12-132687321-C-T

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_006231.4(POLE):​c.-6G>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000627 in 1,499,624 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000043 ( 0 hom. )

Consequence

POLE
NM_006231.4 5_prime_UTR

Scores

2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: -2.12
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 12-132687321-C-T is Benign according to our data. Variant chr12-132687321-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 246298.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=2}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
POLENM_006231.4 linkuse as main transcriptc.-6G>A 5_prime_UTR_variant 1/49 ENST00000320574.10 NP_006222.2 Q07864

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
POLEENST00000320574.10 linkuse as main transcriptc.-6G>A 5_prime_UTR_variant 1/491 NM_006231.4 ENSP00000322570.5 Q07864

Frequencies

GnomAD3 genomes
AF:
0.000224
AC:
34
AN:
151890
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000749
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.0000951
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000185
AC:
2
AN:
108316
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
60074
show subpopulations
Gnomad AFR exome
AF:
0.000336
Gnomad AMR exome
AF:
0.0000480
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000430
AC:
58
AN:
1347628
Hom.:
0
Cov.:
32
AF XY:
0.0000421
AC XY:
28
AN XY:
665022
show subpopulations
Gnomad4 AFR exome
AF:
0.00119
Gnomad4 AMR exome
AF:
0.0000308
Gnomad4 ASJ exome
AF:
0.0000415
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000133
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000852
Gnomad4 OTH exome
AF:
0.000180
GnomAD4 genome
AF:
0.000237
AC:
36
AN:
151996
Hom.:
0
Cov.:
33
AF XY:
0.000323
AC XY:
24
AN XY:
74310
show subpopulations
Gnomad4 AFR
AF:
0.000795
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.0000951
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000162
Asia WGS
AF:
0.000579
AC:
2
AN:
3468

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2024POLE: BP4 -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxAug 30, 2018This variant is denoted POLE c.-6G>A, and describes a nucleotide substitution 6 base pairs upstream of the POLE start codon. This variant has not, to our knowledge, been published in the literature as pathogenic or benign. POLE c.-6G>A occurs in the Kozak sequence, the conserved nucleotides just upstream of the ATG start codon, and therefore may impact protein translation. POLE c.-6G>A was observed at an allele frequency of 0.069% (8/11474 alleles) in individuals of African ancestry in large population cohorts (Lek 2016). Based on the currently available information, it is unclear whether POLE c.-6G>A is a pathogenic or a benign variant. We consider it to be a variant of uncertain significance. -
Colorectal cancer, susceptibility to, 12 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
POLE-related disorder Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJan 09, 2024The POLE c.-6G>A variant is located in the 5' untranslated region. To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.069% of alleles in individuals of African descent in gnomAD and has conflicting interpretations of pathogenicity including likely benign and uncertain (https://www.ncbi.nlm.nih.gov/clinvar/variation/246298/). Although we suspect that this variant may be benign, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingQuest Diagnostics Nichols Institute San Juan CapistranoJul 06, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
1.3
DANN
Benign
0.86
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs534524789; hg19: chr12-133263907; API