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NM_000527.5(LDLR):c.797A>G (p.Asp266Gly) AND Familial hypercholesterolemia

Germline classification:
Likely pathogenic (1 submission)
Last evaluated:
Nov 29, 2022
Review status:
1 star out of maximum of 4 stars
criteria provided, single submitter
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:
RCV001229239.8

Allele description [Variation Report for NM_000527.5(LDLR):c.797A>G (p.Asp266Gly)]

NM_000527.5(LDLR):c.797A>G (p.Asp266Gly)

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.797A>G (p.Asp266Gly)
Other names:
NM_000527.5(LDLR):c.797A>G; p.Asp266Gly
HGVS:
  • NC_000019.10:g.11106667A>G
  • NG_009060.1:g.22287A>G
  • NM_000527.5:c.797A>GMANE SELECT
  • NM_001195798.2:c.797A>G
  • NM_001195799.2:c.674A>G
  • NM_001195800.2:c.314-725A>G
  • NM_001195803.2:c.416A>G
  • NP_000518.1:p.Asp266Gly
  • NP_001182727.1:p.Asp266Gly
  • NP_001182728.1:p.Asp225Gly
  • NP_001182732.1:p.Asp139Gly
  • LRG_274t1:c.797A>G
  • LRG_274:g.22287A>G
  • NC_000019.9:g.11217343A>G
  • NM_000527.4:c.797A>G
  • c.797A>G
Protein change:
D139G
Links:
LDLR-LOVD, British Heart Foundation: LDLR_000940; dbSNP: rs879254678
NCBI 1000 Genomes Browser:
rs879254678
Molecular consequence:
  • NM_001195800.2:c.314-725A>G - intron variant - [Sequence Ontology: SO:0001627]
  • NM_000527.5:c.797A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195798.2:c.797A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195799.2:c.674A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195803.2:c.416A>G - missense variant - [Sequence Ontology: SO:0001583]

Condition(s)

Name:
Familial hypercholesterolemia
Identifiers:
MONDO: MONDO:0005439; MedGen: C0020445; OMIM: PS143890

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV001401679Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Likely pathogenic
(Nov 29, 2022)
germlineclinical testing

PubMed (12)
[See all records that cite these PMIDs]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Molecular genetic analysis of familial hypercholesterolemia: spectrum and regional difference of LDL receptor gene mutations in Japanese population.

Yu W, Nohara A, Higashikata T, Lu H, Inazu A, Mabuchi H.

Atherosclerosis. 2002 Dec;165(2):335-42. Erratum in: Atherosclerosis. 2004 Jun;174(2):399-400.

PubMed [citation]
PMID:
12417285

Mutations in Japanese subjects with primary hyperlipidemia--results from the Research Committee of the Ministry of Health and Welfare of Japan since 1996--.

Maruyama T, Yamashita S, Matsuzawa Y, Bujo H, Takahashi K, Saito Y, Ishibashi S, Ohashi K, Shionoiri F, Gotoda T, Yamada N, Kita T; Research Committee on Primary Hyperlipidemia of the Ministry of Health and Welfare of Japan..

J Atheroscler Thromb. 2004;11(3):131-45.

PubMed [citation]
PMID:
15256764
See all PubMed Citations (12)

Details of each submission

From Labcorp Genetics (formerly Invitae), Labcorp, SCV001401679.5

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (12)

Description

This missense change has been observed in individual(s) with familial hypercholesterolemia (PMID: 12417285, 15256764, 28932795, 32331935). In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic. This variant disrupts the p.Asp266 amino acid residue in LDLR. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 1301956, 11196104, 20663204, 21310417, 22698793, 23375686, 26238499). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt LDLR protein function. ClinVar contains an entry for this variant (Variation ID: 251457). This variant is not present in population databases (gnomAD no frequency). This sequence change replaces aspartic acid, which is acidic and polar, with glycine, which is neutral and non-polar, at codon 266 of the LDLR protein (p.Asp266Gly).

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

Last Updated: Sep 29, 2024