14-45181697-A-G

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_020937.4(FANCM):​c.4378A>G​(p.Ile1460Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.104 in 1,601,576 control chromosomes in the GnomAD database, including 9,716 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I1460L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.085 ( 718 hom., cov: 32)
Exomes 𝑓: 0.11 ( 8998 hom. )

Consequence

FANCM
NM_020937.4 missense

Scores

17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -0.165

Publications

22 publications found
Variant links:
Genes affected
FANCM (HGNC:23168): (FA complementation group M) The Fanconi anemia complementation group (FANC) currently includes FANCA, FANCB, FANCC, FANCD1 (also called BRCA2), FANCD2, FANCE, FANCF, FANCG, FANCI, FANCJ (also called BRIP1), FANCL, FANCM and FANCN (also called PALB2). The previously defined group FANCH is the same as FANCA. Fanconi anemia is a genetically heterogeneous recessive disorder characterized by cytogenetic instability, hypersensitivity to DNA crosslinking agents, increased chromosomal breakage, and defective DNA repair. The members of the Fanconi anemia complementation group do not share sequence similarity; they are related by their assembly into a common nuclear protein complex. This gene encodes the protein for complementation group M. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2015]
FANCM Gene-Disease associations (from GenCC):
  • Fanconi anemia
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: G2P, Orphanet
  • spermatogenic failure 28
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • male infertility with azoospermia or oligozoospermia due to single gene mutation
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • breast cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0013127029).
BP6
Variant 14-45181697-A-G is Benign according to our data. Variant chr14-45181697-A-G is described in ClinVar as Benign. ClinVar VariationId is 261386.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.172 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020937.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FANCM
NM_020937.4
MANE Select
c.4378A>Gp.Ile1460Val
missense
Exon 16 of 23NP_065988.1
FANCM
NM_001308133.2
c.4300A>Gp.Ile1434Val
missense
Exon 15 of 22NP_001295062.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FANCM
ENST00000267430.10
TSL:1 MANE Select
c.4378A>Gp.Ile1460Val
missense
Exon 16 of 23ENSP00000267430.5
FANCM
ENST00000542564.6
TSL:1
c.4300A>Gp.Ile1434Val
missense
Exon 15 of 22ENSP00000442493.2
FANCM
ENST00000556250.6
TSL:1
c.4171A>Gp.Ile1391Val
missense
Exon 15 of 22ENSP00000452033.2

Frequencies

GnomAD3 genomes
AF:
0.0850
AC:
12925
AN:
152120
Hom.:
720
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0219
Gnomad AMI
AF:
0.163
Gnomad AMR
AF:
0.0984
Gnomad ASJ
AF:
0.132
Gnomad EAS
AF:
0.118
Gnomad SAS
AF:
0.182
Gnomad FIN
AF:
0.107
Gnomad MID
AF:
0.114
Gnomad NFE
AF:
0.103
Gnomad OTH
AF:
0.109
GnomAD2 exomes
AF:
0.113
AC:
28015
AN:
248340
AF XY:
0.117
show subpopulations
Gnomad AFR exome
AF:
0.0194
Gnomad AMR exome
AF:
0.113
Gnomad ASJ exome
AF:
0.136
Gnomad EAS exome
AF:
0.123
Gnomad FIN exome
AF:
0.114
Gnomad NFE exome
AF:
0.102
Gnomad OTH exome
AF:
0.109
GnomAD4 exome
AF:
0.106
AC:
152926
AN:
1449338
Hom.:
8998
Cov.:
28
AF XY:
0.108
AC XY:
78171
AN XY:
721746
show subpopulations
African (AFR)
AF:
0.0172
AC:
572
AN:
33278
American (AMR)
AF:
0.112
AC:
4992
AN:
44548
Ashkenazi Jewish (ASJ)
AF:
0.137
AC:
3549
AN:
25906
East Asian (EAS)
AF:
0.122
AC:
4831
AN:
39486
South Asian (SAS)
AF:
0.184
AC:
15812
AN:
85818
European-Finnish (FIN)
AF:
0.119
AC:
6326
AN:
53178
Middle Eastern (MID)
AF:
0.125
AC:
698
AN:
5574
European-Non Finnish (NFE)
AF:
0.0996
AC:
109706
AN:
1101652
Other (OTH)
AF:
0.108
AC:
6440
AN:
59898
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
6027
12054
18081
24108
30135
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4084
8168
12252
16336
20420
<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:
0.0849
AC:
12925
AN:
152238
Hom.:
718
Cov.:
32
AF XY:
0.0868
AC XY:
6457
AN XY:
74426
show subpopulations
African (AFR)
AF:
0.0218
AC:
907
AN:
41568
American (AMR)
AF:
0.0987
AC:
1509
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.132
AC:
459
AN:
3472
East Asian (EAS)
AF:
0.119
AC:
615
AN:
5178
South Asian (SAS)
AF:
0.182
AC:
878
AN:
4824
European-Finnish (FIN)
AF:
0.107
AC:
1134
AN:
10592
Middle Eastern (MID)
AF:
0.109
AC:
32
AN:
294
European-Non Finnish (NFE)
AF:
0.103
AC:
7014
AN:
67996
Other (OTH)
AF:
0.108
AC:
228
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
616
1231
1847
2462
3078
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
158
316
474
632
790
<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:
0.0964
Hom.:
1800
Bravo
AF:
0.0810
TwinsUK
AF:
0.0922
AC:
342
ALSPAC
AF:
0.0937
AC:
361
ESP6500AA
AF:
0.0229
AC:
101
ESP6500EA
AF:
0.103
AC:
887
ExAC
AF:
0.111
AC:
13510
Asia WGS
AF:
0.126
AC:
438
AN:
3464

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Sep 13, 2016
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Premature ovarian failure 15 Benign:2
Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Fanconi anemia Benign:2
Jul 10, 2025
GeneKor MSA
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:2
Dec 12, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Spermatogenic failure 28 Benign:1
Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.82
T
BayesDel_noAF
Benign
-0.80
CADD
Benign
2.0
DANN
Benign
0.26
DEOGEN2
Benign
0.056
T
Eigen
Benign
-0.86
Eigen_PC
Benign
-0.90
FATHMM_MKL
Benign
0.024
N
LIST_S2
Benign
0.51
T
MetaRNN
Benign
0.0013
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N
PhyloP100
-0.17
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.15
N
REVEL
Benign
0.014
Sift
Benign
0.98
T
Sift4G
Benign
0.33
T
Polyphen
0.015
B
Vest4
0.065
MPC
0.071
ClinPred
0.000013
T
GERP RS
-1.2
Varity_R
0.032
gMVP
0.055
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.16
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: rs78211950; hg19: chr14-45650900; COSMIC: COSV57501244; API