rs80338753
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Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PVS1PM2
The NM_004525.3(LRP2):c.11469_11472del(p.Cys3823TrpfsTer159) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000186 in 1,614,030 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as not provided (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )
Consequence
LRP2
NM_004525.3 frameshift
NM_004525.3 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 3.30
Genes affected
LRP2 (HGNC:6694): (LDL receptor related protein 2) The protein encoded by this gene, low density lipoprotein-related protein 2 (LRP2) or megalin, is a multi-ligand endocytic receptor that is expressed in many different tissues but primarily in absorptive epithilial tissues such as the kidney. This glycoprotein has a large amino-terminal extracellular domain, a single transmembrane domain, and a short carboxy-terminal cytoplasmic tail. The extracellular ligand-binding-domains bind diverse macromolecules including albumin, apolipoproteins B and E, and lipoprotein lipase. The LRP2 protein is critical for the reuptake of numerous ligands, including lipoproteins, sterols, vitamin-binding proteins, and hormones. This protein also has a role in cell-signaling; extracellular ligands include parathyroid horomones and the morphogen sonic hedgehog while cytosolic ligands include MAP kinase scaffold proteins and JNK interacting proteins. Recycling of this membrane receptor is regulated by phosphorylation of its cytoplasmic domain. Mutations in this gene cause Donnai-Barrow syndrome (DBS) and facio-oculoacoustico-renal syndrome (FOAR).[provided by RefSeq, Aug 2009]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 10 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
LRP2 | NM_004525.3 | c.11469_11472del | p.Cys3823TrpfsTer159 | frameshift_variant | 60/79 | ENST00000649046.1 | NP_004516.2 | |
LRP2 | XM_011511183.4 | c.11340_11343del | p.Cys3780TrpfsTer159 | frameshift_variant | 59/78 | XP_011509485.1 | ||
LRP2 | XM_011511184.3 | c.9180_9183del | p.Cys3060TrpfsTer159 | frameshift_variant | 45/64 | XP_011509486.1 | ||
LRP2 | XM_047444340.1 | c.10545_10548del | p.Cys3515TrpfsTer159 | frameshift_variant | 60/79 | XP_047300296.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
LRP2 | ENST00000649046.1 | c.11469_11472del | p.Cys3823TrpfsTer159 | frameshift_variant | 60/79 | NM_004525.3 | ENSP00000496870 | P1 | ||
LRP2 | ENST00000649153.1 | c.2369_2372del | p.Cys790TrpfsTer159 | frameshift_variant, NMD_transcript_variant | 12/30 | ENSP00000497617 | ||||
LRP2 | ENST00000650252.1 | c.501_504del | p.Cys167TrpfsTer159 | frameshift_variant, NMD_transcript_variant | 5/24 | ENSP00000496887 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152232Hom.: 0 Cov.: 32
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GnomAD4 exome AF: 0.00000137 AC: 2AN: 1461798Hom.: 0 AF XY: 0.00000275 AC XY: 2AN XY: 727208
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152232Hom.: 0 Cov.: 32 AF XY: 0.0000134 AC XY: 1AN XY: 74368
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ClinVar
Significance: not provided
Submissions summary: Other:1
Revision: no classification provided
LINK: link
Submissions by phenotype
Donnai-Barrow syndrome Other:1
not provided, no classification provided | literature only | GeneReviews | - | - - |
Computational scores
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at