rs41306974

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The ENST00000558518.6(LDLR):​c.2312-47G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.013 in 1,549,938 control chromosomes in the GnomAD database, including 165 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.011 ( 14 hom., cov: 31)
Exomes 𝑓: 0.013 ( 151 hom. )

Consequence

LDLR
ENST00000558518.6 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.749
Variant links:
Genes affected
LDLR (HGNC:6547): (low density lipoprotein receptor) The low density lipoprotein receptor (LDLR) gene family consists of cell surface proteins involved in receptor-mediated endocytosis of specific ligands. The encoded protein is normally bound at the cell membrane, where it binds low density lipoprotein/cholesterol and is taken into the cell. Lysosomes release the cholesterol, which is made available for repression of microsomal enzyme 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase, the rate-limiting step in cholesterol synthesis. At the same time, a reciprocal stimulation of cholesterol ester synthesis takes place. Mutations in this gene cause the autosomal dominant disorder, familial hypercholesterolemia. Alternate splicing results in multiple transcript variants.[provided by RefSeq, May 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 19-11127961-G-A is Benign according to our data. Variant chr19-11127961-G-A is described in ClinVar as [Benign]. Clinvar id is 252278.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11127961-G-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0112 (1699/152138) while in subpopulation NFE AF= 0.0173 (1173/67986). AF 95% confidence interval is 0.0164. There are 14 homozygotes in gnomad4. There are 810 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 14 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LDLRNM_000527.5 linkuse as main transcriptc.2312-47G>A intron_variant ENST00000558518.6 NP_000518.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LDLRENST00000558518.6 linkuse as main transcriptc.2312-47G>A intron_variant 1 NM_000527.5 ENSP00000454071 P3P01130-1

Frequencies

GnomAD3 genomes
AF:
0.0112
AC:
1700
AN:
152020
Hom.:
14
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0156
Gnomad ASJ
AF:
0.0132
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00353
Gnomad FIN
AF:
0.00877
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.0173
Gnomad OTH
AF:
0.0148
GnomAD3 exomes
AF:
0.0104
AC:
2612
AN:
250328
Hom.:
22
AF XY:
0.0106
AC XY:
1439
AN XY:
135368
show subpopulations
Gnomad AFR exome
AF:
0.00240
Gnomad AMR exome
AF:
0.00853
Gnomad ASJ exome
AF:
0.0114
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00431
Gnomad FIN exome
AF:
0.00714
Gnomad NFE exome
AF:
0.0160
Gnomad OTH exome
AF:
0.0114
GnomAD4 exome
AF:
0.0132
AC:
18435
AN:
1397800
Hom.:
151
Cov.:
25
AF XY:
0.0131
AC XY:
9154
AN XY:
699180
show subpopulations
Gnomad4 AFR exome
AF:
0.00224
Gnomad4 AMR exome
AF:
0.00921
Gnomad4 ASJ exome
AF:
0.0124
Gnomad4 EAS exome
AF:
0.0000508
Gnomad4 SAS exome
AF:
0.00452
Gnomad4 FIN exome
AF:
0.00764
Gnomad4 NFE exome
AF:
0.0153
Gnomad4 OTH exome
AF:
0.0110
GnomAD4 genome
AF:
0.0112
AC:
1699
AN:
152138
Hom.:
14
Cov.:
31
AF XY:
0.0109
AC XY:
810
AN XY:
74362
show subpopulations
Gnomad4 AFR
AF:
0.00241
Gnomad4 AMR
AF:
0.0155
Gnomad4 ASJ
AF:
0.0132
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00353
Gnomad4 FIN
AF:
0.00877
Gnomad4 NFE
AF:
0.0173
Gnomad4 OTH
AF:
0.0147
Alfa
AF:
0.0126
Hom.:
2
Bravo
AF:
0.0114
Asia WGS
AF:
0.00289
AC:
10
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hypercholesterolemia, familial, 1 Benign:1
Benign, criteria provided, single submitterliterature onlyLDLR-LOVD, British Heart FoundationMar 25, 2016- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
1.1
DANN
Benign
0.55
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs41306974; hg19: chr19-11238637; API