NM_002294.3(LAMP2):c.928G>A (p.Val310Ile)
criteria provided, multiple submitters, no conflicts. Learn more about how ClinVar calculates review status.
Pathogenic (5)
The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.
No data submitted for somatic clinical impact
No data submitted for oncogenicity
Variant Details
- Identifiers
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NM_002294.3(LAMP2):c.928G>A (p.Val310Ile)
Variation ID: 9982 Accession: VCV000009982.26
- Type and length
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single nucleotide variant, 1 bp
- Location
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Cytogenetic: Xq24 X: 120442599 (GRCh38) [ NCBI UCSC ] X: 119576454 (GRCh37) [ NCBI UCSC ]
- Timeline in ClinVar
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First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.
Last submission Help The date of the most recent submission for each type of classification for this variant.
Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline Feb 24, 2015 Feb 15, 2026 Mar 18, 2025 - HGVS
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... more HGVS ... less HGVSNucleotide Protein Molecular
consequenceNM_002294.3:c.928G>A MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.
NP_002285.1:p.Val310Ile missense NM_001122606.1:c.928G>A NP_001116078.1:p.Val310Ile missense NM_013995.2:c.928G>A NP_054701.1:p.Val310Ile missense NC_000023.11:g.120442599C>T NC_000023.10:g.119576454C>T NG_007995.1:g.31751G>A LRG_749:g.31751G>A LRG_749t1:c.928G>A LRG_749p1:p.Val310Ile LRG_749t2:c.928G>A LRG_749p2:p.Val310Ile LRG_749t3:c.928G>A LRG_749p3:p.Val310Ile - Protein change
- V310I
- Other names
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p.V310I:GTT>ATT
- Canonical SPDI
- NC_000023.11:120442598:C:T
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Global minor allele
frequency (GMAF) HelpThe global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.
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Allele frequency
Help
The frequency of the allele represented by this VCV record.
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- Links
Genes
| Gene | OMIM | ClinGen Gene Dosage Sensitivity Curation |
Variation Viewer
Help
Links to Variation Viewer, a genome browser to view variation data from NCBI databases. |
Related variants | ||
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| HI score
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The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
TS score
Help
The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
Within gene
Help
The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants. |
All
Help
The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene. |
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| LAMP2 | Sufficient evidence for dosage pathogenicity | No evidence available |
GRCh38 GRCh37 |
955 | 1135 | |
Conditions - Germline
| Condition
Help
The condition for this variant-condition (RCV) record in ClinVar. |
Classification
Help
The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions) |
Review status
Help
The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. |
Last evaluated
Help
The most recent date that a submitter evaluated this variant for the condition. |
Variation/condition record
Help
The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page. |
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| Pathogenic (3) |
criteria provided, multiple submitters, no conflicts
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Mar 18, 2025 | RCV000010663.22 | |
| Pathogenic (4) |
criteria provided, single submitter
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Sep 10, 2020 | RCV000157981.6 | |
| Pathogenic (1) |
criteria provided, single submitter
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Feb 20, 2014 | RCV000844638.4 | |
| Pathogenic (1) |
criteria provided, single submitter
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Mar 19, 2021 | RCV002371769.2 |
Submissions - Germline
| Classification
Help
The submitted germline classification for each SCV record. (Last evaluated) |
Review status
Help
Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria) |
Condition
Help
The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant. |
Submitter
Help
The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
Expand all rows
Collapse all rows
Help
This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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Pathogenic
(Feb 20, 2014)
C
Contributing to aggregate classification
