16-89920138-G-C
Variant summary
Our verdict is Benign. Variant got -12 ACMG points: 1P and 13B. PP3BP4_StrongBP6BS1BS2
The NM_002386.4(MC1R):āc.880G>Cā(p.Asp294His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0181 in 1,613,770 control chromosomes in the GnomAD database, including 366 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity,risk factor (no stars).
Frequency
Consequence
NM_002386.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -12 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
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MC1R | ENST00000555147.2 | c.880G>C | p.Asp294His | missense_variant | Exon 1 of 1 | 6 | NM_002386.4 | ENSP00000451605.1 | ||
ENSG00000198211 | ENST00000556922.1 | c.880G>C | p.Asp294His | missense_variant | Exon 1 of 5 | 2 | ENSP00000451560.1 |
Frequencies
GnomAD3 genomes AF: 0.0109 AC: 1658AN: 152022Hom.: 28 Cov.: 33
GnomAD3 exomes AF: 0.00909 AC: 2263AN: 249066Hom.: 18 AF XY: 0.00905 AC XY: 1223AN XY: 135174
GnomAD4 exome AF: 0.0188 AC: 27485AN: 1461632Hom.: 338 Cov.: 35 AF XY: 0.0181 AC XY: 13181AN XY: 727096
GnomAD4 genome AF: 0.0109 AC: 1658AN: 152138Hom.: 28 Cov.: 33 AF XY: 0.00964 AC XY: 717AN XY: 74368
ClinVar
Submissions by phenotype
not provided Uncertain:1Benign:4
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Considered a low risk allele, case control studies suggest this variant is associated with early onset cutaneous melanoma (Cust et al., 2012); Reported in association with red hair, fair skin, increased risk for melanoma, increased risk of photoaging and congenital melanocytic nevi (Puig-Butille et al., 2013; Kinsler et al., 2012; Ibarrola-Villava et al., 2014); Functional characterization of the variant show decreased ability to stimulate cAMP production, and altered cell surface expression (Schioth et al., 1999; Sanchez-Laorden et al., 2009); Observed in 920/66568 (1.4%) alleles from individuals of European background, including 6 unrelated homozygous individuals in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 22464597, 12789280, 26103569, 26197705, 10403794, 24665948, 19799798, 24660985, 11875032, 17616515, 18366057, 19452503, 22572819, 24335900, 19656326, 7581459, 23647022, 22095472, 9302268, 11179997, 30531825, 31382929, 30414346, 14709592, 11500805) -
The MC1R p.Asp294His variant has been reported in the literature multiple times in association with melanoma development, red hair and fair skin (Raimondi_2008_PMID:18366057; Zorina-Lichtenwalter_2019_PMID:30657907). The variant was identified in dbSNP (ID: rs1805009), LOVD 3.0 and ClinVar (classified as benign by Invitae, as likely benign by Prevention Genetics and Illumina, as likely pathogenic by Yale Center for Mendelian Genomics and University of Washington Center for Mendelian Genomics, and as pathogenic by GeneDx). The variant was identified in control databases in 2568 of 280442 chromosomes (23 homozygous) at a frequency of 0.009157 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database March 6, 2019, v2.1.1). The variant was observed in the following populations: European (non-Finnish) in 2082 of 128324 chromosomes (freq: 0.01622), Other in 78 of 7136 chromosomes (freq: 0.01093), Latino in 256 of 35366 chromosomes (freq: 0.007239), African in 82 of 24150 chromosomes (freq: 0.003395), European (Finnish) in 53 of 24992 chromosomes (freq: 0.002121) and Ashkenazi Jewish in 17 of 10346 chromosomes (freq: 0.001643), but was not observed in the East Asian or South Asian populations. The p.D294H variant was found to have a dominant negative effect on MC1R cAMP signialling but had normal cell surface expression (Beaumont_2007_PMID:17616515). The p.Asp294 residue is conserved across mammals and other organisms, and four out of five computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) suggest that the variant may impact the protein; however, this information is not predictive enough to assume pathogenicity. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) do not predict a difference in splicing. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign. -
Melanoma, cutaneous malignant, susceptibility to, 5 Benign:2
This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
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Tyrosinase-positive oculocutaneous albinism Pathogenic:1
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Skin and Hair Hypopigmentation Pathogenic:1
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MC1R-related disorder Benign:1
This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Skin/hair/eye pigmentation 2, red hair/fair skin Other:1
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Melanoma Other:1
MC1R c.880G>C (p.Asp294His) has been associated with increased risk for melanoma. This variant has been observed in multiple ethnic backgrounds with highest frequencies in individuals of European ancestry (1.64%, Genome Aggregation Database (gnomAD); rs1805009) and is present in ClinVar (ID: 14307). A large meta-analysis has reported an odds ratio of 1.89 [95% CI 4.8-10] for developing melanoma (Williams 2011). In vitro functional studies provide some evidence that the p.Asp294His variant may impact protein function (Beaumont 2007). In summary, this variant is not expected to cause highly penetrant Mendelian disease. p.Asp294His variant is an established risk factor for melanoma. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at