12-68809237-C-T

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_002392.6(MDM2):​c.44C>T​(p.Pro15Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000468 in 1,613,790 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00050 ( 0 hom. )

Consequence

MDM2
NM_002392.6 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.901

Publications

8 publications found
Variant links:
Genes affected
MDM2 (HGNC:6973): (MDM2 proto-oncogene) This gene encodes a nuclear-localized E3 ubiquitin ligase. The encoded protein can promote tumor formation by targeting tumor suppressor proteins, such as p53, for proteasomal degradation. This gene is itself transcriptionally-regulated by p53. Overexpression or amplification of this locus is detected in a variety of different cancers. There is a pseudogene for this gene on chromosome 2. Alternative splicing results in a multitude of transcript variants, many of which may be expressed only in tumor cells. [provided by RefSeq, Jun 2013]
MDM2 Gene-Disease associations (from GenCC):
  • Li-Fraumeni syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • lessel-kubisch syndrome
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.07069111).
BS2
High AC in GnomAd4 at 28 AD,Unknown gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002392.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MDM2
NM_002392.6
MANE Select
c.44C>Tp.Pro15Leu
missense
Exon 2 of 11NP_002383.2Q00987-11
MDM2
NM_001367990.1
c.26C>Tp.Pro9Leu
missense
Exon 2 of 11NP_001354919.1Q00987-1
MDM2
NM_001145337.3
c.26C>Tp.Pro9Leu
missense
Exon 2 of 11NP_001138809.1A0A0A8KB75

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MDM2
ENST00000258149.11
TSL:1 MANE Select
c.44C>Tp.Pro15Leu
missense
Exon 2 of 11ENSP00000258149.6Q00987-11
MDM2
ENST00000539479.6
TSL:1
c.26C>Tp.Pro9Leu
missense
Exon 2 of 11ENSP00000444430.2Q00987-1
MDM2
ENST00000350057.9
TSL:1
c.26C>Tp.Pro9Leu
missense
Exon 1 of 9ENSP00000266624.9J3KN53

Frequencies

GnomAD3 genomes
AF:
0.000184
AC:
28
AN:
152022
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.000397
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000160
AC:
40
AN:
249550
AF XY:
0.000133
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000344
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000498
AC:
728
AN:
1461768
Hom.:
0
Cov.:
31
AF XY:
0.000477
AC XY:
347
AN XY:
727202
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26130
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86252
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.000610
AC:
678
AN:
1111910
Other (OTH)
AF:
0.000795
AC:
48
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
36
72
109
145
181
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
24
48
72
96
120
<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:
0.000184
AC:
28
AN:
152022
Hom.:
0
Cov.:
33
AF XY:
0.0000943
AC XY:
7
AN XY:
74232
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41374
American (AMR)
AF:
0.00
AC:
0
AN:
15258
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10584
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000397
AC:
27
AN:
68006
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000297
Hom.:
0
Bravo
AF:
0.000166
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000611
AC:
5
ExAC
AF:
0.000124
AC:
15
EpiCase
AF:
0.000491
EpiControl
AF:
0.000296

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Accelerated tumor formation, susceptibility to (1)
-
1
-
Accelerated tumor formation, susceptibility to;C5231460:Lessel-kubisch syndrome (1)
-
1
-
Lessel-kubisch syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.49
CADD
Uncertain
24
DANN
Benign
0.97
DEOGEN2
Benign
0.32
T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.27
FATHMM_MKL
Benign
0.046
N
LIST_S2
Uncertain
0.90
D
M_CAP
Benign
0.0032
T
MetaRNN
Benign
0.071
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
N
PhyloP100
0.90
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.8
N
REVEL
Benign
0.061
Sift
Uncertain
0.026
D
Sift4G
Benign
0.24
T
Polyphen
0.0
B
Vest4
0.15
MVP
0.45
ClinPred
0.061
T
GERP RS
3.8
PromoterAI
-0.024
Neutral
Varity_R
0.39
gMVP
0.20
Mutation Taster
=73/27
polymorphism

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

Other links and lift over

dbSNP: rs201821879; hg19: chr12-69203017; API