14-50312098-A-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 158799.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.603 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
L2HGDHNM_024884.3 linkc.53T>G p.Leu18Arg missense_variant Exon 1 of 10 ENST00000267436.9 NP_079160.1 Q9H9P8-1
DMAC2LNM_001382507.1 linkc.-333A>C upstream_gene_variant ENST00000557421.7 NP_001369436.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
L2HGDHENST00000267436.9 linkc.53T>G p.Leu18Arg missense_variant Exon 1 of 10 1 NM_024884.3 ENSP00000267436.4 Q9H9P8-1
DMAC2LENST00000557421.7 linkc.-333A>C upstream_gene_variant 5 NM_001382507.1 ENSP00000506374.1 A0A5K1VW60

Frequencies

GnomAD3 genomes
AF:
0.572
AC:
86912
AN:
152000
Hom.:
24846
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.559
Gnomad AMI
AF:
0.531
Gnomad AMR
AF:
0.553
Gnomad ASJ
AF:
0.520
Gnomad EAS
AF:
0.620
Gnomad SAS
AF:
0.535
Gnomad FIN
AF:
0.596
Gnomad MID
AF:
0.636
Gnomad NFE
AF:
0.582
Gnomad OTH
AF:
0.569
GnomAD2 exomes
AF:
0.566
AC:
130229
AN:
229978
AF XY:
0.566
show subpopulations
Gnomad AFR exome
AF:
0.560
Gnomad AMR exome
AF:
0.531
Gnomad ASJ exome
AF:
0.511
Gnomad EAS exome
AF:
0.613
Gnomad FIN exome
AF:
0.595
Gnomad NFE exome
AF:
0.578
Gnomad OTH exome
AF:
0.556
GnomAD4 exome
AF:
0.574
AC:
834303
AN:
1453572
Hom.:
239812
Cov.:
65
AF XY:
0.572
AC XY:
413666
AN XY:
722642
show subpopulations
African (AFR)
AF:
0.553
AC:
18472
AN:
33374
American (AMR)
AF:
0.536
AC:
23385
AN:
43658
Ashkenazi Jewish (ASJ)
AF:
0.511
AC:
13282
AN:
25988
East Asian (EAS)
AF:
0.603
AC:
23772
AN:
39414
South Asian (SAS)
AF:
0.546
AC:
46626
AN:
85360
European-Finnish (FIN)
AF:
0.595
AC:
30264
AN:
50900
Middle Eastern (MID)
AF:
0.519
AC:
2957
AN:
5696
European-Non Finnish (NFE)
AF:
0.578
AC:
641104
AN:
1109086
Other (OTH)
AF:
0.573
AC:
34441
AN:
60096
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
22123
44245
66368
88490
110613
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
17726
35452
53178
70904
88630
<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:
0.572
AC:
87004
AN:
152118
Hom.:
24879
Cov.:
33
AF XY:
0.570
AC XY:
42402
AN XY:
74384
show subpopulations
African (AFR)
AF:
0.559
AC:
23210
AN:
41498
American (AMR)
AF:
0.554
AC:
8463
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.520
AC:
1803
AN:
3470
East Asian (EAS)
AF:
0.621
AC:
3209
AN:
5168
South Asian (SAS)
AF:
0.535
AC:
2583
AN:
4828
European-Finnish (FIN)
AF:
0.596
AC:
6317
AN:
10592
Middle Eastern (MID)
AF:
0.636
AC:
187
AN:
294
European-Non Finnish (NFE)
AF:
0.582
AC:
39546
AN:
67964
Other (OTH)
AF:
0.570
AC:
1202
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.515
Heterozygous variant carriers
0
2014
4028
6043
8057
10071
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
744
1488
2232
2976
3720
<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:
0.567
Hom.:
45028
Bravo
AF:
0.565
TwinsUK
AF:
0.591
AC:
2193
ALSPAC
AF:
0.570
AC:
2197
ESP6500AA
AF:
0.563
AC:
2465
ESP6500EA
AF:
0.563
AC:
4826
ExAC
AF:
0.555
AC:
66690
Asia WGS
AF:
0.541
AC:
1882
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 17, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 19, 2016
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Apr 20, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

L-2-hydroxyglutaric aciduria Benign:2
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 19, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Oct 31, 2013
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
0.070
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
0.041
DANN
Benign
0.29
DEOGEN2
Benign
0.0099
T;T;T;.;T
Eigen
Benign
-1.7
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.013
N
LIST_S2
Benign
0.027
T;.;T;T;T
MetaRNN
Benign
0.000013
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
.;N;N;.;.
PhyloP100
-4.9
PrimateAI
Uncertain
0.64
T
PROVEAN
Benign
-0.21
N;N;N;N;N
REVEL
Benign
0.19
Sift
Benign
0.69
T;T;T;T;T
Sift4G
Benign
0.47
T;T;T;T;T
Polyphen
0.0
B;B;B;.;.
Vest4
0.11
MPC
0.30
ClinPred
0.0060
T
GERP RS
-2.2
PromoterAI
0.021
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.061
gMVP
0.55
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

Publications

Other links and lift over

dbSNP: rs2275591; hg19: chr14-50778816; COSMIC: COSV55413053; COSMIC: COSV55413053; API