ClinVar Miner

Submissions for variant NM_000527.5(LDLR):c.1027G>A (p.Gly343Ser)

gnomAD frequency: 0.00002  dbSNP: rs730882096
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Total submissions: 44
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
ClinGen Familial Hypercholesterolemia Variant Curation Expert Panel RCV000211596 SCV004022448 pathogenic Hypercholesterolemia, familial, 1 2023-04-28 reviewed by expert panel curation The NM_000527.5 (LDLR):c.1027G>A (p.Gly343Ser) variant is classified as Pathogenic (modified) for Familial Hypercholesterolemia by applying evidence codes (PM2, PP3, PS3, PP4, PS4, PP1_Strong, PM5, PM3, BS4) 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: PopMaxMAF=0.00005 in East Asian population from gnomAD (gnomAD v2.1.1). PP3: REVEL=0.929, it is above 0.75. PS3: Level 1 assays: PMID 15100232. Heterologous cells (CHO) were used in WB, FACS and NMR Spectroscopy. The experiments shown <60% cell surface LDLR expression (Fig 5C), and >80% expressed receptor bind and release LDL upon low pH condition (Fig 6B), the amount of LDL bound to the mutant receptor correlates tightly with cell-surface LDLR expression, NMR indicates misfolding defects of the receptor. Functional data is consistent with damaging effect. This study is reported by Boswell et al, 2004, from Department of Biochemistry, Division of Structural Biology, University of Oxford, UK. PP4: Variant meets PM2 and is identified in at least >1 index cases who fulfil criteria for FH after alternative causes of high cholesterol were excluded. PS4: Variant meets PM2 and is identified in at least 26 index cases reported in VCI and PubMed. There are 14 unrelated index case reported in VCI who fulfil criteria for FH diagnosis: Twelve cases fulfil DLCN criteria, 7 reported from Service de Biochimie et de Biologie Moléculaire, Hospices Civils de Lyon, Lyon, France, 1 from Cardiovascular Genetics Laboratory (PathWest Laboratory Medicine WA), 2 from Research Lab of Molecular Genetics of Lipid Metabolism; and 2 from Robarts Research Institute, Canada; two cases fulfil Simon Broome possible criteria, reported from Cardiovascular Research Group, Instituto Nacional de Saude Doutor Ricardo Jorge. Variant is reported in PubMed in at least 12 index cases fulfil criteria for FH diagnosis: 8 cases fulfil DLCN probable/definite FH criteria in PMID 11040093, 11810272, 32977124, 30270055, 27784735; 1 case fulfil Simon Broome possible FH criteria in PMID 26748104; 3 cases fulfil MedPed criteria in PMID 8882879, 27824480. PP1_Strong: Variant segregates with FH phenotype in 18 informative meiosis from 6 families reported from 4 different labs in VCI: 11 affected carries and 7 unaffected non-carriers reported from Cardiovascular Genetics Laboratory (PathWest Laboratory Medicine WA), Cardiovascular Research Group, Instituto Nacional de Saude Doutor Ricardo Jorge, Laboratory of Genetics and Molecular Cardiology, and Research Lab of Molecular Genetics of Lipid Metabolism. PM5: Three other variants at the same codon: NM_000527.5(LDLR):c.1028G>T (p.Gly343Val)(ClinVarID 440618) classified as Likely Pathogenic, 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, by these guidelines, therefore PM5 is met. PM3: Variant meets PM2 and is identified in an index case with homozygous FH phenotype (untreated LDL-C > 500mg/dL, or LDL-C > 300 mmol/dL on high-intensive lipid-lowering therapy and the presence of tendon xanthomas before 10 year of age), reported by Sanchez-Hernandez et al, 2016, Universitario Insular Materno Infantil de Gran Canaria, Spain, PMID 27784735. This variant met enough pathogenic criteria toward Pathogenic classification by these guidelines before PM3 code applied. BS4: Variant does not segregate with FH phenotype in total of 6 informative meiosis reported in VCI. Five affected relatives without the variant and had LDL-C>75th percentile, 2 cases from Cardiovascular Genetics Laboratory (PathWest Laboratory Medicine WA), 1 case each from Cardiovascular Research Group, Instituto Nacional de Saude Doutor Ricardo Jorge, Laboratory of Genetics and Molecular Cardiology, and Research Lab of Molecular Genetics of Lipid Metabolism. There is 1 instance reported from 1 laboratory, where an unaffected family member had LDL-C<50th percentile and carries the variant, reported in VCI from Laboratory of Genetics and Molecular Cardiology, GTR LabID 505581. Variant has 3 Strong, 3 Moderate and 2 Supporting evidence codes toward Pathogenic, enough to classify as Pathogenic, and only 1 Strong evidence code towards Benign. The Pathogenic criteria overwhelms the Benign criteria, so we are confident in classifying this variant as Pathogenic.
