12-132632393-T-C

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_006231.4(POLE):​c.6252A>G​(p.Ser2084Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.608 in 1,613,180 control chromosomes in the GnomAD database, including 301,912 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. S2084S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.66 ( 33668 hom., cov: 33)
Exomes 𝑓: 0.60 ( 268244 hom. )

Consequence

POLE
NM_006231.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: -4.33

Publications

32 publications found
Variant links:
Genes affected
POLE (HGNC:9177): (DNA polymerase epsilon, catalytic subunit) This gene encodes the catalytic subunit of DNA polymerase epsilon. The enzyme is involved in DNA repair and chromosomal DNA replication. Mutations in this gene have been associated with colorectal cancer 12 and facial dysmorphism, immunodeficiency, livedo, and short stature. [provided by RefSeq, Sep 2013]
POLE Gene-Disease associations (from GenCC):
  • POLE-related polyposis and colorectal cancer syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • colorectal cancer, susceptibility to, 12
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • facial dysmorphism-immunodeficiency-livedo-short stature syndrome
    Inheritance: 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 immunodeficiency
    Inheritance: AR Classification: STRONG Submitted by: G2P
  • IMAGe syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Polymerase proofreading-related adenomatous polyposis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.91).
BP6
Variant 12-132632393-T-C is Benign according to our data. Variant chr12-132632393-T-C is described in ClinVar as Benign. ClinVar VariationId is 380217.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-4.33 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.783 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_006231.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLE
NM_006231.4
MANE Select
c.6252A>Gp.Ser2084Ser
synonymous
Exon 45 of 49NP_006222.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLE
ENST00000320574.10
TSL:1 MANE Select
c.6252A>Gp.Ser2084Ser
synonymous
Exon 45 of 49ENSP00000322570.5
POLE
ENST00000535270.5
TSL:1
c.6171A>Gp.Ser2057Ser
synonymous
Exon 44 of 48ENSP00000445753.1
POLE
ENST00000537064.5
TSL:1
n.*6003A>G
non_coding_transcript_exon
Exon 45 of 49ENSP00000442578.1

Frequencies

GnomAD3 genomes
AF:
0.659
AC:
100172
AN:
151994
Hom.:
33636
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.767
Gnomad AMI
AF:
0.591
Gnomad AMR
AF:
0.736
Gnomad ASJ
AF:
0.526
Gnomad EAS
AF:
0.803
Gnomad SAS
AF:
0.626
Gnomad FIN
AF:
0.579
Gnomad MID
AF:
0.630
Gnomad NFE
AF:
0.588
Gnomad OTH
AF:
0.639
GnomAD2 exomes
AF:
0.644
AC:
161809
AN:
251400
AF XY:
0.632
show subpopulations
Gnomad AFR exome
AF:
0.767
Gnomad AMR exome
AF:
0.794
Gnomad ASJ exome
AF:
0.531
Gnomad EAS exome
AF:
0.813
Gnomad FIN exome
AF:
0.577
Gnomad NFE exome
AF:
0.585
Gnomad OTH exome
AF:
0.627
GnomAD4 exome
AF:
0.603
AC:
881194
AN:
1461068
Hom.:
268244
Cov.:
41
AF XY:
0.602
AC XY:
437719
AN XY:
726904
show subpopulations
African (AFR)
AF:
0.766
AC:
25640
AN:
33462
American (AMR)
AF:
0.784
AC:
35075
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.532
AC:
13914
AN:
26134
East Asian (EAS)
AF:
0.806
AC:
32002
AN:
39700
South Asian (SAS)
AF:
0.610
AC:
52580
AN:
86242
European-Finnish (FIN)
AF:
0.574
AC:
30680
AN:
53414
Middle Eastern (MID)
AF:
0.620
AC:
3573
AN:
5766
European-Non Finnish (NFE)
AF:
0.586
AC:
650802
AN:
1111260
Other (OTH)
AF:
0.612
AC:
36928
AN:
60366
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
18591
37181
55772
74362
92953
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
18026
36052
54078
72104
90130
<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:
0.659
AC:
100256
AN:
152112
Hom.:
33668
Cov.:
33
AF XY:
0.660
AC XY:
49103
AN XY:
74348
show subpopulations
African (AFR)
AF:
0.767
AC:
31821
AN:
41514
American (AMR)
AF:
0.737
AC:
11269
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.526
AC:
1824
AN:
3470
East Asian (EAS)
AF:
0.803
AC:
4149
AN:
5166
South Asian (SAS)
AF:
0.626
AC:
3013
AN:
4814
European-Finnish (FIN)
AF:
0.579
AC:
6121
AN:
10576
Middle Eastern (MID)
AF:
0.633
AC:
186
AN:
294
European-Non Finnish (NFE)
AF:
0.588
AC:
39979
AN:
67960
Other (OTH)
AF:
0.641
AC:
1356
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1718
3435
5153
6870
8588
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
798
1596
2394
3192
3990
<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:
0.614
Hom.:
73057
Bravo
AF:
0.675
Asia WGS
AF:
0.698
AC:
2425
AN:
3478
EpiCase
AF:
0.575
EpiControl
AF:
0.575

ClinVar

ClinVar submissions as Germline

Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
not specified (5)
-
-
4
not provided (4)
-
-
1
Colorectal cancer, susceptibility to, 12 (1)
-
-
1
Facial dysmorphism-immunodeficiency-livedo-short stature syndrome (1)
-
-
1
Hereditary cancer-predisposing syndrome (1)
-
-
1
Intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, genital anomalies, and immunodeficiency (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.91
CADD
Benign
0.41
DANN
Benign
0.41
PhyloP100
-4.3
Mutation Taster
=75/25
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs5745022; hg19: chr12-133208979; COSMIC: COSV105207645; COSMIC: COSV105207645; API