11-108268393-G-T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP2_StrongBP4BA1

This summary comes from the ClinGen Evidence Repository: The ATM c.2639-17G>T variant has a gnomAD v2.1.1 filtering allele frequency of 6.505% (African/African-American; exomes) which exceeds the ATM BA1 threshold of 0.50% (BA1). This variant has been observed in a homozygous state in multiple individuals without biallelic disease (BP2_Strong; GTR Lab ID: 61756). In silico splicing predictors (SpliceAI: AL 0.00/DL 0.00/AG 0.01/DG 0.00; MaxEntScan: +1.92% (wild type = 9.90, variant = 10.09)) find that this variant is unlikely to affect splicing (BP4). In summary, this variant meets criteria to be classified as benign based on the ACMG/AMP criteria applied as specified by the HBOP Variant Curation Expert Panel. LINK:https://erepo.genome.network/evrepo/ui/classification/CA163513/MONDO:0016419/020

Frequency

Genomes: 𝑓 0.021 ( 87 hom., cov: 32)
Exomes 𝑓: 0.0058 ( 233 hom. )

Consequence

ATM
NM_000051.4 intron

Scores

2

Clinical Significance

Benign reviewed by expert panel B:18

Conservation

PhyloP100: 0.209

Publications

10 publications found
Variant links:
Genes affected
ATM (HGNC:795): (ATM serine/threonine kinase) The protein encoded by this gene belongs to the PI3/PI4-kinase family. This protein is an important cell cycle checkpoint kinase that phosphorylates; thus, it functions as a regulator of a wide variety of downstream proteins, including tumor suppressor proteins p53 and BRCA1, checkpoint kinase CHK2, checkpoint proteins RAD17 and RAD9, and DNA repair protein NBS1. This protein and the closely related kinase ATR are thought to be master controllers of cell cycle checkpoint signaling pathways that are required for cell response to DNA damage and for genome stability. Mutations in this gene are associated with ataxia telangiectasia, an autosomal recessive disorder. [provided by RefSeq, Aug 2010]
ATM Gene-Disease associations (from GenCC):
  • hereditary breast carcinoma
    Inheritance: AD Classification: DEFINITIVE Submitted by: Ambry Genetics, ClinGen
  • ataxia telangiectasia
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P, ClinGen, Laboratory for Molecular Medicine, Orphanet
  • hereditary nonpolyposis colon cancer
    Inheritance: AD Classification: MODERATE, LIMITED Submitted by: ClinGen, Ambry Genetics
  • prostate cancer
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • sarcoma
    Inheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
  • familial ovarian cancer
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • gastric carcinoma
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP2
For more information check the summary or visit ClinGen Evidence Repository.
BP4
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000051.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATM
NM_000051.4
MANE Select
c.2639-17G>T
intron
N/ANP_000042.3
ATM
NM_001351834.2
c.2639-17G>T
intron
N/ANP_001338763.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATM
ENST00000675843.1
MANE Select
c.2639-17G>T
intron
N/AENSP00000501606.1
ATM
ENST00000452508.7
TSL:1
c.2639-17G>T
intron
N/AENSP00000388058.2
ATM
ENST00000531525.3
TSL:1
c.2639-17G>T
intron
N/AENSP00000434327.3

Frequencies

GnomAD3 genomes
AF:
0.0214
AC:
3254
AN:
152028
Hom.:
88
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0672
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00720
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.0150
Gnomad SAS
AF:
0.0464
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000441
Gnomad OTH
AF:
0.0139
GnomAD2 exomes
AF:
0.0123
AC:
3094
AN:
250648
AF XY:
0.0126
show subpopulations
Gnomad AFR exome
AF:
0.0684
Gnomad AMR exome
AF:
0.00370
Gnomad ASJ exome
AF:
0.00149
Gnomad EAS exome
AF:
0.0148
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000449
Gnomad OTH exome
AF:
0.00671
GnomAD4 exome
AF:
0.00580
AC:
8458
AN:
1459386
Hom.:
233
Cov.:
30
AF XY:
0.00687
AC XY:
4987
AN XY:
726186
show subpopulations
African (AFR)
AF:
0.0714
AC:
2388
AN:
33444
American (AMR)
AF:
0.00394
AC:
176
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00145
AC:
38
AN:
26132
East Asian (EAS)
AF:
0.0275
AC:
1091
AN:
39638
South Asian (SAS)
AF:
0.0468
AC:
4032
AN:
86138
European-Finnish (FIN)
AF:
0.0000191
AC:
1
AN:
52402
Middle Eastern (MID)
AF:
0.00244
AC:
14
AN:
5726
European-Non Finnish (NFE)
AF:
0.000199
AC:
221
AN:
1110858
Other (OTH)
AF:
0.00824
AC:
497
AN:
60324
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
394
788
1183
1577
1971
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
132
264
396
528
660
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0214
AC:
3255
AN:
152146
Hom.:
87
Cov.:
32
AF XY:
0.0216
AC XY:
1606
AN XY:
74388
show subpopulations
African (AFR)
AF:
0.0670
AC:
2781
AN:
41480
American (AMR)
AF:
0.00719
AC:
110
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.000865
AC:
3
AN:
3470
East Asian (EAS)
AF:
0.0148
AC:
77
AN:
5186
South Asian (SAS)
AF:
0.0462
AC:
223
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10568
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.000441
AC:
30
AN:
68012
Other (OTH)
AF:
0.0137
AC:
29
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
164
328
492
656
820
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
36
72
108
144
180
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00404
Hom.:
12
Bravo
AF:
0.0230
Asia WGS
AF:
0.0340
AC:
119
AN:
3478

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
6
not specified (6)
-
-
3
Hereditary cancer-predisposing syndrome (3)
-
-
3
not provided (3)
-
-
2
Familial cancer of breast (2)
-
-
1
Ataxia-telangiectasia syndrome (1)
-
-
1
ATM-related cancer predisposition (1)
-
-
1
Breast and/or ovarian cancer (1)
-
-
1
Hereditary breast ovarian cancer syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.80
CADD
Benign
0.86
DANN
Benign
0.56
PhyloP100
0.21
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs2234994; hg19: chr11-108139120; COSMIC: COSV99588535; COSMIC: COSV99588535; API