Dasa RCV000161977 SCV007599677 pathogenic not provided 2026-01-06 criteria provided, single submitter clinical testing NM_000527.5(LDLR):c.1027G>A (p.Gly343Ser) is a missense variant that results in the substitution of glycine with serine. Functional evidence supports a deleterious effect on the gene or gene product (PMID: 15100232; PMID: 11040093; PMID: 11810272; PMID: 32977124; PMID: 30270055). This variant has been recurrently observed in individuals with related phenotype (PMID: 15100232; PMID: 11040093; PMID: 11810272; PMID: 32977124; PMID: 30270055). Multiple computational predictions support a deleterious effect on the gene or gene product. The variant is present at low frequency in population datasets. Based on the available data, this variant is classified as pathogenic.
Variantyx, Inc. RCV000211596 SCV007595398 pathogenic Hypercholesterolemia, familial, 1 2026-01-20 criteria provided, single submitter clinical testing This is a nonsynonymous variant in the LDLR gene (OMIM: 606945). Pathogenic variants in this gene have been associated with autosomal semidominant familial hypercholesterolemia 1. This variant has been identified in the homozygous or compound heterozygous state in multiple affected individuals reported in the published literature (PMID: 1301956, 39392848) (PM3_Strong) as well as in affected heterozygous carriers (PMID:39392848). Functional studies have shown that this variant alters LDLR protein function (PMID: 1301956, 15100232, 39392848) (PS3_Moderate), and multiple computational algorithms predict a deleterious effect for this variant (REVEL score: 0.929) (PP3). Moreover, several alternate amino acid changes at this position (c.1027G>T (p.Gly343Cys), c.1028G>T (p.Gly343Val) and c.1028G>A (p.Gly343Asp) have been previously reported in similarly affected individuals, which suggests that this residue is biologically important (PM5). This variant has a 0.0083% maximum allele frequency in non-founder control populations (https://gnomad.broadinstitute.org/) (PM2). Based on the current evidence, this variant is classified as pathogenic for autosomal semidominant familial hypercholesterolemia 1.
Genetics Laboratory, Great Ormond Street Hospital NHS Foundation Trust, North Thames Genomic Laboratory Hub RCV000587327 SCV007537463 pathogenic Familial hypercholesterolemia 2026-01-29 criteria provided, single submitter clinical testing PS4_strong, PM2_moderate, PP3_supporting, PS3_moderate, PP1_moderate
Cambridge Genomics Laboratory, East Genomic Laboratory Hub, NHS Genomic Medicine Service RCV000587327 SCV007517115 pathogenic Familial hypercholesterolemia 2025-07-25 criteria provided, single submitter clinical testing ACMG criteria met: PS3, PS4, PM2, PM5, PM3, PP3, PP4. The rare missense variant c.1027G>A p.(Gly343Ser) in the LDLR gene has been reported for multiple individuals affected with familial hypercholesterolemia including an index case with a homozygous FH phenotype (Hobbs et al. 1992, Hum Mutat 1:445, Rieck et al. 2020, Clin Genet 98:457 Sanchez-Hernandez et al. 2016, Circ Cardiovasc Genet 9:504 and many more). Functional studies indicate a deleterious effect of the variant, which is due to impaired protein folding and reduced cell-surface expression (Boswell et al. 2004, J Biol Chem. 279:30611). For codon 343 three alternative variants have previously been classified as likely pathogenic or pathogenic according to the ClinGen Familial Hypercholesterolemia Expert Panel LDLR-specific variant curation guidelines.
