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NM_000527.5(LDLR):c.1735G>A (p.Asp579Asn) AND Hypercholesterolemia, familial, 1

Germline classification:
Pathogenic/Likely pathogenic (2 submissions)
Last evaluated:
Oct 19, 2018
Review status:
2 stars out of maximum of 4 stars
criteria provided, multiple submitters, no conflicts
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000237346.5

Allele description [Variation Report for NM_000527.5(LDLR):c.1735G>A (p.Asp579Asn)]

NM_000527.5(LDLR):c.1735G>A (p.Asp579Asn)

Gene:
LDLR:low density lipoprotein receptor [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
19p13.2
Genomic location:
Preferred name:
NM_000527.5(LDLR):c.1735G>A (p.Asp579Asn)
Other names:
FH Cincinnati-4
HGVS:
  • NC_000019.10:g.11116888G>A
  • NG_009060.1:g.32508G>A
  • NM_000527.5:c.1735G>AMANE SELECT
  • NM_001195798.2:c.1735G>A
  • NM_001195799.2:c.1612G>A
  • NM_001195800.2:c.1231G>A
  • NM_001195803.2:c.1354G>A
  • NP_000518.1:p.Asp579Asn
  • NP_000518.1:p.Asp579Asn
  • NP_001182727.1:p.Asp579Asn
  • NP_001182728.1:p.Asp538Asn
  • NP_001182729.1:p.Asp411Asn
  • NP_001182732.1:p.Asp452Asn
  • LRG_274t1:c.1735G>A
  • LRG_274:g.32508G>A
  • LRG_274p1:p.Asp579Asn
  • NC_000019.9:g.11227564G>A
  • NM_000527.4:c.1735G>A
  • P01130:p.Asp579Asn
  • c.1735G>A
Protein change:
D411N
Links:
LDLR-LOVD, British Heart Foundation: LDLR_001510; UniProtKB: P01130#VAR_005402; dbSNP: rs875989929
NCBI 1000 Genomes Browser:
rs875989929
Molecular consequence:
  • NM_000527.5:c.1735G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195798.2:c.1735G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195799.2:c.1612G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195800.2:c.1231G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195803.2:c.1354G>A - missense variant - [Sequence Ontology: SO:0001583]

Condition(s)

Name:
Hypercholesterolemia, familial, 1
Synonyms:
LDL RECEPTOR DISORDER; Hyperlipoproteinemia Type IIa; HYPER-LOW-DENSITY-LIPOPROTEINEMIA; See all synonyms [MedGen]
Identifiers:
MONDO: MONDO:0007750; MedGen: C0745103; Orphanet: 391665; OMIM: 143890

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000295624LDLR-LOVD, British Heart Foundation
criteria provided, single submitter

(ACGS Guidelines, 2013)
Likely pathogenic
(Mar 25, 2016)
germlineliterature only

PubMed (3)
[See all records that cite these PMIDs]

Citation Link,

SCV000914826Illumina Laboratory Services, Illumina
criteria provided, single submitter

(ICSL Variant Classification Criteria 09 May 2019)
Pathogenic
(Oct 19, 2018)
germlineclinical testing

PubMed (5)
[See all records that cite these PMIDs]

Citation Link

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineyes3not providednot provided3not providedliterature only
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Spectrum of LDL receptor gene mutations in Denmark: implications for molecular diagnostic strategy in heterozygous familial hypercholesterolemia.

Jensen HK, Jensen LG, Meinertz H, Hansen PS, Gregersen N, Faergeman O.

Atherosclerosis. 1999 Oct;146(2):337-44.

PubMed [citation]
PMID:
10532689

Molecular genetic analysis of 1053 Danish individuals with clinical signs of familial hypercholesterolemia.

Brusgaard K, Jordan P, Hansen H, Hansen AB, Hørder M.

Clin Genet. 2006 Mar;69(3):277-83.

PubMed [citation]
PMID:
16542394
See all PubMed Citations (6)

Details of each submission

From LDLR-LOVD, British Heart Foundation, SCV000295624.2

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not provided1not providednot providedliterature only PubMed (3)
2not provided1not providednot providedliterature only PubMed (3)
3not provided1not providednot providedliterature only PubMed (3)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineyes1not providednot provided1not providednot providednot provided
2germlineyes1not providednot provided1not providednot providednot provided
3germlineyes1not providednot provided1not providednot providednot provided

From Illumina Laboratory Services, Illumina, SCV000914826.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (5)

Description

Across a selection of available literature, the LDLR c.1735G>A (p.Asp579Asn) variant, also known as p.Asp558Asn, has been reported in at least five studies and is found in at least seven probands with familial hypercholesterolemia in a heterozygous state (Hobbs et al. 1992; Ekstrom et al. 1995; Vuorio et al. 2001; Brusgaard et al. 2006). Control data are unavailable for this variant and it is not found in the 1000 Genomes Project, the Exome Sequencing Project, the Exome Aggregation Consortium or the Genome Aggregation Database, with good sequence coverage of this region, and therefore it is presumed to be rare. Functional studies in cultured proband fibroblasts demonstrated that the p.Asp579Asn variant protein had 52% LDL binding, 42% internalization, and 46% degradation compared to control fibroblasts, suggesting that it had a binding-defective phenotype (Vuorio et al. 2001). Expression analysis in proband fibroblasts also found p.Asp579Asn to have 2% LDL receptor activity compared to controls (Hobbs et al. 1992). The Asp579 residue is highly conserved across species and x-ray crystallography demonstrated the importance of the Asp579 residue in hydrogen bonding necessary for structural formation (Ekstrom et al. 1995; Jeon et al. 2001). Based on the evidence, the p.Asp579Asn variant is classified as pathogenic for familial hypercholesterolemia. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Sep 29, 2024