rs2304371

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_002299.4(LCT):​c.4606C>T​(p.Leu1536Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.808 in 1,613,694 control chromosomes in the GnomAD database, including 536,788 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.70 ( 39129 hom., cov: 32)
Exomes 𝑓: 0.82 ( 497659 hom. )

Consequence

LCT
NM_002299.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.196

Publications

40 publications found
Variant links:
Genes affected
LCT (HGNC:6530): (lactase) The protein encoded by this gene belongs to the glycosyl hydrolase 1 family of proteins. The encoded preproprotein is proteolytically processed to generate the mature enzyme. This enzyme is integral to the plasma membrane and has both phlorizin hydrolase activity and lactase activity. Mutations in this gene are associated with congenital lactase deficiency. Polymorphisms in this gene are associated with lactase persistence, in which intestinal lactase activity persists at childhood levels into adulthood. [provided by RefSeq, Jan 2016]
LCT Gene-Disease associations (from GenCC):
  • congenital lactase deficiency
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.73).
BP6
Variant 2-135803987-G-A is Benign according to our data. Variant chr2-135803987-G-A is described in ClinVar as Benign. ClinVar VariationId is 331172.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.196 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.807 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002299.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LCT
NM_002299.4
MANE Select
c.4606C>Tp.Leu1536Leu
synonymous
Exon 11 of 17NP_002290.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LCT
ENST00000264162.7
TSL:1 MANE Select
c.4606C>Tp.Leu1536Leu
synonymous
Exon 11 of 17ENSP00000264162.2
LCT
ENST00000452974.1
TSL:1
n.2902C>T
non_coding_transcript_exon
Exon 5 of 7ENSP00000391231.1

Frequencies

GnomAD3 genomes
AF:
0.700
AC:
106404
AN:
151974
Hom.:
39124
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.478
Gnomad AMI
AF:
0.844
Gnomad AMR
AF:
0.700
Gnomad ASJ
AF:
0.518
Gnomad EAS
AF:
0.780
Gnomad SAS
AF:
0.745
Gnomad FIN
AF:
0.844
Gnomad MID
AF:
0.561
Gnomad NFE
AF:
0.813
Gnomad OTH
AF:
0.658
GnomAD2 exomes
AF:
0.758
AC:
190438
AN:
251288
AF XY:
0.758
show subpopulations
Gnomad AFR exome
AF:
0.472
Gnomad AMR exome
AF:
0.765
Gnomad ASJ exome
AF:
0.514
Gnomad EAS exome
AF:
0.785
Gnomad FIN exome
AF:
0.839
Gnomad NFE exome
AF:
0.806
Gnomad OTH exome
AF:
0.731
GnomAD4 exome
AF:
0.819
AC:
1196747
AN:
1461602
Hom.:
497659
Cov.:
52
AF XY:
0.813
AC XY:
591292
AN XY:
727112
show subpopulations
African (AFR)
AF:
0.458
AC:
15316
AN:
33468
American (AMR)
AF:
0.760
AC:
33991
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.516
AC:
13492
AN:
26132
East Asian (EAS)
AF:
0.808
AC:
32060
AN:
39700
South Asian (SAS)
AF:
0.738
AC:
63601
AN:
86236
European-Finnish (FIN)
AF:
0.837
AC:
44703
AN:
53410
Middle Eastern (MID)
AF:
0.588
AC:
3387
AN:
5758
European-Non Finnish (NFE)
AF:
0.849
AC:
943665
AN:
1111798
Other (OTH)
AF:
0.771
AC:
46532
AN:
60386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
12115
24230
36346
48461
60576
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
21110
42220
63330
84440
105550
<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:
0.700
AC:
106457
AN:
152092
Hom.:
39129
Cov.:
32
AF XY:
0.702
AC XY:
52150
AN XY:
74336
show subpopulations
African (AFR)
AF:
0.478
AC:
19818
AN:
41448
American (AMR)
AF:
0.700
AC:
10713
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.518
AC:
1796
AN:
3468
East Asian (EAS)
AF:
0.780
AC:
4019
AN:
5154
South Asian (SAS)
AF:
0.746
AC:
3599
AN:
4826
European-Finnish (FIN)
AF:
0.844
AC:
8929
AN:
10584
Middle Eastern (MID)
AF:
0.551
AC:
161
AN:
292
European-Non Finnish (NFE)
AF:
0.813
AC:
55271
AN:
68002
Other (OTH)
AF:
0.654
AC:
1383
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1503
3006
4510
6013
7516
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
820
1640
2460
3280
4100
<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:
0.752
Hom.:
120272
Bravo
AF:
0.682

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Nov 12, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:2
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Congenital lactase deficiency Benign:2
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

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

Lactose intolerance Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.73
CADD
Benign
8.3
DANN
Benign
0.68
PhyloP100
0.20
Mutation Taster
=99/1
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs2304371; hg19: chr2-136561557; COSMIC: COSV107253943; API