Mayo Clinic Laboratories, Mayo Clinic RCV000161977 SCV007136857 pathogenic not provided 2025-02-19 criteria provided, single submitter clinical testing BS4, PP1_strong, PP3, PP4, PM2_moderate, PM3, PM5, PS3, PS4
LIPIGEN - Lipid Transport Disorders Italian Genetic Network RCV000211596 SCV007126791 pathogenic Hypercholesterolemia, familial, 1 2025-01-01 criteria provided, single submitter research
Juno Genomics, Hangzhou Juno Genomics, Inc RCV000211596 SCV005416476 pathogenic Hypercholesterolemia, familial, 1 criteria provided, single submitter clinical testing Absent from controls (or at extremely low frequency if recessive) in Genome Aggregation Database, Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium.;The prevalence of the variant in affected individuals is significantly increased compared to the prevalence in controls.;Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product.;Novel missense change at an amino acid residue where a different missense change determined to be pathogenic has been seen before.
All of Us Research Program, National Institutes of Health RCV000211596 SCV004820257 pathogenic Hypercholesterolemia, familial, 1 2024-06-09 criteria provided, single submitter clinical testing This missense variant replaces glycine with serine at codon 343 in the EGF-like repeat A of the LDLR protein. This variant is also known as p.Gly322Ser in the mature protein, and as and as FH-Picardie in the literature. Computational prediction tools indicate that this variant has a deleterious impact on protein structure and function. A functional study has shown a significantly reduced LDLR activity (15-30% of wild type) in cells from an individual compound heterozygous for this variant and another pathogenic LDLR variant (PMID: 1301956). This variant has been shown to cause LDLR protein mis-folding and partial reduction in cell surface expression of the protein (PMID: 15100232). This variant has been reported in over 20 individuals affected with familial hypercholesterolemia (PMID: 1301956, 11040093, 11933210, 15241806, 17765246, 18096825, 20506408, 22294733, 23375686, 25461735, 27765764, 30270055, 30293936, 32675963; Color internal data). It has been shown that this variant segregates with disease in multiple affected individuals across multiple families (ClinVar SCV004022448.1). This variant has also been observed in both homozygous and compound heterozygous state with a known pathogenic LDLR variant in two individuals affected with severe homozygous familial hypercholesterolemia, a phenotype expected of having two deleterious LDLR variants (PMID: 27784735). Different variants affecting the same codon (p.Gly343Asp, p.Gly343Cys, and p.Gly343Val), have been reported as disease-causing (ClinVar variation ID: 251606, 251605, 440618), suggesting that glycine at this position is important for LDLR function. This variant has been identified in 8/282454 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Based on the available evidence, this variant is classified as Pathogenic.
Greenwood Genetic Center Diagnostic Laboratories, Greenwood Genetic Center RCV000211596 SCV004099184 pathogenic Hypercholesterolemia, familial, 1 2023-09-28 criteria provided, single submitter clinical testing PS3, PS4, PM2, PM3, PP3, PP4, PP1_Strong
CeGaT Center for Human Genetics Tuebingen RCV000161977 SCV002822509 pathogenic not provided 2025-11-01 criteria provided, single submitter clinical testing LDLR: PS4, PM1, PM2, PM5, PS3:Supporting
Ambry Genetics RCV002381528 SCV002692971 pathogenic Cardiovascular phenotype 2025-03-10 criteria provided, single submitter clinical testing The p.G343S pathogenic mutation (also known as c.1027G>A), located in coding exon 7 of the LDLR gene, results from a G to A substitution at nucleotide position 1027. The glycine at codon 343 is replaced by serine, an amino acid with similar properties. This variant was reported in individual(s) with features consistent with familial hypercholesterolemia (Hobbs HH et al. Hum Mutat. 1992;1:445-66; Reshef A et al. Hum Genet. 1996;98:581-6; Thiart R et al. Mol Cell Probes. 2000;14:299-304; Fouchier SW et al. Hum Genet. 2001;109:602-15; Nissen H et al. Clin Genet. 1998;54:79-82; Mozas P et al. Hum Mutat. 2004;24:187; Bourbon M et al. Atherosclerosis. 2008;196:633-42; Bertolini S et al. Atherosclerosis. 2013;227:342-8; Huijgen R et al. Circ Cardiovasc Genet. 2011;4:413-7; Hooper AJ et al. Atherosclerosis. 2012;224:430-4). In an assay testing LDLR function, this variant showed a functionally abnormal result (Boswell EJ et al. J Biol Chem. 2004;279:30611-21). Based on internal structural analysis, this variant is more disruptive than known pathogenic variants (Rudenko G et al. Science. 2002 Dec;298(5602):2353-8). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation.
