ClinVar Miner

Submissions for variant NM_006767.4(LZTR1):c.1433G>A (p.Arg478Gln)

gnomAD frequency: 0.00004  dbSNP: rs138036477
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV001968188 SCV002239783 uncertain significance not provided 2024-01-08 criteria provided, single submitter clinical testing This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 478 of the LZTR1 protein (p.Arg478Gln). This variant is present in population databases (rs138036477, gnomAD 0.007%). This variant has not been reported in the literature in individuals affected with LZTR1-related conditions. ClinVar contains an entry for this variant (Variation ID: 1461893). 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 not expected to disrupt LZTR1 protein function with a negative predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.
Ambry Genetics RCV002388938 SCV002702819 uncertain significance Hereditary cancer-predisposing syndrome; Cardiovascular phenotype 2022-09-12 criteria provided, single submitter clinical testing The p.R478Q variant (also known as c.1433G>A), located in coding exon 13 of the LZTR1 gene, results from a G to A substitution at nucleotide position 1433. The arginine at codon 478 is replaced by glutamine, an amino acid with highly similar properties. This amino acid position is well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV003388069 SCV004100164 uncertain significance not specified 2023-09-26 criteria provided, single submitter clinical testing Variant summary: LZTR1 c.1433G>A (p.Arg478Gln) results in a conservative amino acid change located in the BTB/POZ domain (IPR000210) of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 2.9e-05 in 239144 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. To our knowledge, no occurrence of c.1433G>A in individuals affected with Noonan Syndrome and no experimental evidence demonstrating its impact on protein function have been reported. Two submitters have cited clinical-significance assessments for this variant to ClinVar after 2014; all submitters classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance.
Baylor Genetics RCV004571757 SCV005060651 uncertain significance Schwannomatosis 2 2024-02-01 criteria provided, single submitter clinical testing
GeneDx RCV001968188 SCV005384726 uncertain significance not provided 2024-01-26 criteria provided, single submitter clinical testing In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge

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