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

Variant: NM_000527.5(LDLR):c.1783C>T (p.Arg595Trp)

CA023581

161290 (ClinVar)

Gene: LDLR
Condition: hypercholesterolemia, familial
Inheritance Mode: Semidominant inheritance
Link to MONDO
UUID: ba5d5793-ffd3-48df-89c0-24c7600a8a6d

HGVS expressions

NM_000527.5:c.1783C>T
NM_000527.5(LDLR):c.1783C>T (p.Arg595Trp)
NC_000019.10:g.11116936C>T
CM000681.2:g.11116936C>T
NC_000019.9:g.11227612C>T
CM000681.1:g.11227612C>T
NC_000019.8:g.11088612C>T
NG_009060.1:g.32556C>T
ENST00000558518.6:c.1783C>T
ENST00000252444.9:n.2037C>T
ENST00000455727.6:c.1279C>T
ENST00000535915.5:c.1660C>T
ENST00000545707.5:c.1402C>T
ENST00000557933.5:c.1783C>T
ENST00000558013.5:c.1783C>T
ENST00000558518.5:c.1783C>T
ENST00000559340.1:n.426+724C>T
NM_000527.4:c.1783C>T
NM_001195798.1:c.1783C>T
NM_001195799.1:c.1660C>T
NM_001195800.1:c.1279C>T
NM_001195803.1:c.1402C>T
NM_001195798.2:c.1783C>T
NM_001195799.2:c.1660C>T
NM_001195800.2:c.1279C>T
NM_001195803.2:c.1402C>T

Pathogenic

Met criteria codes 5
PS4 PP4 PP3 PM2 PP1_Strong
Not Met criteria codes 21
PS2 PS3 PS1 PP2 BA1 PM6 PM3 PM1 PM4 PM5 PVS1 BS2 BS4 BS3 BS1 BP5 BP7 BP2 BP3 BP4 BP1

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Familial Hypercholesterolemia VCEP
NM_000527.5(LDLR):c.1783C>T (p.Arg595Trp) variant is classified as Pathogenic for Familial Hypercholesterolemia by applying evidence codes (PS4, PP1_Strong, PM2, PP3 and PP4) as defined by the ClinGen Familial Hypercholesterolemia Expert Panel LDLR-specific variant curation guidelines (https://doi.org/10.1101/2021.03.17.21252755). The supporting evidence is as follows: PS4 - Variant meets PM2. Variant identified in 12 index cases. PP1_strong - 10 informative meioses identified by Laboratory of Genetics and Molecular Cardiology. PM2 - PopMax MAF = 0.00001548 (0.0015%) in European non-Finnish (gnomAD v2.1.1). PP3 - REVEL: 0,89. PP4 - Variant meets PM2. Variant identified in 12 index cases fulfilling validated clinical criteria for FH (6 cases with Simon-Broome or DLCN criteria from Ambry Genetics; 2 cases with Simon-Broome from Color laboratory; 3 cases with Simon-Broome criteria from Laboratory of Genetics and Molecular Cardiology; 1 case with Simon-Broome criteria from GeneDx).
Met criteria codes
PS4
Variant meets PM2. Variant identified in 12 index cases (6 cases with Simon-Broome or DLCN criteria from Ambry Genetics; 2 cases with Simon-Broome from Color laboratory; 3 cases with Simon-Broome criteria from Laboratory of Genetics and Molecular Cardiology; 1 case with Simon-Broome criteria from GeneDx).
PP4
Variant meets PM2. Variant identified in 12 index cases fulfilling validated clinical criteria for FH (See PS4).
PP3
REVEL: 0,89. Score is above 0,75.
PM2
PopMax MAF = 0.00001548 (0.0015%) in European non-Finnish (gnomAD v2.1.1). MAF is below 0.02%.
PP1_Strong
10 informative meioses identified by Laboratory of Genetics and Molecular Cardiology.
Not Met criteria codes
PS2
No de novo cases were identified.
PS3
No functional assays performed/found - not applicable.
PS1
No variant described that leads to the same amino acid change.
PP2
Not applicable.
BA1
no FAF, just total MAF = 0.000003976 (0.0004%) in European non-Finnish (gnomAD v2.1.1). MAF is not above 0.5%
PM6
No de novo cases were identified.
PM3
1 index case from Laboratory of Genetics and Molecular Cardiology is a compound heterozygote in trans with the NM_000527.5(LDLR):c.1217G>C (p.Arg406Pro) variant, phenotype similar to HoFH (LDLc 405 mg/dL treated). Unsuficient information about nontreated levels of LDLc. PM3 is not met.
PM1
Missense at codon 595. PM2 is Met, but it is not exon 4 or any of the 60 Cys residues listed. Not applicable.
PM4
Missense variant. Not applicable.
PM5
No other missense variants classified as Pathogenic in the same codon. Two other missense variants described in the same codon (accessed 19 August 2020): (1)NM_000527.5(LDLR):c.1784G>T (p.Arg595Leu) (ClinVar ID 252029) - classified as VUS by these guidelines. (2)NM_000527.5(LDLR):c.1784G>A (p.Arg595Gln) (ClinVar ID 183126) - classified as VUS by these guidelines.
PVS1
Missense variant. Not applicable.
BS2
No unaffected individuals identified with the variant.
BS4
No non-segregations were identified/found.
BS3
No functional assays performed/found - not applicable.
BS1
no FAF, just total MAF = 0.000003976 (0.0004%) in European non-Finnish (gnomAD v2.1.1). MAF is not above 0.5%
BP5
Not applicable.
BP7
Missense variant. Not applicable.
BP2
1 index case from Laboratory of Genetics and Molecular Cardiology is a compound heterozygote in trans with the NM_000527.5(LDLR):c.1217G>C (p.Arg406Pro) variant, phenotype similar to HoFH (LDLc 405 mg/dL treated). BP2 is not met.
BP3
Not applicable.
BP4
REVEL: 0,89. Score is not below 0,15.
BP1
Not applicable.
Approved on: 2021-06-09
Published on: 2021-06-24
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