MGZ Medical Genetics Center RCV000211596 SCV002580607 pathogenic Hypercholesterolemia, familial, 1 2022-03-18 criteria provided, single submitter clinical testing
AiLife Diagnostics, AiLife Diagnostics RCV000161977 SCV002503520 pathogenic not provided 2022-02-25 criteria provided, single submitter clinical testing
Natera, Inc. RCV000587327 SCV002086401 pathogenic Familial hypercholesterolemia 2024-07-09 criteria provided, single submitter clinical testing The c.1027G>A variant in LDLR is a missense variant predicted to cause substitution of glycine to serine at amino acid 343. This variant is rare in the general population with a frequency below the threshold expected for the associated phenotype(s). This variant has been observed in affected individual(s) with monoallelic occurrence (heterozygous/hemizygous) (PMID: 30270055). This variant has been found together with another disease-causing variant in the same copy of the gene (PMID: 17150201). A different variant at the same position has been determined to be Pathogenic or Likely Pathogenic. Computational prediction algorithms indicate this variant is likely to affect gene or protein function. Given the available evidence, this variant is classified as Pathogenic.
Revvity Omics, Revvity RCV000211596 SCV002022655 likely pathogenic Hypercholesterolemia, familial, 1 2022-11-11 criteria provided, single submitter clinical testing
Genome-Nilou Lab RCV000211596 SCV001737221 likely pathogenic Hypercholesterolemia, familial, 1 2021-05-18 criteria provided, single submitter clinical testing
Laboratory of molecular diagnosis of dyslipidemias, Università egli studi di Napoli Federico II RCV000211596 SCV001653616 likely pathogenic Hypercholesterolemia, familial, 1 2021-05-24 criteria provided, single submitter clinical testing
Laboratory of Molecular Genetics, National Medical Research Center for Therapy and Preventive Medicine RCV000587327 SCV001482470 uncertain significance Familial hypercholesterolemia criteria provided, single submitter research
Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute RCV000161977 SCV001433407 pathogenic not provided 2019-08-02 criteria provided, single submitter clinical testing
Color Diagnostics, LLC DBA Color Health RCV000587327 SCV001344025 pathogenic Familial hypercholesterolemia 2024-01-30 criteria provided, single submitter clinical testing This missense variant replaces glycine with serine at codon 343 in the EGF-like repeat A of the LDLR protein. This variant is also known as p.Gly322Ser in the mature protein, and as and as FH-Picardie in the literature. Computational prediction tools indicate that this variant has a deleterious impact on protein structure and function. A functional study has shown a significantly reduced LDLR activity (15-30% of wild type) in cells from an individual compound heterozygous for this variant and another pathogenic LDLR variant (PMID: 1301956). This variant has been shown to cause LDLR protein mis-folding and partial reduction in cell surface expression of the protein (PMID: 15100232). This variant has been reported in over 20 individuals affected with familial hypercholesterolemia (PMID: 1301956, 11040093, 11933210, 15241806, 17765246, 18096825, 20506408, 22294733, 23375686, 25461735, 27765764, 30270055, 30293936, 32675963; Color internal data). It has been shown that this variant segregates with disease in multiple affected individuals across multiple families (ClinVar SCV004022448.1). This variant has also been observed in both homozygous and compound heterozygous state with a known pathogenic LDLR variant in two individuals affected with severe homozygous familial hypercholesterolemia, a phenotype expected of having two deleterious LDLR variants (PMID: 27784735). Different variants affecting the same codon (p.Gly343Asp, p.Gly343Cys, and p.Gly343Val), have been reported as disease-causing (ClinVar variation ID: 251606, 251605, 440618), suggesting that glycine at this position is important for LDLR function. This variant has been identified in 8/282454 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Based on the available evidence, this variant is classified as Pathogenic.
