17-18274818-CA-C
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Variant summary
Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PVS1_ModeratePM2
The NM_004618.5(TOP3A):c.2989delT(p.Cys997fs) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000204 in 1,614,008 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00016 ( 0 hom., cov: 30)
Exomes 𝑓: 0.0000062 ( 0 hom. )
Consequence
TOP3A
NM_004618.5 frameshift
NM_004618.5 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 8.59
Genes affected
TOP3A (HGNC:11992): (DNA topoisomerase III alpha) This gene encodes a DNA topoisomerase, an enzyme that controls and alters the topologic states of DNA during transcription. This enzyme catalyzes the transient breaking and rejoining of a single strand of DNA which allows the strands to pass through one another, thus reducing the number of supercoils and altering the topology of DNA. This enzyme forms a complex with BLM which functions in the regulation of recombination in somatic cells. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Mar 2016]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 4 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.00566 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
TOP3A | NM_004618.5 | c.2989delT | p.Cys997fs | frameshift_variant | 19/19 | ENST00000321105.10 | NP_004609.1 | |
TOP3A | NM_001320759.2 | c.2704delT | p.Cys902fs | frameshift_variant | 18/18 | NP_001307688.1 | ||
TOP3A | XM_047436633.1 | c.2068delT | p.Cys690fs | frameshift_variant | 17/17 | XP_047292589.1 | ||
TOP3A | XM_047436634.1 | c.2068delT | p.Cys690fs | frameshift_variant | 17/17 | XP_047292590.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TOP3A | ENST00000321105.10 | c.2989delT | p.Cys997fs | frameshift_variant | 19/19 | 1 | NM_004618.5 | ENSP00000321636.5 |
Frequencies
GnomAD3 genomes AF: 0.000158 AC: 24AN: 152182Hom.: 0 Cov.: 30
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GnomAD3 exomes AF: 0.0000398 AC: 10AN: 251346Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135830
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GnomAD4 exome AF: 0.00000616 AC: 9AN: 1461826Hom.: 0 Cov.: 31 AF XY: 0.00000275 AC XY: 2AN XY: 727216
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GnomAD4 genome AF: 0.000158 AC: 24AN: 152182Hom.: 0 Cov.: 30 AF XY: 0.000161 AC XY: 12AN XY: 74338
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Aug 09, 2022 | This sequence change results in a frameshift in the TOP3A gene (p.Cys997Valfs*11). While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 5 amino acid(s) of the TOP3A protein and extend the protein by 5 additional amino acid residues. This variant is present in population databases (rs777850988, gnomAD 0.06%). This frameshift has been observed in individual(s) with uterine corpus endometrial carcinoma (PMID: 26689913). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. - |
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at