4-2128129-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_181808.4(POLN):ā€‹c.1966A>Gā€‹(p.Thr656Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000899 in 1,446,716 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000090 ( 0 hom. )

Consequence

POLN
NM_181808.4 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.283
Variant links:
Genes affected
POLN (HGNC:18870): (DNA polymerase nu) This gene encodes a DNA polymerase type-A family member. The encoded protein plays a role in DNA repair and homologous recombination. This gene shares its 5' exons with some transcripts from overlapping GeneID: 79441, which encodes an augmentin-like protein complex subunit. [provided by RefSeq, Dec 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.16137117).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
POLNNM_181808.4 linkuse as main transcriptc.1966A>G p.Thr656Ala missense_variant 19/26 ENST00000511885.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
POLNENST00000511885.6 linkuse as main transcriptc.1966A>G p.Thr656Ala missense_variant 19/265 NM_181808.4 P1Q7Z5Q5-1
POLNENST00000382865.5 linkuse as main transcriptc.1966A>G p.Thr656Ala missense_variant 17/241 P1Q7Z5Q5-1
POLNENST00000511098.1 linkuse as main transcriptc.865A>G p.Thr289Ala missense_variant 12/191
POLNENST00000514858.5 linkuse as main transcriptn.973A>G non_coding_transcript_exon_variant 10/142

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250764
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135602
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000881
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000899
AC:
13
AN:
1446716
Hom.:
0
Cov.:
28
AF XY:
0.0000125
AC XY:
9
AN XY:
720680
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000100
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
Cov.:
32
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

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 26, 2024The c.1966A>G (p.T656A) alteration is located in exon 17 (coding exon 17) of the POLN gene. This alteration results from a A to G substitution at nucleotide position 1966, causing the threonine (T) at amino acid position 656 to be replaced by an alanine (A). 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
Benign
0.061
BayesDel_addAF
Uncertain
0.095
D
BayesDel_noAF
Benign
-0.10
CADD
Benign
15
DANN
Benign
0.97
DEOGEN2
Benign
0.21
T;T
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.66
FATHMM_MKL
Benign
0.073
N
LIST_S2
Benign
0.62
T;.
M_CAP
Benign
0.031
D
MetaRNN
Benign
0.16
T;T
MetaSVM
Benign
-0.42
T
MutationAssessor
Benign
-0.51
N;N
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-1.6
N;N
REVEL
Uncertain
0.36
Sift
Benign
0.30
T;T
Sift4G
Benign
0.26
T;T
Polyphen
0.0040
B;B
Vest4
0.27
MutPred
0.52
Loss of stability (P = 0.097);Loss of stability (P = 0.097);
MVP
0.54
MPC
0.096
ClinPred
0.069
T
GERP RS
2.6
Varity_R
0.16
gMVP
0.26

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: rs1391057737; hg19: chr4-2129856; API