2-47386731-T-C

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_002354.3(EPCAM):​c.*118T>C variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.122 in 794,348 control chromosomes in the GnomAD database, including 6,859 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.10 ( 1096 hom., cov: 33)
Exomes 𝑓: 0.13 ( 5763 hom. )

Consequence

EPCAM
NM_002354.3 3_prime_UTR

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.0870

Publications

36 publications found
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]
EPCAM Gene-Disease associations (from GenCC):
  • Lynch syndrome
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • Lynch syndrome 8
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • congenital diarrhea 5 with tufting enteropathy
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Orphanet, G2P, Ambry Genetics
  • hereditary breast carcinoma
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.166 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
EPCAMNM_002354.3 linkc.*118T>C 3_prime_UTR_variant Exon 9 of 9 ENST00000263735.9 NP_002345.2 P16422

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
EPCAMENST00000263735.9 linkc.*118T>C 3_prime_UTR_variant Exon 9 of 9 1 NM_002354.3 ENSP00000263735.4 P16422
EPCAMENST00000456133.5 linkn.*118T>C non_coding_transcript_exon_variant Exon 10 of 11 5 ENSP00000410675.1 B5MCA4
EPCAMENST00000405271.5 linkc.*118T>C 3_prime_UTR_variant Exon 10 of 10 5 ENSP00000385476.1 B5MCA4
EPCAMENST00000456133.5 linkn.*118T>C 3_prime_UTR_variant Exon 10 of 11 5 ENSP00000410675.1 B5MCA4

Frequencies

GnomAD3 genomes
AF:
0.104
AC:
15822
AN:
152142
Hom.:
1098
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0266
Gnomad AMI
AF:
0.182
Gnomad AMR
AF:
0.145
Gnomad ASJ
AF:
0.0582
Gnomad EAS
AF:
0.176
Gnomad SAS
AF:
0.0629
Gnomad FIN
AF:
0.151
Gnomad MID
AF:
0.0475
Gnomad NFE
AF:
0.134
Gnomad OTH
AF:
0.107
GnomAD4 exome
AF:
0.126
AC:
80730
AN:
642088
Hom.:
5763
Cov.:
9
AF XY:
0.123
AC XY:
42268
AN XY:
343418
show subpopulations
African (AFR)
AF:
0.0239
AC:
416
AN:
17440
American (AMR)
AF:
0.154
AC:
5135
AN:
33412
Ashkenazi Jewish (ASJ)
AF:
0.0640
AC:
1213
AN:
18956
East Asian (EAS)
AF:
0.160
AC:
5610
AN:
35038
South Asian (SAS)
AF:
0.0562
AC:
3207
AN:
57018
European-Finnish (FIN)
AF:
0.148
AC:
7038
AN:
47676
Middle Eastern (MID)
AF:
0.0350
AC:
100
AN:
2856
European-Non Finnish (NFE)
AF:
0.136
AC:
54168
AN:
397424
Other (OTH)
AF:
0.119
AC:
3843
AN:
32268
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
3383
6765
10148
13530
16913
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
878
1756
2634
3512
4390
<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:
0.104
AC:
15825
AN:
152260
Hom.:
1096
Cov.:
33
AF XY:
0.105
AC XY:
7808
AN XY:
74436
show subpopulations
African (AFR)
AF:
0.0265
AC:
1101
AN:
41580
American (AMR)
AF:
0.145
AC:
2217
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.0582
AC:
202
AN:
3468
East Asian (EAS)
AF:
0.176
AC:
910
AN:
5184
South Asian (SAS)
AF:
0.0636
AC:
307
AN:
4830
European-Finnish (FIN)
AF:
0.151
AC:
1598
AN:
10572
Middle Eastern (MID)
AF:
0.0476
AC:
14
AN:
294
European-Non Finnish (NFE)
AF:
0.134
AC:
9083
AN:
68020
Other (OTH)
AF:
0.107
AC:
227
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
723
1446
2169
2892
3615
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
170
340
510
680
850
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.125
Hom.:
969
Bravo
AF:
0.101
Asia WGS
AF:
0.113
AC:
394
AN:
3474

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics Laboratory, Department of Pathology, Netherlands Cancer Institute
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 04, 2025
Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Jul 14, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 30461124) -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

EPCAM-related disorder Benign:1
Mar 04, 2022
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Hereditary cancer-predisposing syndrome Benign:1
Jan 30, 2020
Sema4, Sema4
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
3.1
DANN
Benign
0.75
PhyloP100
-0.087
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=100/0
polymorphism (auto)

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: rs1421; hg19: chr2-47613870; COSMIC: COSV55393300; COSMIC: COSV55393300; API