Quest Diagnostics Nichols Institute San Juan Capistrano RCV000161977 SCV001134244 pathogenic not provided 2023-10-16 criteria provided, single submitter clinical testing The LDLR c.1027G>A (p.Gly343Ser) variant has been reported in the published literature in multiple individuals and families with hypercholesterolemia (PMIDs: 36105085 (2022), 30710474 (2019), 30270055 (2018), 29353225 (2018), 27824480 (2017), 27784735 (2016), 27765764 (2016), 25461735 (2015), 20506408 (2010), 15241806 (2004), 11040093 (2000)). Experimental studies indicate the variant is damaging to LDLR function (PMIDs: 15100232 (2004), 1301956 (1992)). The frequency of this variant in the general population, 0.000047 (6/128994 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is consistent with pathogenicity. Analysis of this variant using software algorithms for the prediction of the effect of nucleotide changes on LDLR mRNA splicing yielded predictions that this variant may result in the gain of a cryptic splice site without affecting the natural splice sites. Based on the available information, this variant is classified as pathogenic.
Labcorp Genetics (formerly Invitae), Labcorp RCV000587327 SCV000821038 pathogenic Familial hypercholesterolemia 2026-01-12 criteria provided, single submitter clinical testing This sequence change replaces glycine, which is neutral and non-polar, with serine, which is neutral and polar, at codon 343 of the LDLR protein (p.Gly343Ser). This variant is present in population databases (rs730882096, gnomAD 0.005%). This missense change has been observed in individuals with familial hypercholesterolemia (PMID: 1301956, 11040093, 11933210, 15241806, 17765246, 18096825, 20506408, 22294733, 23375686, 25461735, 27765764). Invitae Evidence Modeling of clinical and family history, age, sex, and reported ancestry of multiple individuals with this LDLR variant has been performed. This variant is expected to be pathogenic with a positive predictive value of at least 99%. This is a validated machine learning model that incorporates the clinical features of 377,766 individuals referred to our laboratory for LDLR testing. This variant is also known as G322S or FH-Picardie. ClinVar contains an entry for this variant (Variation ID: 183106). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt LDLR protein function with a positive predictive value of 95%. Experimental studies have shown that this missense change affects LDLR function (PMID: 15100232). This variant disrupts the p.Gly343 amino acid residue in LDLR. Other variant(s) that disrupt this residue have been observed in individuals with LDLR-related conditions (PMID: 12436241, 18718593), which suggests that this may be a clinically significant amino acid residue. For these reasons, this variant has been classified as Pathogenic.
Iberoamerican FH Network RCV000211596 SCV000748094 uncertain significance Hypercholesterolemia, familial, 1 2016-03-01 criteria provided, single submitter research
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine RCV000844735 SCV000712222 pathogenic Homozygous familial hypercholesterolemia 2020-05-28 criteria provided, single submitter clinical testing The p.Gly343Ser variant in LDLR (also described as p.Gly332Ser in the literature) has been reported across multiple ethnic groups in numerous individuals with familial hypercholesterolemia (FH). Most reports in patient cohorts were in the heterozygous state, with 2 compound heterozygous and 1 homozygous reports respectively (Hobbs 1992, Reshef 1996, Thiart 2000, Van Gaal 2001, Fouchier 2001, Salazar 2002, Mozas 2004, Junyent 2008, Bourbon 2008, Guardamagna 2009, Huijgen 2010, Hollants 2012, Bertolini 2013, Jannes 2015, Wang 2016, Sánchez-Hernández 2016, Gabčová 2017, ClinVar: submission accessions SCV000503283.1, SCV000583777.1 and SCV000268593.1). This variant segregated with disease in at least 4 affected family members from 3 families (Bourbon 2008, Bertolini 2013, Gabčová 2017). This variant has also been reported by other clinical laboratories in ClinVar (Variation ID 183106) and has been identified in 0.004% (5/126580) of European chromosomes by gnomAD (http://gnomad.broadinstitute.org/). This frequency is low enough to be consistent with the frequency of FH in the general population. In vitro functional studies provide some evidence that the p.Gly343Ser variant affects protein folding