The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]


Variant: NM_000527.5(LDLR):c.1028G>T (p.Gly343Val)

CA404082758

440618 (ClinVar)

Gene: LDLR
Condition: hypercholesterolemia, familial
Inheritance Mode: Semidominant inheritance
UUID: 489ea19a-f7c7-446d-ade9-aae9ee6160ed
Approved on: 2023-04-28
Published on: 2023-05-01

HGVS expressions

NM_000527.5:c.1028G>T
NM_000527.5(LDLR):c.1028G>T (p.Gly343Val)
NC_000019.10:g.11110739G>T
CM000681.2:g.11110739G>T
NC_000019.9:g.11221415G>T
CM000681.1:g.11221415G>T
NC_000019.8:g.11082415G>T
NG_009060.1:g.26359G>T
ENST00000558518.6:c.1028G>T
ENST00000252444.9:n.1282G>T
ENST00000455727.6:c.524G>T
ENST00000535915.5:c.905G>T
ENST00000545707.5:c.647G>T
ENST00000557933.5:c.1028G>T
ENST00000558013.5:c.1028G>T
ENST00000558518.5:c.1028G>T
ENST00000560173.1:n.27G>T
ENST00000560467.1:n.541-775G>T
NM_000527.4:c.1028G>T
NM_001195798.1:c.1028G>T
NM_001195799.1:c.905G>T
NM_001195800.1:c.524G>T
NM_001195803.1:c.647G>T
NM_001195798.2:c.1028G>T
NM_001195799.2:c.905G>T
NM_001195800.2:c.524G>T
NM_001195803.2:c.647G>T
More

Likely Pathogenic

The Expert Panel has overridden the computationally generated classification - "Uncertain Significance - Insufficient Evidence"
Met criteria codes 3
PM2 PM5_Strong PP3
Not Met criteria codes 3
PS3 PS4 PP4

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

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Familial Hypercholesterolemia VCEP
The NM_000527.5 (LDLR):c.1028G>T (p.Gly343Val) variant is classified as Likely Pathogenic for Familial Hypercholesterolemia by applying evidence codes (PM2, PP3, PM5_Strong) as defined by the ClinGen Familial Hypercholesterolemia Expert Panel LDLR-specific variant curation guidelines (https://doi.org/10.1016/j.gim.2021.09.012). The supporting evidence is as follows: PM2: This variant is absent from gnomAD (gnomAD v2.1.1). PP3: REVEL=0.983, it is above 0.75. PM5_Strong: Three other variants at the same codon: NM_000527.5(LDLR):c.1028G>A (p.Gly343Asp)(ClinVarID 251606) is classified as Likely Pathogenic, NM_000527.5(LDLR):c.1027G>T (p.Gly343Cys)(ClinVarID 251605) is classified as Pathogenic, NM_000527.5(LDLR):c.1027G>A (p.Gly343Ser)(ClinVarID 183106) is classified as Pathogenic by these guidelines, therefore PM5_Strong is met. PP4, PS4 not met: Variant meets PM2, and is reported in 1 index case, but the FH diagnosis and clinical information for the patient is not clear, reported by Miyake et al, 2009, National Cardiovascular Center Research Institute, Osaka, Japan, PMID18718593. PS3 not met: Functional data is not available.
Met criteria codes
PM2
This variant is absent from gnomAD (gnomAD v2.1.1).
PM5_Strong
Three other variants at the same codon: NM_000527.5(LDLR):c.1028G>A (p.Gly343Asp)(ClinVarID 251606) is classified as Likely Pathogenic, NM_000527.5(LDLR):c.1027G>T (p.Gly343Cys)(ClinVarID 251605) is classified as Pathogenic, NM_000527.5(LDLR):c.1027G>A (p.Gly343Ser)(ClinVarID 183106) is classified as Pathogenic by these guidelines, therefore PM5_Strong is met.
PP3
PP3: REVEL=0.983, it is above 0.75.
Not Met criteria codes
PS3
Functional data is not available.
PS4
Variant meets PM2, and is reported in 1 index case, but the FH diagnosis and clinical information for the patient is not clear, reported by Miyake et al, 2009, National Cardiovascular Center Research Institute, Osaka, Japan, PMID18718593.
PP4
Variant meets PM2, and is reported in 1 index case, but the FH diagnosis and clinical information for the patient is not clear, reported by Miyake et al, 2009, National Cardiovascular Center Research Institute, Osaka, Japan, PMID18718593.
Curation History
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