ClinVar Miner

Submissions for variant NM_001360.3(DHCR7):c.326T>C (p.Leu109Pro)

gnomAD frequency: 0.00001  dbSNP: rs121912195
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Counsyl RCV000665858 SCV000790047 likely pathogenic Smith-Lemli-Opitz syndrome 2017-03-14 criteria provided, single submitter clinical testing
Baylor Genetics RCV000665858 SCV001163340 likely pathogenic Smith-Lemli-Opitz syndrome criteria provided, single submitter clinical testing
GeneDx RCV001568654 SCV001792564 pathogenic not provided 2020-01-28 criteria provided, single submitter clinical testing Not observed at a significant frequency in large population cohorts (Lek et al., 2016); The majority of missense variants in this gene are considered pathogenic (Stenson et al., 2014); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 15896653, 23293579, 20556518, 19390132, 22975760, 11427181, 10677299, 10995508, 12070263)
Invitae RCV000665858 SCV002228495 pathogenic Smith-Lemli-Opitz syndrome 2023-07-25 criteria provided, single submitter clinical testing This sequence change replaces leucine, which is neutral and non-polar, with proline, which is neutral and non-polar, at codon 109 of the DHCR7 protein (p.Leu109Pro). For these reasons, this variant has been classified as Pathogenic. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt DHCR7 protein function. ClinVar contains an entry for this variant (Variation ID: 550951). This missense change has been observed in individuals with Smith–Lemli–Opitz syndrome (PMID: 10677299, 10995508, 11427181, 17441222). This variant is present in population databases (rs121912195, gnomAD 0.007%).
Ambry Genetics RCV002442392 SCV002612403 likely pathogenic Inborn genetic diseases 2016-04-11 criteria provided, single submitter clinical testing The p.L109P variant (also known as c.326T>C), located in coding exon 3 of the DHCR7 gene, results from a T to C substitution at nucleotide position 326. The leucine at codon 109 is replaced by proline, an amino acid with similar properties. This variant has been reported in multiple individuals with a diagnosis of Smith-Lemli-Opitz syndrome (SLOS) and second pathogenic mutation, (Witsch-Baumgartner M, Am. J. Hum. Genet. 2000 Feb; 66(2):402-12; Krakowiak PA, Am. J. Med. Genet. 2000 Sep; 94(3):214-27; Jira PE, Ann. Hum. Genet. 2001 May; 65(Pt 3):229-36; Jezela-Stanek A, J. Inherit. Metab. Dis. 2010 Dec; 33 Suppl 3:S241-8a); only one report confirmed this variant and the second pathogenic mutation to be in trans (Balogh I, Mol Syndromol 2012 Nov; 3(5):215-22). This variant was previously reported in the SNPDatabase as rs121912195. Based on data from the NHLBI Exome Sequencing Project (ESP), no alterations were observed among 12988 alleles tested (0.0%). Allele frequency data for this nucleotide position is not currently available from the 1000 Genomes Project. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be possibly damaging and deleterious by PolyPhen and SIFT in silico analyses, respectively. .

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