18-54273995-T-G

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PVS1PM2

The NM_001351614.2(POLI):ā€‹c.2T>Gā€‹(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.0000014 in 1,432,474 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

POLI
NM_001351614.2 start_lost

Scores

10
7
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.17
Variant links:
Genes affected
POLI (HGNC:9182): (DNA polymerase iota) The protein encoded by this gene is an error-prone DNA polymerase involved in DNA repair. The encoded protein promotes DNA synthesis across lesions in the template DNA, which other polymerases cannot do. The encoded polymerase inserts deoxynucleotides across lesions and then relies on DNA polymerase zeta to extend the nascent DNA strand to bypass the lesion. [provided by RefSeq, May 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PVS1
Start lost variant, no new inframe start found.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
POLINM_007195.3 linkc.311T>G p.Met104Arg missense_variant 3/10 ENST00000579534.6 NP_009126.2 Q9UNA4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
POLIENST00000579534.6 linkc.311T>G p.Met104Arg missense_variant 3/101 NM_007195.3 ENSP00000462664.1 Q9UNA4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000428
AC:
1
AN:
233636
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
126790
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000328
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:
0.00000140
AC:
2
AN:
1432474
Hom.:
0
Cov.:
26
AF XY:
0.00
AC XY:
0
AN XY:
712716
show subpopulations
Gnomad4 AFR exome
AF:
0.0000310
Gnomad4 AMR exome
AF:
0.0000241
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000756

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 28, 2023The c.311T>G (p.M104R) alteration is located in exon 3 (coding exon 3) of the POLI gene. This alteration results from a T to G substitution at nucleotide position 311, causing the methionine (M) at amino acid position 104 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.72
BayesDel_addAF
Pathogenic
0.36
D
BayesDel_noAF
Pathogenic
0.38
CADD
Uncertain
25
DANN
Benign
0.93
DEOGEN2
Uncertain
0.76
D;D;.;.;.;T
Eigen
Pathogenic
0.87
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
D;D;D;D;D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D;D
MetaSVM
Pathogenic
0.90
D
MutationAssessor
Pathogenic
3.8
H;.;.;.;.;.
PrimateAI
Uncertain
0.60
T
PROVEAN
Uncertain
-4.3
.;D;.;.;.;.
REVEL
Pathogenic
0.88
Sift
Uncertain
0.0010
.;D;.;.;.;.
Sift4G
Uncertain
0.0070
D;D;D;D;D;D
Polyphen
1.0
D;.;.;.;.;.
Vest4
0.94
MutPred
0.87
Gain of MoRF binding (P = 0.0298);Gain of MoRF binding (P = 0.0298);.;.;.;.;
MVP
0.94
MPC
0.093
ClinPred
0.98
D
GERP RS
5.9
Varity_R
0.90
gMVP
0.86

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: rs1039348465; hg19: chr18-51800365; API