rs879254823
Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_000527.5(LDLR):c.1187-2A>G variant causes a splice acceptor, intron change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_000527.5 splice_acceptor, intron
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 18 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
LDLR | NM_000527.5 | c.1187-2A>G | splice_acceptor_variant, intron_variant | Intron 8 of 17 | ENST00000558518.6 | NP_000518.1 |
Ensembl
Frequencies
GnomAD3 genomes Cov.: 29
GnomAD4 exome Cov.: 33
GnomAD4 genome Cov.: 29
ClinVar
Submissions by phenotype
Hypercholesterolemia, familial, 1 Pathogenic:4
PM2_Supporting+PVS1+PS4_Supporting+PP1 -
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not provided Pathogenic:3
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The c.1187-2 A>G variant has been reported in the heterozygous state in one Norwegian proband with FH (Holla et al., 2009). This variant destroys the canonical splice acceptor site located at the intron 8/exon 9 junction, and is predicted to cause abnormal gene splicing. This variant is predicted to lead to an abnormal message that is subject to nonsense-mediated mRNA decay, consistent with comprehensive mRNA splicing studies determined by wet-lab analyses in the same study by Holla et al. (2009). In addition, other downstream splice site variants in the LDLR gene have been reported in HGMD in association with FH (Stenson et al., 2014), indicating that loss of function is a known disease mechanism. Furthermore, the c.1187-2 A>G variant is not observed in large population cohorts (Lek et al., 2016; 1000 Genomes Consortium et al., 2015; Exome Variant Server). In summary, c.1187-2 A>G in the LDLR gene is interpreted as a pathogenic variant. -
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Familial hypercholesterolemia Pathogenic:1
This sequence change affects an acceptor splice site in intron 8 of the LDLR gene. It is expected to disrupt RNA splicing. Variants that disrupt the donor or acceptor splice site typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in LDLR are known to be pathogenic (PMID: 20809525, 28645073). This variant is not present in population databases (gnomAD no frequency). Disruption of this splice site has been observed in individual(s) with familial hypercholesterolemia (PMID: 19208450). ClinVar contains an entry for this variant (Variation ID: 251713). Studies have shown that disruption of this splice site alters LDLR gene expression (PMID: 19208450). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. For these reasons, this variant has been classified as Pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at