12-132626243-G-A
Variant summary
Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6_Very_StrongBP7
The NM_006231.4(POLE):c.6405C>T(p.Val2135Val) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000291 in 1,613,896 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. V2135V) has been classified as Likely benign.
Frequency
Consequence
NM_006231.4 synonymous
Scores
Clinical Significance
Conservation
Publications
- POLE-related polyposis and colorectal cancer syndromeInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
 - colorectal cancer, susceptibility to, 12Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
 - facial dysmorphism-immunodeficiency-livedo-short stature syndromeInheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics
 - intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, genital anomalies, and immunodeficiencyInheritance: AR Classification: STRONG Submitted by: G2P
 - IMAGe syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - Polymerase proofreading-related adenomatous polyposisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 
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ACMG classification
Our verdict: Benign. The variant received -13 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| POLE | NM_006231.4  | c.6405C>T | p.Val2135Val | synonymous_variant | Exon 46 of 49 | ENST00000320574.10 | NP_006222.2 | |
| POLE | XM_011534795.4  | c.6405C>T | p.Val2135Val | synonymous_variant | Exon 46 of 48 | XP_011533097.1 | ||
| POLE | XM_011534797.4  | c.5484C>T | p.Val1828Val | synonymous_variant | Exon 38 of 40 | XP_011533099.1 | ||
| POLE | XM_011534802.4  | c.3393C>T | p.Val1131Val | synonymous_variant | Exon 22 of 24 | XP_011533104.1 | 
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.0000329  AC: 5AN: 152200Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.0000279  AC: 7AN: 251062 AF XY:  0.00000737   show subpopulations 
GnomAD4 exome  AF:  0.0000253  AC: 37AN: 1461578Hom.:  0  Cov.: 32 AF XY:  0.0000275  AC XY: 20AN XY: 727086 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.0000657  AC: 10AN: 152318Hom.:  0  Cov.: 33 AF XY:  0.000107  AC XY: 8AN XY: 74486 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not provided    Benign:3 
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Hereditary cancer-predisposing syndrome    Benign:1 
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at