rs764757062

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBS1_Supporting

The NM_003383.5(VLDLR):​c.64A>T​(p.Ser22Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000057 in 1,491,754 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000057 ( 1 hom. )

Consequence

VLDLR
NM_003383.5 missense

Scores

1
2
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.84

Publications

0 publications found
Variant links:
Genes affected
VLDLR (HGNC:12698): (very 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. This gene encodes a lipoprotein receptor that is a member of the LDLR family and plays important roles in VLDL-triglyceride metabolism and the reelin signaling pathway. Mutations in this gene cause VLDLR-associated cerebellar hypoplasia. Alternative splicing generates multiple transcript variants encoding distinct isoforms for this gene. [provided by RefSeq, Aug 2009]
VLDLR-AS1 (HGNC:49621): (VLDLR antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.1477254).
BS1
Variant frequency is greater than expected in population sas. GnomAdExome4 allele frequency = 0.0000575 (77/1339884) while in subpopulation SAS AF = 0.000799 (59/73822). AF 95% confidence interval is 0.000635. There are 1 homozygotes in GnomAdExome4. There are 52 alleles in the male GnomAdExome4 subpopulation. Median coverage is 34. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
VLDLRNM_003383.5 linkc.64A>T p.Ser22Cys missense_variant Exon 1 of 19 ENST00000382100.8 NP_003374.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
VLDLRENST00000382100.8 linkc.64A>T p.Ser22Cys missense_variant Exon 1 of 19 1 NM_003383.5 ENSP00000371532.2

Frequencies

GnomAD3 genomes
AF:
0.0000527
AC:
8
AN:
151870
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000736
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000164
AC:
15
AN:
91490
AF XY:
0.000271
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000364
GnomAD4 exome
AF:
0.0000575
AC:
77
AN:
1339884
Hom.:
1
Cov.:
34
AF XY:
0.0000788
AC XY:
52
AN XY:
660288
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
27438
American (AMR)
AF:
0.00
AC:
0
AN:
30900
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23654
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30860
South Asian (SAS)
AF:
0.000799
AC:
59
AN:
73822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33088
Middle Eastern (MID)
AF:
0.000209
AC:
1
AN:
4790
European-Non Finnish (NFE)
AF:
0.0000142
AC:
15
AN:
1059336
Other (OTH)
AF:
0.0000357
AC:
2
AN:
55996
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000527
AC:
8
AN:
151870
Hom.:
0
Cov.:
33
AF XY:
0.0000270
AC XY:
2
AN XY:
74184
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41340
American (AMR)
AF:
0.000131
AC:
2
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5114
South Asian (SAS)
AF:
0.000208
AC:
1
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000736
AC:
5
AN:
67944
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000469
Hom.:
0
Bravo
AF:
0.0000302
ExAC
AF:
0.0000780
AC:
7

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Sep 21, 2016
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
Feb 12, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.64A>T (p.S22C) alteration is located in exon 1 (coding exon 1) of the VLDLR gene. This alteration results from a A to T substitution at nucleotide position 64, causing the serine (S) at amino acid position 22 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.11
CADD
Benign
21
DANN
Benign
0.95
DEOGEN2
Benign
0.11
T;T;.
Eigen
Benign
-0.16
Eigen_PC
Benign
-0.11
FATHMM_MKL
Benign
0.27
N
LIST_S2
Benign
0.73
T;T;T
M_CAP
Pathogenic
0.98
D
MetaRNN
Benign
0.15
T;T;T
MetaSVM
Benign
-0.28
T
MutationAssessor
Benign
0.0
N;.;N
PhyloP100
1.8
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-0.62
N;N;N
REVEL
Uncertain
0.30
Sift
Benign
0.079
T;T;T
Sift4G
Benign
0.062
T;T;T
Polyphen
0.80
P;.;P
Vest4
0.16
MutPred
0.49
Loss of disorder (P = 0.0048);Loss of disorder (P = 0.0048);Loss of disorder (P = 0.0048);
MVP
0.77
MPC
0.13
ClinPred
0.12
T
GERP RS
1.8
PromoterAI
-0.032
Neutral
Varity_R
0.10
gMVP
0.35
Mutation Taster
=99/1
polymorphism

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: rs764757062; hg19: chr9-2622253; API