The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
  • Gene label mismatch: LDLR vs undefined
  • Gene obtained from curated document aligns with the Allele Registry but not with ClinVar data
  • No CSPEC computed assertion could be determined for this classification!


Variant: NM_000527.5(LDLR):c.1588T>G (p.Phe530Val)

CA10576310

226361 (ClinVar)

Gene: LDLR
Condition: hypercholesterolemia, familial
Inheritance Mode: Semidominant inheritance
UUID: 2b7fbe35-134c-4858-acb1-2057d42276b8
Approved on: 2025-02-20
Published on: 2025-06-11

HGVS expressions

NM_000527.5:c.1588T>G
NM_000527.5(LDLR):c.1588T>G (p.Phe530Val)
NC_000019.10:g.11116095T>G
CM000681.2:g.11116095T>G
NC_000019.9:g.11226771T>G
CM000681.1:g.11226771T>G
NC_000019.8:g.11087771T>G
NG_009060.1:g.31715T>G
ENST00000252444.10:c.1846T>G
ENST00000559340.2:c.1588T>G
ENST00000560467.2:c.1468T>G
ENST00000558518.6:c.1588T>G
ENST00000252444.9:c.1842T>G
ENST00000455727.6:c.1084T>G
ENST00000535915.5:c.1465T>G
ENST00000545707.5:c.1207T>G
ENST00000557933.5:c.1588T>G
ENST00000558013.5:c.1588T>G
ENST00000558518.5:c.1588T>G
ENST00000559340.1:c.309T>G
NM_000527.4:c.1588T>G
NM_001195798.1:c.1588T>G
NM_001195799.1:c.1465T>G
NM_001195800.1:c.1084T>G
NM_001195803.1:c.1207T>G
NM_001195798.2:c.1588T>G
NM_001195799.2:c.1465T>G
NM_001195800.2:c.1084T>G
NM_001195803.2:c.1207T>G
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Uncertain Significance

Met criteria codes 4
PS4_Supporting PM2 PP4 PP3
Not Met criteria codes 2
PM5 BP4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Familial Hypercholesterolemia Expert Panel Specifications to the ACMG/AMP Variant Classification Guidelines Version 1.2

PDF
Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Familial Hypercholesterolemia VCEP
The NM_000527.5(LDLR):c.1588T>G (p.Phe530Val) variant is classified as Uncertain significance - insufficient evidence for Familial Hypercholesterolemia by applying ACMG/AMP evidence codes PM2, PS4_Supporting, PP3 and PP4 as defined by the ClinGen Familial Hypercholesterolemia Expert Panel LDLR-specific variant curation guidelines (specification version 1.2) on 20 February 2025. The supporting evidence is as follows: PM2: PopMax MAF = 0.00001891 (0.001891%) in European (non-Finnish) exomes/genomes (gnomAD v4.1.0). PP3: REVEL = 0.868. PS4_Supporting, PP4: Variant meets PM2 and is identified in 2 unrelated index cases (1 case with DLCN>=6 from Cardiovascular Genetics Laboratory, PathWest Laboratory Medicine WA, Australia; 1 case fulfilling Japan Atherosclerosis Society criteria for FH reported in PMID 36229376 (Tada et al., 2022)), after alternative causes of high cholesterol were excluded.
Met criteria codes
PS4_Supporting
Variant meets PM2 and is identified in 2 unrelated index cases (1 case with DLCN>=6 criteria from Cardiovascular Genetics Laboratory (PathWest Laboratory Medicine WA, Australia); 1 case fulfilling Japan Atherosclerosis Society criteria for FH reported in PMID: 36229376, after alternative causes of high cholesterol were excluded.
PM2
PopMax MAF = 0.00001891 (0.001891%) in European (non-Finnish) exomes/genomes (gnomAD v4.1.0).
PP4
Variant meets PM2 and is identified in 2 unrelated index cases (1 case with DLCN>=6 criteria from Cardiovascular Genetics Laboratory (PathWest Laboratory Medicine WA, Australia); 1 case fulfilling Japan Atherosclerosis Society criteria for FH reported in PMID: 36229376, after alternative causes of high cholesterol were excluded.
PP3
REVEL = 0.868.
Not Met criteria codes
PM5
One other missense variant at the same codon: NM_000527.5(LDLR):c.1590C>A (p.Phe530Leu) (ClinVar ID 3073518) is classified as a variant of uncertain significance by these guidelines.
BP4
REVEL = 0.868.
Curation History
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