Description
The p.A501V variant (also known as c.1502C>T), located in coding exon 10 of the LDLR gene, results from a C to T substitution at nucleotide position 1502. The alanine at codon 501 is replaced by valine, an amino acid with similar properties, and is located in the EGF precursor-like domain. This alteration, historically described as p.A480V, was detected along with a truncating LDLR alteration in a child with clinical homozygous familial hypercholesterolemia (FH) (Mabuchi H et al. Atherosclerosis, 2014 Sep;236:54-61). This variant has also been reported in multiple individuals with FH from a variety of ethnic backgrounds, as well as in myocardial infarction and coronary artery disease study cohorts; however, specific clinical details were limited (Damgaard D et al. Atherosclerosis, 2005 May;180:155-60; Brusgaard K et al. Clin. Genet., 2006 Mar;69:277-83; Bertolini S et al. Atherosclerosis, 2013 Apr;227:342-8; Hori M et al. Atherosclerosis, 2019 10;289:101-108; Meshkov A et al. Genes (Basel), 2021 Jan;12:[Epub ahead of print]). This allele was reported in two heterozygous individuals in population-based cohorts in the Genome Aggregation Database (gnomAD). This amino acid position is well conserved in available vertebrate species; however, valine is the reference amino acid in other vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the majority of available evidence to date, this variant is likely to be pathogenic.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | unknown | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |