rs8179183

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_002303.6(LEPR):​c.1968G>C​(p.Lys656Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.168 in 1,611,922 control chromosomes in the GnomAD database, including 23,611 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar.

Frequency

Genomes: 𝑓 0.18 ( 2494 hom., cov: 33)
Exomes 𝑓: 0.17 ( 21117 hom. )

Consequence

LEPR
NM_002303.6 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: -0.469
Variant links:
Genes affected
LEPR (HGNC:6554): (leptin receptor) The protein encoded by this gene belongs to the gp130 family of cytokine receptors that are known to stimulate gene transcription via activation of cytosolic STAT proteins. This protein is a receptor for leptin (an adipocyte-specific hormone that regulates body weight), and is involved in the regulation of fat metabolism, as well as in a novel hematopoietic pathway that is required for normal lymphopoiesis. Mutations in this gene have been associated with obesity and pituitary dysfunction. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. It is noteworthy that this gene and LEPROT gene (GeneID:54741) share the same promoter and the first 2 exons, however, encode distinct proteins (PMID:9207021).[provided by RefSeq, Nov 2010]

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 (MetaRNN=0.0019337535).
BP6
Variant 1-65610269-G-C is Benign according to our data. Variant chr1-65610269-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 8524.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-65610269-G-C is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.197 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LEPRNM_002303.6 linkc.1968G>C p.Lys656Asn missense_variant Exon 14 of 20 ENST00000349533.11 NP_002294.2 P48357-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LEPRENST00000349533.11 linkc.1968G>C p.Lys656Asn missense_variant Exon 14 of 20 1 NM_002303.6 ENSP00000330393.7 P48357-1

Frequencies

GnomAD3 genomes
AF:
0.175
AC:
26619
AN:
151938
Hom.:
2495
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.195
Gnomad AMI
AF:
0.237
Gnomad AMR
AF:
0.204
Gnomad ASJ
AF:
0.221
Gnomad EAS
AF:
0.0563
Gnomad SAS
AF:
0.126
Gnomad FIN
AF:
0.126
Gnomad MID
AF:
0.231
Gnomad NFE
AF:
0.174
Gnomad OTH
AF:
0.179
GnomAD3 exomes
AF:
0.159
AC:
39679
AN:
250258
Hom.:
3351
AF XY:
0.160
AC XY:
21636
AN XY:
135428
show subpopulations
Gnomad AFR exome
AF:
0.194
Gnomad AMR exome
AF:
0.167
Gnomad ASJ exome
AF:
0.210
Gnomad EAS exome
AF:
0.0522
Gnomad SAS exome
AF:
0.141
Gnomad FIN exome
AF:
0.123
Gnomad NFE exome
AF:
0.174
Gnomad OTH exome
AF:
0.178
GnomAD4 exome
AF:
0.167
AC:
243993
AN:
1459864
Hom.:
21117
Cov.:
33
AF XY:
0.167
AC XY:
121425
AN XY:
726234
show subpopulations
Gnomad4 AFR exome
AF:
0.194
Gnomad4 AMR exome
AF:
0.170
Gnomad4 ASJ exome
AF:
0.216
Gnomad4 EAS exome
AF:
0.0779
Gnomad4 SAS exome
AF:
0.143
Gnomad4 FIN exome
AF:
0.123
Gnomad4 NFE exome
AF:
0.172
Gnomad4 OTH exome
AF:
0.168
GnomAD4 genome
AF:
0.175
AC:
26632
AN:
152058
Hom.:
2494
Cov.:
33
AF XY:
0.173
AC XY:
12848
AN XY:
74330
show subpopulations
Gnomad4 AFR
AF:
0.194
Gnomad4 AMR
AF:
0.203
Gnomad4 ASJ
AF:
0.221
Gnomad4 EAS
AF:
0.0566
Gnomad4 SAS
AF:
0.127
Gnomad4 FIN
AF:
0.126
Gnomad4 NFE
AF:
0.174
Gnomad4 OTH
AF:
0.176
Alfa
AF:
0.146
Hom.:
633
Bravo
AF:
0.179
TwinsUK
AF:
0.180
AC:
668
ALSPAC
AF:
0.164
AC:
633
ESP6500AA
AF:
0.188
AC:
828
ESP6500EA
AF:
0.171
AC:
1467
ExAC
AF:
0.158
AC:
19136
Asia WGS
AF:
0.0970
AC:
336
AN:
3478
EpiCase
AF:
0.193
EpiControl
AF:
0.194

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Oct 16, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 20814201, 22530350, 23315873, 23266707, 18413223, 14970363, 20185531, 12006639, 9175732) -

Feb 12, 2018
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

Obesity due to leptin receptor gene deficiency Benign:4
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mar 06, 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. -

Oct 18, 2021
Fulgent Genetics, Fulgent Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 28, 2017
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:2
Dec 19, 2017
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

LEPTIN RECEPTOR POLYMORPHISM Benign:1
Jul 01, 2001
OMIM
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Monogenic Non-Syndromic Obesity Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
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
0.14
BayesDel_addAF
Benign
-0.71
T
BayesDel_noAF
Benign
-0.64
CADD
Benign
0.41
DANN
Benign
0.92
DEOGEN2
Benign
0.081
.;.;T;.;.;.
Eigen
Benign
-0.92
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.56
T;.;T;T;T;.
MetaRNN
Benign
0.0019
T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.4
L;L;L;L;L;L
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-0.12
N;N;N;N;.;N
REVEL
Benign
0.12
Sift
Benign
0.45
T;T;T;T;.;T
Sift4G
Benign
0.10
T;T;T;T;T;T
Polyphen
0.94
P;P;P;.;P;.
Vest4
0.030
MutPred
0.16
Loss of methylation at K656 (P = 0.0183);Loss of methylation at K656 (P = 0.0183);Loss of methylation at K656 (P = 0.0183);Loss of methylation at K656 (P = 0.0183);Loss of methylation at K656 (P = 0.0183);Loss of methylation at K656 (P = 0.0183);
MPC
0.14
ClinPred
0.0037
T
GERP RS
-2.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.061
gMVP
0.44

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs1805094; hg19: chr1-66075952; COSMIC: COSV60750073; COSMIC: COSV60750073; API