Description
The c.872A>T (p.Glu291Val) variant identified in the LMNA gene substitutes a well conserved Glutamic Acid for Valine at amino acid291/665 (exon 5/12). This variant is absent from population databases (gnomADv3.1.2, BRAVO-TOPMed Freeze 8, All of Us) suggesting it is not a common benign variant in the populations represented in those databases. In silico algorithms predict this variant to be Pathogenic (REVEL; score:0.9509). While the p.Glu291Val variant identified here is absent from ClinVar, a different variant at the same amino acid position, p.Glu291Lys has been reported as Pathogenic in ClinVar(VarID:200942), and reported in multiple individuals in the literature with arrhythmias, dilated cardiomyopathy, and conduction disease or heart block [PMID:25498755, 32413188]. The p.Glu291Val variant has not been previously reported in the literature in affected individuals. The p.Glu291 residue is within the Coil 2 region of the Rod domain of LMNA (UniProtKB:P02545), and other missense variants in this region have been reported in individuals with LMNA-associated cardiac phenotypes [PMID:32413188, 30402260]. Given its absence in population databases, in silico algorithms strongly predict a damaging effect to the protein, and the presence of different pathogenic missense change at the same amino acid (p.Glu291Lys), the c.872A>T (p.Glu291Val) variant identified in the LMNA gene is reported as Likely Pathogenic.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | yes | 1 | not provided | not provided | | 1 | not provided | not provided | not provided |