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NM_000527.5(LDLR):c.352G>A (p.Asp118Asn) AND Familial hypercholesterolemia

Germline classification:
Uncertain significance (2 submissions)
Last evaluated:
Nov 15, 2023
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:
RCV001273281.15

Allele description [Variation Report for NM_000527.5(LDLR):c.352G>A (p.Asp118Asn)]

NM_000527.5(LDLR):c.352G>A (p.Asp118Asn)

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.352G>A (p.Asp118Asn)
HGVS:
  • NC_000019.10:g.11105258G>A
  • NG_009060.1:g.20878G>A
  • NM_000527.5:c.352G>AMANE SELECT
  • NM_001195798.2:c.352G>A
  • NM_001195799.2:c.229G>A
  • NM_001195800.2:c.314-2134G>A
  • NM_001195803.2:c.314-1307G>A
  • NP_000518.1:p.Asp118Asn
  • NP_000518.1:p.Asp118Asn
  • NP_001182727.1:p.Asp118Asn
  • NP_001182728.1:p.Asp77Asn
  • LRG_274t1:c.352G>A
  • LRG_274:g.20878G>A
  • LRG_274p1:p.Asp118Asn
  • NC_000019.9:g.11215934G>A
  • NM_000527.4:c.352G>A
Protein change:
D118N
Links:
dbSNP: rs730882080
NCBI 1000 Genomes Browser:
rs730882080
Molecular consequence:
  • NM_001195800.2:c.314-2134G>A - intron variant - [Sequence Ontology: SO:0001627]
  • NM_001195803.2:c.314-1307G>A - intron variant - [Sequence Ontology: SO:0001627]
  • NM_000527.5:c.352G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195798.2:c.352G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195799.2:c.229G>A - 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
SCV000285030Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Uncertain significance
(Nov 15, 2023)
germlineclinical testing

PubMed (7)
[See all records that cite these PMIDs]

SCV001456141Natera, Inc.
no assertion criteria provided
Uncertain significance
(Sep 16, 2020)
germlineclinical testing

Summary from all submissions

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

Citations

PubMed

Xanthomas heralding pediatric coronary artery disease.

Edelman A, Wetzel M, Owen C, Schadt CR, Callen JP.

JAAD Case Rep. 2020 Aug;6(8):753-754. doi: 10.1016/j.jdcr.2020.06.010. No abstract available.

PubMed [citation]
PMID:
32715071
PMCID:
PMC7369508

Impact of variants of uncertain significance of LDL receptor on phenotypes of familial hypercholesterolemia.

Tada H, Kojima N, Yamagami K, Nomura A, Nohara A, Usui S, Sakata K, Hayashi K, Fujino N, Takamura M, Kawashiri MA.

J Clin Lipidol. 2022 Nov-Dec;16(6):863-869. doi: 10.1016/j.jacl.2022.09.007. Epub 2022 Sep 30.

PubMed [citation]
PMID:
36229376
See all PubMed Citations (7)

Details of each submission

From Labcorp Genetics (formerly Invitae), Labcorp, SCV000285030.5

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (7)

Description

This sequence change replaces aspartic acid, which is acidic and polar, with asparagine, which is neutral and polar, at codon 118 of the LDLR protein (p.Asp118Asn). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individuals with clinical features of familial hypercholesterolemia (PMID: 32715071, 36229376; Invitae). ClinVar contains an entry for this variant (Variation ID: 237873). 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 not expected to disrupt LDLR protein function with a negative predictive value of 95%. This variant disrupts the p.Asp118 amino acid residue in LDLR. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 11317362, 17196209, 20045108, 23375686). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.

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

From Natera, Inc., SCV001456141.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testingnot provided
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Nov 3, 2024