19-50402057-G-C

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_StrongBP6BP7

The NM_002691.4(POLD1):​c.522G>C​(p.Arg174Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000372 in 1,613,948 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R174R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

POLD1
NM_002691.4 synonymous

Scores

2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: 3.58

Publications

0 publications found
Variant links:
Genes affected
POLD1 (HGNC:9175): (DNA polymerase delta 1, catalytic subunit) This gene encodes the 125-kDa catalytic subunit of DNA polymerase delta. DNA polymerase delta possesses both polymerase and 3' to 5' exonuclease activity and plays a critical role in DNA replication and repair. Alternatively spliced transcript variants have been observed for this gene, and a pseudogene of this gene is located on the long arm of chromosome 6. [provided by RefSeq, Mar 2012]
POLD1 Gene-Disease associations (from GenCC):
  • POLD1-related polyposis and colorectal cancer syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • colorectal cancer, susceptibility to, 10
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
  • mandibular hypoplasia-deafness-progeroid syndrome
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Genomics England PanelApp, Ambry Genetics, Orphanet, G2P
  • Polymerase proofreading-related adenomatous polyposis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • immunodeficiency 120
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
  • non-severe combined immunodeficiency due to polymerase delta deficiency
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen

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 (BayesDel_noAF=-0.55).
BP6
Variant 19-50402057-G-C is Benign according to our data. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584. Variant chr19-50402057-G-C is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 700584.
BP7
Synonymous conserved (PhyloP=3.58 with no splicing effect.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
POLD1NM_002691.4 linkc.522G>C p.Arg174Arg synonymous_variant Exon 5 of 27 ENST00000440232.7 NP_002682.2 P28340A0A024R4F4Q59FA0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
POLD1ENST00000440232.7 linkc.522G>C p.Arg174Arg synonymous_variant Exon 5 of 27 1 NM_002691.4 ENSP00000406046.1 P28340

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152152
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000399
AC:
1
AN:
250922
AF XY:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461796
Hom.:
0
Cov.:
34
AF XY:
0.00000413
AC XY:
3
AN XY:
727212
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33476
American (AMR)
AF:
0.00
AC:
0
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26122
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86252
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53400
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000360
AC:
4
AN:
1111970
Other (OTH)
AF:
0.00
AC:
0
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152152
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74324
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41450
American (AMR)
AF:
0.00
AC:
0
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5170
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68016
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
May 20, 2019
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Not observed at a significant frequency in large population cohorts (Lek et al., 2016) -

Colorectal cancer, susceptibility to, 10 Benign:1
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:1
Oct 17, 2019
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.55
CADD
Benign
8.0
DANN
Benign
0.62
PhyloP100
3.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Mutation Taster
=100/0
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: rs774283364; hg19: chr19-50905314; API