NM_174936.4(PCSK9):c.1793C>A (p.Ala598Asp) AND Hypercholesterolemia, autosomal dominant, 3

Germline classification:: Uncertain significance (1 submission)
Last evaluated:: Feb 24, 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:: RCV004008142.2

Allele description [Variation Report for NM_174936.4(PCSK9):c.1793C>A (p.Ala598Asp)]

NM_174936.4(PCSK9):c.1793C>A (p.Ala598Asp)

Gene:

PCSK9:proprotein convertase subtilisin/kexin type 9 [Gene - OMIM - HGNC]

Variant type:

single nucleotide variant

Cytogenetic location:

1p32.3

Genomic location:

Preferred name:

NM_174936.4(PCSK9):c.1793C>A (p.Ala598Asp)

HGVS:

NC_000001.11:g.55061486C>A
NG_009061.1:g.26940C>A
NM_001407240.1:c.1916C>A
NM_001407241.1:c.1835C>A
NM_001407242.1:c.1796C>A
NM_001407243.1:c.1736C>A
NM_001407244.1:c.1619C>A
NM_001407245.1:c.1601C>A
NM_001407246.1:c.1418C>A
NM_001407247.1:c.1292C>A
NM_174936.4:c.1793C>AMANE SELECT
NP_001394169.1:p.Ala639Asp
NP_001394170.1:p.Ala612Asp
NP_001394171.1:p.Ala599Asp
NP_001394172.1:p.Ala579Asp
NP_001394173.1:p.Ala540Asp
NP_001394174.1:p.Ala534Asp
NP_001394175.1:p.Ala473Asp
NP_001394176.1:p.Ala431Asp
NP_777596.2:p.Ala598Asp
NP_777596.2:p.Ala598Asp
LRG_275t1:c.1793C>A
LRG_275:g.26940C>A
LRG_275p1:p.Ala598Asp
NC_000001.10:g.55527159C>A
NM_174936.3:c.1793C>A
NR_110451.3:n.2074C>A
NR_176318.1:n.1877C>A
NR_176319.1:n.2352C>A
NR_176320.1:n.2316C>A
NR_176321.1:n.2031C>A
NR_176322.1:n.1986C>A
NR_176323.1:n.1905C>A
NR_176324.1:n.2293C>A

Protein change:

A431D

Molecular consequence:

NM_001407240.1:c.1916C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_001407241.1:c.1835C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_001407242.1:c.1796C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_001407243.1:c.1736C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_001407244.1:c.1619C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_001407245.1:c.1601C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_001407246.1:c.1418C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_001407247.1:c.1292C>A - missense variant - [Sequence Ontology: SO:0001583]
NM_174936.4:c.1793C>A - missense variant - [Sequence Ontology: SO:0001583]
NR_110451.3:n.2074C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]
NR_176318.1:n.1877C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]
NR_176319.1:n.2352C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]
NR_176320.1:n.2316C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]
NR_176321.1:n.2031C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]
NR_176322.1:n.1986C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]
NR_176323.1:n.1905C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]
NR_176324.1:n.2293C>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]

Observations:

Condition(s)

Name:: Hypercholesterolemia, autosomal dominant, 3 (FHCL3)
Synonyms:: Familial hypercholesterolemia 3; Familial Hypercholesterolemia, Autosomal Dominant, 3
Identifiers:: MONDO: MONDO:0011369; MedGen: C1863551; OMIM: 603776

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Submission Accession	Submitter	Review Status (Assertion method)	Clinical Significance (Last evaluated)	Origin	Method	Citations
SCV004815734	All of Us Research Program, National Institutes of Health	criteria provided, single submitter (ACMG Guidelines, 2015)	Uncertain Significance (Feb 24, 2023)	germline	clinical testing	PubMed (1) [See all records that cite this PMID]

Submission Accession

Submitter

Review Status
(Assertion method)

Clinical Significance
(Last evaluated)

Origin

Method

Citations

SCV004815734

All of Us Research Program, National Institutes of Health

criteria provided, single submitter

(ACMG Guidelines, 2015)

Uncertain Significance
(Feb 24, 2023)

germline

clinical testing

PubMed (1)
[See all records that cite this PMID]

Help

Summary from all submissions

Ethnicity	Origin	Affected	Individuals	Families	Chromosomes tested	Number Tested	Family history	Method
not provided	germline	unknown	1	not provided	not provided	108544	not provided	clinical testing

Citations

PubMed

Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.

Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, Grody WW, Hegde M, Lyon E, Spector E, Voelkerding K, Rehm HL; ACMG Laboratory Quality Assurance Committee..

Genet Med. 2015 May;17(5):405-24. doi: 10.1038/gim.2015.30. Epub 2015 Mar 5.

PubMed [citation]

PMID:: 25741868
PMCID:: PMC4544753

Details of each submission

From All of Us Research Program, National Institutes of Health, SCV004815734.1

#	Ethnicity	Individuals	Chromosomes Tested	Family History	Method	Citations
1	not provided	1	not provided	not provided	clinical testing	PubMed (1)

Description

This missense variant replaces alanine with aspartic acid at codon 598 of the PCSK9 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has not been reported in individuals affected with PCSK9-related disorders in the literature. This variant has not been identified in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance.

#	Sample				Method		Observation
#	Origin	Affected	Number tested	Tissue	Purpose	Method	Individuals	Allele frequency	Families	Co-occurrences
1	germline	unknown	108544	not provided	not provided		1	not provided	not provided	not provided

Last Updated: May 7, 2024

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