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GeneBe

12-132659444-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_006231.4(POLE):​c.3126G>A​(p.Lys1042=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0041 in 1,614,188 control chromosomes in the GnomAD database, including 256 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.022 ( 132 hom., cov: 33)
Exomes 𝑓: 0.0023 ( 124 hom. )

Consequence

POLE
NM_006231.4 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -0.0760
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.27).
BP6
Variant 12-132659444-C-T is Benign according to our data. Variant chr12-132659444-C-T is described in ClinVar as [Benign]. Clinvar id is 380432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-132659444-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.076 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0733 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
POLENM_006231.4 linkuse as main transcriptc.3126G>A p.Lys1042= synonymous_variant 26/49 ENST00000320574.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
POLEENST00000320574.10 linkuse as main transcriptc.3126G>A p.Lys1042= synonymous_variant 26/491 NM_006231.4 P1

Frequencies

GnomAD3 genomes
AF:
0.0215
AC:
3276
AN:
152218
Hom.:
132
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0753
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00720
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000827
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000220
Gnomad OTH
AF:
0.0110
GnomAD3 exomes
AF:
0.00550
AC:
1384
AN:
251456
Hom.:
38
AF XY:
0.00408
AC XY:
554
AN XY:
135914
show subpopulations
Gnomad AFR exome
AF:
0.0743
Gnomad AMR exome
AF:
0.00350
Gnomad ASJ exome
AF:
0.000694
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000457
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000193
Gnomad OTH exome
AF:
0.00196
GnomAD4 exome
AF:
0.00228
AC:
3328
AN:
1461852
Hom.:
124
Cov.:
33
AF XY:
0.00199
AC XY:
1448
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.0781
Gnomad4 AMR exome
AF:
0.00436
Gnomad4 ASJ exome
AF:
0.00107
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000441
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000112
Gnomad4 OTH exome
AF:
0.00500
GnomAD4 genome
AF:
0.0216
AC:
3290
AN:
152336
Hom.:
132
Cov.:
33
AF XY:
0.0210
AC XY:
1566
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.0755
Gnomad4 AMR
AF:
0.00712
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000220
Gnomad4 OTH
AF:
0.0109
Alfa
AF:
0.0112
Hom.:
26
Bravo
AF:
0.0241
Asia WGS
AF:
0.00462
AC:
16
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000178

ClinVar

Significance: Benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, criteria provided, single submitterclinical testingCenter for Genomic Medicine, Rigshospitalet, Copenhagen University HospitalAug 15, 2023- -
Benign, criteria provided, single submitterclinical testingQuest Diagnostics Nichols Institute San Juan CapistranoJun 24, 2016- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 11, 2015This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesAug 31, 2017- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 06, 2023- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpJul 28, 2017Variant summary: The POLE c.3126G>A (p.Lys1042Lys) variant involves the alteration of a non-conserved nucleotide, resulting in a synonymous change. One in silico tool predicts a polymorphism outcome for this variant. 5/5 splice prediction tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. This variant was found in 795/121290 control chromosomes (19 homozygotes) at a frequency of 0.0065545, which is approximately 461 times the estimated maximal expected allele frequency of a pathogenic POLE variant (0.0000142), suggesting this variant is likely a benign polymorphism. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as benign. Taken together, this variant is classified as benign. -
Hereditary cancer-predisposing syndrome Benign:2
Likely benign, no assertion criteria providedclinical testingTrue Health DiagnosticsJan 05, 2018- -
Benign, criteria provided, single submitterclinical testingAmbry GeneticsMay 20, 2015This alteration is classified as 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. -
Carcinoma of colon Benign:1
Benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-The POLE p.Lys1042= variant was identified in dbSNP (ID: rs5744856) “With Benign allele”. The variant was also identified in control databases in 1996 (73 homozygous) of 277210 chromosomes at a frequency of 0.007, increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: African in 1809 (73 homozygous) of 24028 chromosomes (freq: 0.08), Other in 12 of 6466 chromosomes (freq: 0.002), Latino in 127 of 34420 chromosomes (freq: 0.004), European Non-Finnish in 26 of 126698 chromosomes (freq: 0.0002), Ashkenazi Jewish in 8 of 10152 chromosomes (freq: 0.0008), and South Asian in 14 of 30782 chromosomes (freq: 0.0005), while not observed in the East Asian or European Finnish populations. The p.Lys1042= variant is not expected to have clinical significance because it does not result in a change of amino acid and is not located in a known consensus splice site. The variant occurs outside of the splicing consensus sequence, although 1 of 4 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) predict a greater than 10% difference in splicing; this is not very predictive of pathogenicity. In summary, based on the above information, this variant meets our laboratory's criteria to be classified as benign. -
Colorectal cancer, susceptibility to, 12 Benign:1
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.27
CADD
Benign
6.2
DANN
Benign
0.57

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs5744856; hg19: chr12-133236030; API