and expression at the cell surface and results in decreased LDL receptor activity (Hobbs 1992; Boswell 2004). Computational prediction tools and conservation analysis suggest that the p.Gly343Ser variant may impact the protein. In addition, 3 other missense variants at this codon (p.Gly343Asp, p.Gly343Val, pGly343Cys) have been identified in patients with FH (Stenson 2017), suggesting that changes at this position are not tolerated. In summary, the p.Gly343Ser variant meets criteria to be classified as pathogenic for autosomal dominant FH based upon presence in multiple affected individuals, segregation studies, low frequency in controls, and functional and computational evidence. ACMG/AMP Criteria applied: PS4, PM2, PP3, PS3_supporting, PP1_Moderate.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000587327 SCV000697181 pathogenic Familial hypercholesterolemia 2017-05-09 criteria provided, single submitter clinical testing Variant summary: The LDLR c.1027G>A (p.Gly343Ser) variant involves the alteration of a conserved nucleotide, resulting in a missense substitution that lies within the EGF-like calcium-binding domain, the EGF-like domain, and the Growth factor receptor cysteine-rich domain (InterPro). 5/5 in silico tools predict a damaging outcome for this variant. This variant was found in the large control database ExAC at a frequency of 0.0000246 (3/121826 control chromosomes), which does not exceed the estimated maximal expected allele frequency of a pathogenic LDLR variant (0.0012508). The variant is present in patient cohorts affected with familial hypercholesterolemia (e.g., Bertolini_Arthero_2013; Salazar_HM_2002; Huijgen_HM_2010 amongst others) and is widely considered to be a pathogenic mutation in the literature. A functional study showed that the variant causes a ~50% reduction in LDL receptor protein at the cell surface likely due to protein misfolding, though the receptor that is present at the cell surface is able to bind and release LDL cholesterol properly (Boswell_JBC_2004). In addition, 2 other missense mutations at the Gly343 residue have been identified in patients with familial hypercholesterolemia (p.Gly343Cys [Jelassi_Artherosclerosis_2008] and p.Gly343Asp [Amsellem_HG_2002]), suggesting the residue is a critical amino acid in the development of hypercholesterolemia. Multiple clinical diagnostic laboratories/reputable databases have classified this variant with conflicting interpretations in ClinVar, including uncertain significance, likely pathogenic, and pathogenic. Taken together, this variant is classified as pathogenic.
GeneDx RCV000161977 SCV000617505 pathogenic not provided 2022-01-17 criteria provided, single submitter clinical testing Published functional studies demonstrate that this variant affects protein folding and cell surface expression, resulting in decreased LDL receptor activity (Hobbs et al., 1992; Boswell et al., 2004); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 11040093, 29353225, 11851376, 15241806, 18757057, 22294733, 19446849, 29874871, 30270055, 22390909, 15100232, 17765246, 27741487, 21382890, 23375686, 25487149, 26748104, 8882879, 11933210, 20506408, 25461735, 16627557, 27824480, 18096825, 11810272, 15890894, 23833242, 24627126, 25647241, 30586733, 27765764, 27784735, 31447099, 32977124, 32041611, 33303402, 32719484, 32522009, 32770674, 1301956, 33740630, 34037665, 27535533)
Fundacion Hipercolesterolemia Familiar RCV000211596 SCV000607546 uncertain significance Hypercholesterolemia, familial, 1 2016-03-01 criteria provided, single submitter research
Laboratory of Genetics and Molecular Cardiology, University of São Paulo RCV000211596 SCV000588541 uncertain significance Hypercholesterolemia, familial, 1 2016-03-01 criteria provided, single submitter research
U4M - Lille University & CHRU Lille, Université de Lille - CHRU de Lille RCV000211596 SCV000583777 pathogenic Hypercholesterolemia, familial, 1 2017-03-30 criteria provided, single submitter clinical testing
Centre de Génétique Moléculaire et Chromosomique, Unité de génétique de l'Obésité et des Dyslipidémies, APHP, GH Hôpitaux Universitaires Pitié-Salpêtrière / Charles-Foix RCV000211596 SCV000503283 likely pathogenic Hypercholesterolemia, familial, 1 2016-12-16 criteria provided, single submitter clinical testing subjects mutated among 2600 FH index cases screened = 7 , family members = 12 with co-segregation (1 homozygote in a family) / FH-Picardie, 15 to 30% LDLR activity / Software predictions: Damaging
