The LSBD-UMD-LDLR mutations database
LDLR DATABASE MUTATION REPORT SHEET

Instructions to fill in the LDLR Database report sheet



* Spaces that must be filled in to include this mutation in the database.

** Frame the correct information(s) and line the other(s) .




SEND THE REPORT SHEET FILLED IN TO Dr Mathilde VARRET :

Address : INSERM U 698
CHU Xavier Bichat Secteur Claude Bernard
46, rue Henri Huchard
75018 Paris
FRANCE
Fax +33 1 40 25 86 02
e-mail : mathilde.varret@inserm.fr


LDLR DATABASE MUTATION REPORT SHEET

For point mutations and small deletions or insertions (<99bp) only.

NAME* (According to the recommendations of the Human Genome Variation Society at www.hgvs.org/mutnomen/) :

File (Do not fill in this space) :


MOLECULAR INFORMATIONS

Nucleotide* :

Event :

Codon* :

CpG :

Exon* :

Type :

WT codon* :

Mutant codon* :

Inserted sequence (In case of insertions *) :

Genotype of the mutation* : Wa aa ab Wa/b  **

Name of the second mutation (in case of compound heterozygote* ) :

Restriction site created :

Restriction site abolished :


PROTEIN INFORMATIONS

WT amino acid* :

Mutant amino acid * :

Affected domain* :

Mutation class :

LDLR activity (%) :

Others :


PERSONAL INFORMATIONS

Ethnic Origin* :


Clinical status * : Heterozygote Homozygote **

Sex : M F  **

Cosanguinity : Yes No **

Age (At lipid mesurement) :

BMI (At lipid mesurement) :

Familial history : FH   CAD     xanthomas     arcus cornean   Don’t know **

Others :


For point mutations and small deletions or insertions (<99bp) only.

NAME* (According to the recommendations of the Human Genome Variation Society at www.hgvs.org/mutnomen/) :

File (Do not fill in this space) :


CLINICAL INFORMATIONS (Without treatment or diet)

Total cholesterol (mmol/l) :


HDL cholesterol (mmol/l) :

Xanthomas : Yes No Don’t know **

Triglycerides (mmol/l) :

CAD : Yes No Don’t know **

LDL cholesterol(mmol/l) :

arcus corneae : Yes No Don’t know **

Others :


RECURRENCE OF THE MUTATION

F P DN R  **

F : founder effect. Indicate the ratio of mutations found in the tested population :


P : private mutation, today.

DN : de novo mutation.

R : recurrent mutation. Indicate the other(s) population(s) were the mutation was found:


METHOD*

Detection method** : Sequencing SSCP DGGE ASO

Other :

All the LDLR gene was screened** : 

Yes

No, Indicate exons sreened :


For point mutations and small deletions or insertions (<99bp) only.

NAME* (According to the recommendations of the Human Genome Variation Society at www.hgvs.org/mutnomen/) :

File (Do not fill in this space) :


EVIDENCE FOR EXISTENCE AND EFFECT OF MUTATION*

Base change found on repeat PCR sample** : Yes No Don’t know

Base change segregates or appears with trait** : Yes No Don’t know

Base change affects conserved residues** : Yes No Don’t know

Expression analysis supports hypothesis for causation** : Yes No Don’t know

Normals tested (50 required)** : Yes No Don’t know


REFERENCE (if the mutation is published)*




YOUR NAME AND ADRESSE *

Name :

e-mail :

Address :


Postal Code :

City :

Country :

Phone :

Fax :

Do you allowd us to add these informations in the TEAMS’ page of the LSDB-UMD-LDLR web site:

Yes No  **


For point mutations and small deletions or insertions (<99bp) only.

NAME* (According to the recommendations of the Human Genome Variation Society at www.hgvs.org/mutnomen/) :

File (Do not fill in this space) :


OTHER COMMENTS