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criteria provided, single submitter
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Hypertrophic cardiomyopathy
Danon disease (X-linked inheritance)
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Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Accession: SCV000061093.5
First in ClinVar: May 03, 2013 Last updated: Aug 31, 2019 |
Comment:
show
The p.Val310Ile variant in LAMP2 has been reported in multiple individuals with HCM or Danon disease, where it showed segregation with disease in multiple famil ies and de novo occurrence in at least 1 family (Arad 2005, Bertini 2005, Burusn ukul, 2008, Maron 2009, Sabourdy 2009, LMM data). It has not been identified in large population studies. It was shown to alter splicing of the LAMP2 mRNA, resu lting in a frameshift and subsequent premature termination in exon 8 (Arad 2005, Sabourdy 2009). This variant has been identified in ClinVar (Variant ID: 9982). Loss of function of the LAMP2 gene is an established disease mechanism and is t ypically associated with Danon disease. In summary, this variant meets criteria to be classified as pathogenic. (less)
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: not provided
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: not provided
Number of individuals with the variant: 7
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Pathogenic
(Mar 19, 2021)
C
Contributing to aggregate classification
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criteria provided, single submitter
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Cardiovascular phenotype |
Ambry Genetics
Accession: SCV002686542.2
First in ClinVar: Nov 29, 2022 Last updated: May 01, 2024 |
Comment:
show
The c.928G>A pathogenic mutation (also known as p.V310I), located in coding exon 7 of the LAMP2 gene, results from a G to A substitution at nucleotide position 928. The amino acid change results in valine to isoleucine at codon 310, an amino acid with highly similar properties. However, this change occurs in the last base pair of coding exon 7, which makes it likely to have some effect on normal mRNA splicing. This alteration has been reported de novo in a subject with hypertrophic cardiomyopathy (HCM) and Danon disease (Arad M et al. N Engl J Med, 2005 Jan;352:362-72). In addition, this mutation has been reported in HCM cohorts, subjects with Danon disease as well as other subjects with features of LAMP2-related disease (Sabourdy F et al. Muscle Nerve, 2009 Jun;39:837-44; Alfares AA et al. Genet Med, 2015 Nov;17:880-8; Walsh R et al. Genet Med, 2017 02;19:192-203; Gourzi P et al. Eur J Med Genet, 2019 Jan;62:77-80). This nucleotide position is highly conserved in available vertebrate species. In silico splice site analysis predicts that this alteration will weaken the native splice donor site. In addition, as a missense substitution this is predicted to be tolerated by in silico analysis. Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation. (less)
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: unknown
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: unknown
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Pathogenic
(Dec 11, 2018)
C
Contributing to aggregate classification
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criteria provided, single submitter
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Danon disease
(X-linked inheritance)
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Institute of Human Genetics Munich, TUM University Hospital
Accession: SCV001149822.2
First in ClinVar: Feb 03, 2020 Last updated: Apr 13, 2025 |
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
Zygosity: 1 Single Heterozygote
Sex: female
Tissue: blood
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Pathogenic
(Mar 18, 2025)
C
Contributing to aggregate classification
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criteria provided, single submitter
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Danon disease |
Labcorp Genetics (formerly Invitae), Labcorp
Accession: SCV001401143.7
First in ClinVar: Jul 16, 2020 Last updated: Feb 15, 2026 |
Comment:
show
This sequence change replaces valine, which is neutral and non-polar, with isoleucine, which is neutral and non-polar, at codon 310 of the LAMP2 protein (p.Val310Ile). RNA analysis indicates that this missense change induces altered splicing and may result in an absent or altered protein product. This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with Danon disease or dilated cardiomyopathy (PMID: 15673802, 16217705, 19373884, 29753918). In at least one individual the variant was observed to be de novo. ClinVar contains an entry for this variant (Variation ID: 9982). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Studies have shown that this missense change results in skipping of exon 7, and produces a non-functional protein and/or introduces a premature termination codon (PMID: 16217705, 19373884). For these reasons, this variant has been classified as Pathogenic. (less)
