2-47369510-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002354.3(EPCAM):​c.5C>T​(p.Ala2Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00212 in 1,552,862 control chromosomes in the GnomAD database, including 11 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0019 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0021 ( 11 hom. )

Consequence

EPCAM
NM_002354.3 missense

Scores

5
13

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.04
Variant links:
Genes affected
EPCAM (HGNC:11529): (epithelial cell adhesion molecule) This gene encodes a carcinoma-associated antigen and is a member of a family that includes at least two type I membrane proteins. This antigen is expressed on most normal epithelial cells and gastrointestinal carcinomas and functions as a homotypic calcium-independent cell adhesion molecule. The antigen is being used as a target for immunotherapy treatment of human carcinomas. Mutations in this gene result in congenital tufting enteropathy. [provided by RefSeq, Dec 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01036191).
BP6
Variant 2-47369510-C-T is Benign according to our data. Variant chr2-47369510-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 127850.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00185 (282/152282) while in subpopulation NFE AF= 0.0019 (129/68024). AF 95% confidence interval is 0.00163. There are 0 homozygotes in gnomad4. There are 143 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 11 Mitochondrial gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPCAMNM_002354.3 linkuse as main transcriptc.5C>T p.Ala2Val missense_variant 1/9 ENST00000263735.9 NP_002345.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPCAMENST00000263735.9 linkuse as main transcriptc.5C>T p.Ala2Val missense_variant 1/91 NM_002354.3 ENSP00000263735 P1

Frequencies

GnomAD3 genomes
AF:
0.00185
AC:
282
AN:
152170
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000434
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00177
Gnomad ASJ
AF:
0.0300
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00190
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00239
AC:
369
AN:
154334
Hom.:
3
AF XY:
0.00219
AC XY:
186
AN XY:
85076
show subpopulations
Gnomad AFR exome
AF:
0.000449
Gnomad AMR exome
AF:
0.00137
Gnomad ASJ exome
AF:
0.0244
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000442
Gnomad FIN exome
AF:
0.0000915
Gnomad NFE exome
AF:
0.00179
Gnomad OTH exome
AF:
0.00449
GnomAD4 exome
AF:
0.00215
AC:
3005
AN:
1400580
Hom.:
11
Cov.:
31
AF XY:
0.00206
AC XY:
1424
AN XY:
692520
show subpopulations
Gnomad4 AFR exome
AF:
0.000422
Gnomad4 AMR exome
AF:
0.00130
Gnomad4 ASJ exome
AF:
0.0259
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000506
Gnomad4 FIN exome
AF:
0.0000926
Gnomad4 NFE exome
AF:
0.00193
Gnomad4 OTH exome
AF:
0.00326
GnomAD4 genome
AF:
0.00185
AC:
282
AN:
152282
Hom.:
0
Cov.:
32
AF XY:
0.00192
AC XY:
143
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.000433
Gnomad4 AMR
AF:
0.00176
Gnomad4 ASJ
AF:
0.0300
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.00190
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00448
Hom.:
2
Bravo
AF:
0.00188
TwinsUK
AF:
0.00297
AC:
11
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.00101
AC:
4
ESP6500EA
AF:
0.00173
AC:
14
ExAC
AF:
0.00145
AC:
168
Asia WGS
AF:
0.000289
AC:
1
AN:
3474

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 17, 2023- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2023EPCAM: BS1 -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesNov 22, 2016- -
Likely benign, criteria provided, single submitterclinical testingGeneDxDec 27, 2013This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Hereditary cancer-predisposing syndrome Benign:1
Likely benign, no assertion criteria providedclinical testingTrue Health DiagnosticsFeb 05, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.12
CADD
Benign
23
DANN
Uncertain
0.98
DEOGEN2
Benign
0.20
T;.
Eigen
Uncertain
0.22
Eigen_PC
Benign
0.21
FATHMM_MKL
Benign
0.59
D
LIST_S2
Benign
0.52
T;T
MetaRNN
Benign
0.010
T;T
MetaSVM
Benign
-0.54
T
MutationAssessor
Uncertain
2.3
M;.
MutationTaster
Benign
1.0
D;N
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-1.5
N;N
REVEL
Uncertain
0.40
Sift
Benign
0.085
T;D
Sift4G
Benign
0.29
T;D
Polyphen
0.98
D;.
Vest4
0.23
MVP
0.68
MPC
0.022
ClinPred
0.027
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.2
Varity_R
0.11
gMVP
0.42

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs201402370; hg19: chr2-47596649; API