Robarts Research Institute, Western University RCV000211596 SCV000484753 likely pathogenic Hypercholesterolemia, familial, 1 criteria provided, single submitter clinical testing
Cardiovascular Research Group, Instituto Nacional de Saude Doutor Ricardo Jorge RCV000211596 SCV000322922 uncertain significance Hypercholesterolemia, familial, 1 2016-03-01 criteria provided, single submitter research 0/190 non-FH alleles; 0/200 Brazilian (european ancestry) normolipidemic individuals
LDLR-LOVD, British Heart Foundation RCV000211596 SCV000295150 likely pathogenic Hypercholesterolemia, familial, 1 2016-03-25 criteria provided, single submitter literature only
PreventionGenetics, part of Exact Sciences RCV004745230 SCV005349730 pathogenic LDLR-related disorder 2024-06-17 no assertion criteria provided clinical testing The LDLR c.1027G>A variant is predicted to result in the amino acid substitution p.Gly343Ser. This variant has been repeatedly reported in many individuals with hypercholesterolemia (Variant is also reported as G322S, Hobbs et al. 1992. PubMed ID: 1301956; Huijgen et al. 2012. PubMed ID: 22390909; Salazar et al. 2002. PubMed ID: 11933210; Supplementary Table 1, Kusters et al. 2013. PubMed ID: 23833242; Sánchez-Hernández et al. 2016. PubMed ID: 27784735) and has been interpreted as pathogenic by the ClinGen Familial Hypercholesterolemia Variant Curation Expert Panel (https://www.ncbi.nlm.nih.gov/clinvar/variation/183106/). Functional studies indicate this variant disrupts protein function (Reported as G322S in Boswell et al. 2004. PubMed ID: 15100232). This variant is reported in 0.0050% of alleles in individuals of East Asian descent in gnomAD. This variant is interpreted as pathogenic.
Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham RCV000211596 SCV005205810 likely pathogenic Hypercholesterolemia, familial, 1 2023-01-01 no assertion criteria provided clinical testing This variant (LDLR):c.1027G>A (p.Gly343Ser) variant is classified as Pathogenic (modified) for Familial Hypercholesterolemia by applying evidence codes (PM2, PP3, PS3, PP4, PS4, PP1_Strong, PM5, PM3, BS4) as defined by the ClinGen Familial Hypercholesterolemia Expert Panel LDLR-specific variant curation guidelines (https://doi.org/10.1016/j.gim.2021.09.012).
Zotz-Klimas Genetics Lab, MVZ Zotz Klimas RCV000211596 SCV004171582 pathogenic Hypercholesterolemia, familial, 1 2023-11-24 no assertion criteria provided clinical testing
Department of Traditional Chinese Medicine, Fujian Provincial Hospital RCV000211596 SCV002098042 pathogenic Hypercholesterolemia, familial, 1 no assertion criteria provided research The missense point mutations c.G1027A (p.G343S) was identified in a family with familial hypercholesterolemia. According to the American College of Medical Genetics and Genomics (ACMG) pathogenicity rating criteria and guidelines, it was predicted that the c.G1027A mutation was pathogenic. These mutations affected LDLR binding to LDL containing APOB and APOE, resulting in the disturbance of LDL metastasis in blood and excessive siltation in tissues, leading to multiple cutaneous xanthoma and atherosclerosis.  The discovered mutations in LDLR enriched
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+ RCV000161977 SCV001952071 likely pathogenic not provided no assertion criteria provided clinical testing
Clinical Genetics, Academic Medical Center RCV000161977 SCV001918292 pathogenic not provided no assertion criteria provided clinical testing
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen RCV000161977 SCV001744899 pathogenic not provided no assertion criteria provided clinical testing
Laboratorium voor Moleculaire Diagnostiek Experimentele Vasculaire Geneeskunde, Academisch Medisch Centrum RCV000211596 SCV000606295 pathogenic Hypercholesterolemia, familial, 1 no assertion criteria provided research
Cardiovascular Genetics Laboratory, PathWest Laboratory Medicine WA - Fiona Stanley Hospital RCV000211596 SCV000268593 pathogenic Hypercholesterolemia, familial, 1 2008-06-09 no assertion criteria provided clinical testing
Dept. of Genetics and Pharmacogenomics, Merck Research Labs RCV000161977 SCV000189552 not provided not provided no classification provided in vitro

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