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NM_000527.5(LDLR):c.938G>A (p.Cys313Tyr) AND Familial hypercholesterolemia

Germline classification:
Pathogenic (1 submission)
Last evaluated:
Jan 29, 2018
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:
RCV002229197.7

Allele description [Variation Report for NM_000527.5(LDLR):c.938G>A (p.Cys313Tyr)]

NM_000527.5(LDLR):c.938G>A (p.Cys313Tyr)

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.938G>A (p.Cys313Tyr)
HGVS:
  • NC_000019.10:g.11107512G>A
  • NG_009060.1:g.23132G>A
  • NM_000527.5:c.938G>AMANE SELECT
  • NM_001195798.2:c.938G>A
  • NM_001195799.2:c.815G>A
  • NM_001195800.2:c.434G>A
  • NM_001195803.2:c.557G>A
  • NP_000518.1:p.Cys313Tyr
  • NP_000518.1:p.Cys313Tyr
  • NP_001182727.1:p.Cys313Tyr
  • NP_001182728.1:p.Cys272Tyr
  • NP_001182729.1:p.Cys145Tyr
  • NP_001182732.1:p.Cys186Tyr
  • LRG_274t1:c.938G>A
  • LRG_274:g.23132G>A
  • LRG_274p1:p.Cys313Tyr
  • NC_000019.9:g.11218188G>A
  • NM_000527.4:c.938G>A
  • P01130:p.Cys313Tyr
  • c.938G>A
Protein change:
C145Y
Links:
LDLR-LOVD, British Heart Foundation: LDLR_001871; UniProtKB: P01130#VAR_005358; dbSNP: rs875989911
NCBI 1000 Genomes Browser:
rs875989911
Molecular consequence:
  • NM_000527.5:c.938G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195798.2:c.938G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195799.2:c.815G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195800.2:c.434G>A - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001195803.2:c.557G>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
SCV000752418Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Pathogenic
(Jan 29, 2018)
germlineclinical testing

PubMed (7)
[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

Disulfide bridges of a cysteine-rich repeat of the LDL receptor ligand-binding domain.

Bieri S, Djordjevic JT, Daly NL, Smith R, Kroon PA.

Biochemistry. 1995 Oct 10;34(40):13059-65.

PubMed [citation]
PMID:
7548065

Three-dimensional structure of a cysteine-rich repeat from the low-density lipoprotein receptor.

Daly NL, Scanlon MJ, Djordjevic JT, Kroon PA, Smith R.

Proc Natl Acad Sci U S A. 1995 Jul 3;92(14):6334-8.

PubMed [citation]
PMID:
7603991
PMCID:
PMC41512
See all PubMed Citations (7)

Details of each submission

From Labcorp Genetics (formerly Invitae), Labcorp, SCV000752418.5

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

Description

This sequence change replaces cysteine with tyrosine at codon 313 of the LDLR protein (p.Cys313Tyr). The cysteine residue is highly conserved and there is a large physicochemical difference between cysteine and tyrosine. For these reasons, this variant has been classified as Pathogenic. This variant affects a cysteine residue located within an LDLRA domain of the LDLR protein. Cysteine residues in these domains have been shown to be involved in the formation of disulfide bridges, which are critical for protein structure and stability (PMID: 7548065, 7603991, 7979249). In addition, missense substitutions within the LDLRA domains affecting cysteine residues are overrepresented among patients with hypercholesterolemia (PMID: 18325082). Other missense substitutions at this codon (p.Cys313Arg) have been reported in individuals affected with hypercholesterolemia (PMID: 19318025). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be disruptive, but these predictions have not been confirmed by published functional studies and their clinical significance is uncertain. This variant has been reported in several individuals affected with hypercholesterolemia (PMID: 9259195, 9698020, 11810272, 11857755). This variant is also known as p.Cys292Tyr in the literature. ClinVar contains an entry for this variant (Variation ID: 226339). This variant is not present in population databases (ExAC no frequency).

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

Last Updated: Sep 29, 2024