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: unknown
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: unknown
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Pathogenic
(Sep 10, 2020)
C
Contributing to aggregate classification
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criteria provided, single submitter
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not provided |
GeneDx
Accession: SCV000207916.11
First in ClinVar: Feb 24, 2015 Last updated: Feb 24, 2015 |
Comment:
show
Destroys a canonical splice donor site and results in the skipping of exon 7 (Arad et al., 2005); Not observed in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 18555174, 25611685, 29753918, 16217705, 15673802, 22695892, 19373884, 19318653, 20173215, 12398843, 27600940, 27532257, 33763395) (less)
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
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Pathogenic
(Jan 27, 2005)
N
Not contributing to aggregate classification
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no assertion criteria provided
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DANON DISEASE |
OMIM
Accession: SCV000030889.4
First in ClinVar: Apr 04, 2013 Last updated: Jun 03, 2022 |
Observation: 1
Collection method: literature only
Allele origin: germline
Affected status: not provided
Observation 1
Collection method: literature only
Allele origin: germline
Affected status: not provided
Comment on evidence:
In a male proband with Danon disease (300257), described as glycogen storage disease presenting as hypertrophic cardiomyopathy, Arad et al. (2005) found a 928G-A transition … (more)
In a male proband with Danon disease (300257), described as glycogen storage disease presenting as hypertrophic cardiomyopathy, Arad et al. (2005) found a 928G-A transition in the LAMP2 gene that resulted in a val310-to-ile (V310I) amino acid substitution. The mutation affected RNA processing and hence produced a frameshift (K289FS). Genetic studies demonstrated mosaicism: both mutant and wildtype LAMP2 sequences were identified despite a normal XY karyotype. (less)
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Pathogenic
(-)
N
Not contributing to aggregate classification
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no assertion criteria provided
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not provided |
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Study: VKGL Data-share Consensus
Accession: SCV001742174.3 First in ClinVar: Jul 07, 2021 Last updated: Sep 08, 2021 |
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
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Pathogenic
(-)
N
Not contributing to aggregate classification
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no assertion criteria provided
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not provided |
Genome Diagnostics Laboratory, University Medical Center Utrecht
Study: VKGL Data-share Consensus
Accession: SCV001932866.1 First in ClinVar: Sep 26, 2021 Last updated: Sep 26, 2021 |
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
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Pathogenic
(-)
N
Not contributing to aggregate classification
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no assertion criteria provided
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not provided |
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Study: VKGL Data-share Consensus
Accession: SCV001952843.1 First in ClinVar: Oct 02, 2021 Last updated: Oct 02, 2021 |
Observation: 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
Observation 1
Collection method: clinical testing
Allele origin: germline
Affected status: yes
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Citations for germline classification of this variant
Help| Title | Author | Journal | Year | Link |
|---|---|---|---|---|
| A new phenotype of severe dilated cardiomyopathy associated with a mutation in the LAMP2 gene previously known to cause hypertrophic cardiomyopathy in the context of Danon disease. | Gourzi P | European journal of medical genetics | 2019 | PMID: 29753918 |
