12-132661167-GAAAAA-GAAAAAAAA

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.

The NM_006231.4(POLE):​c.2865-6_2865-4dupTTT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.0 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000064 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

POLE
NM_006231.4 splice_region, intron

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.191

Publications

0 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: Uncertain_significance. The variant received 0 ACMG points.

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

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLE
NM_006231.4
MANE Select
c.2865-6_2865-4dupTTT
splice_region intron
N/ANP_006222.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLE
ENST00000320574.10
TSL:1 MANE Select
c.2865-4_2865-3insTTT
splice_region intron
N/AENSP00000322570.5
POLE
ENST00000535270.5
TSL:1
c.2784-4_2784-3insTTT
splice_region intron
N/AENSP00000445753.1
POLE
ENST00000537064.5
TSL:1
n.*1912-4_*1912-3insTTT
splice_region intron
N/AENSP00000442578.1

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
0
AN:
134300
Hom.:
0
Cov.:
31
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000635
AC:
79
AN:
1243544
Hom.:
0
Cov.:
0
AF XY:
0.0000616
AC XY:
38
AN XY:
617100
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000367
AC:
1
AN:
27244
American (AMR)
AF:
0.0000643
AC:
2
AN:
31104
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
21222
East Asian (EAS)
AF:
0.000110
AC:
4
AN:
36332
South Asian (SAS)
AF:
0.000303
AC:
21
AN:
69286
European-Finnish (FIN)
AF:
0.0000967
AC:
4
AN:
41358
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4602
European-Non Finnish (NFE)
AF:
0.0000448
AC:
43
AN:
960626
Other (OTH)
AF:
0.0000773
AC:
4
AN:
51770
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.257
Heterozygous variant carriers
0
11
21
32
42
53
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
134300
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
64614
African (AFR)
AF:
0.00
AC:
0
AN:
36128
American (AMR)
AF:
0.00
AC:
0
AN:
13540
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3228
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4652
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4176
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
7758
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
61914
Other (OTH)
AF:
0.00
AC:
0
AN:
1768

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.19

Splicing

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

Publications

Other links and lift over

dbSNP: rs369732588; hg19: chr12-133237753; API