| Reassessment of Mendelian gene pathogenicity using 7,855 cardiomyopathy cases and 60,706 reference samples. | Walsh R | Genetics in medicine : official journal of the American College of Medical Genetics | 2017 | PMID: 27532257 |
| Results of clinical genetic testing of 2,912 probands with hypertrophic cardiomyopathy: expanded panels offer limited additional sensitivity. | Alfares AA | Genetics in medicine : official journal of the American College of Medical Genetics | 2015 | PMID: 25611685 |
| Danon disease: further clinical and molecular heterogeneity. | Sabourdy F | Muscle & nerve | 2009 | PMID: 19373884 |
| Clinical outcome and phenotypic expression in LAMP2 cardiomyopathy. | Maron BJ | JAMA | 2009 | PMID: 19318653 |
| Danon disease: an unusual presentation of autism. | Burusnukul P | Pediatric neurology | 2008 | PMID: 18555174 |
| Aberrant 5' splice sites in human disease genes: mutation pattern, nucleotide structure and comparison of computational tools that predict their utilization. | Buratti E | Nucleic acids research | 2007 | PMID: 17576681 |
| Phenotypic heterogeneity in two unrelated Danon patients associated with the same LAMP-2 gene mutation. | Bertini E | Neuropediatrics | 2005 | PMID: 16217705 |
| Glycogen storage diseases presenting as hypertrophic cardiomyopathy. | Arad M | The New England journal of medicine | 2005 | PMID: 15673802 |
| Statistical features of human exons and their flanking regions. | Zhang MQ | Human molecular genetics | 1998 | PMID: 9536098 |
Submissions - Functional Data
In the sample (TCGA-DJ-A1QF), the counts of splice junction spanning reads and abundance of the transcript adjacent to this mutation were compared with RNASeq data from matched tissues and tumors lacking the same mutation using Veridical (PMID:24741438)
- Disease context: Thyroid cancer, nonmedullary, 1
- Transcript, protein change: NM_002294.3:c.928G>A, V310I
- Molecular phenotype measured: splicing
- Cell line: TCGA-DJ-A1QF
- Tissue: Thyroid Carcinoma (THCA)
- Collection method: in vitro
- Species: human
- Number of controls: 516
In the sample (TCGA-DJ-A3US), the counts of splice junction spanning reads and abundance of the transcript adjacent to this mutation were compared with RNASeq data from matched tissues and tumors lacking the same mutation using Veridical (PMID:24741438)
- Disease context: Thyroid cancer, nonmedullary, 1
- Transcript, protein change: NM_002294.3:c.928G>A, V310I
- Molecular phenotype measured: splicing
- Cell line: TCGA-DJ-A3US
- Tissue: Thyroid Carcinoma (THCA)
- Collection method: in vitro
- Species: human
- Number of controls: 516
In the sample (TCGA-BJ-A2N9), the counts of splice junction spanning reads and abundance of the transcript adjacent to this mutation were compared with RNASeq data from matched tissues and tumors lacking the same mutation using Veridical (PMID:24741438)
- Disease context: Thyroid cancer, nonmedullary, 1
- Transcript, protein change: NM_002294.3:c.928G>A, V310I
- Molecular phenotype measured: splicing
- Cell line: TCGA-BJ-A2N9
- Tissue: Thyroid Carcinoma (THCA)
- Collection method: in vitro
- Species: human
- Number of controls: 516
In the sample (TCGA-DJ-A3V7), the counts of splice junction spanning reads and abundance of the transcript adjacent to this mutation were compared with RNASeq data from matched tissues and tumors lacking the same mutation using Veridical (PMID:24741438)
- Disease context: Thyroid cancer, nonmedullary, 1
- Transcript, protein change: NM_002294.3:c.928G>A, V310I
- Molecular phenotype measured: splicing
- Cell line: TCGA-DJ-A3V7
- Tissue: Thyroid Carcinoma (THCA)
- Collection method: in vitro
- Species: human
- Number of controls: 516
In the sample (TCGA-DJ-A1QM), the counts of splice junction spanning reads and abundance of the transcript adjacent to this mutation were compared with RNASeq data from matched tissues and tumors lacking the same mutation using Veridical (PMID:24741438)
- Disease context: Thyroid cancer, nonmedullary, 1
- Transcript, protein change: NM_002294.3:c.928G>A, V310I
- Molecular phenotype measured: splicing
- Cell line: TCGA-DJ-A1QM
- Tissue: Thyroid Carcinoma (THCA)
- Collection method: in vitro
- Species: human
- Number of controls: 516
Text-mined citations for rs104894858 ...
HelpRecord last updated Apr 13, 2026
This date represents the last time this VCV record was updated. The update may be due to an update to one of the included submitted records (SCVs), or due to an update that ClinVar made to the variant such as adding HGVS expressions or a rs number. So this date may be different from the date of the “most recent submission” reported at the top of this page.
