4-2128131-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_181808.4(POLN):​c.1964C>T​(p.Ser655Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000689 in 1,450,362 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 (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

POLN
NM_181808.4 missense

Scores

4
12
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.48
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 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.816

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
POLNNM_181808.4 linkuse as main transcriptc.1964C>T p.Ser655Phe missense_variant 19/26 ENST00000511885.6 NP_861524.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
POLNENST00000511885.6 linkuse as main transcriptc.1964C>T p.Ser655Phe missense_variant 19/265 NM_181808.4 ENSP00000435506 P1Q7Z5Q5-1
POLNENST00000382865.5 linkuse as main transcriptc.1964C>T p.Ser655Phe missense_variant 17/241 ENSP00000372316 P1Q7Z5Q5-1
POLNENST00000511098.1 linkuse as main transcriptc.863C>T p.Ser288Phe missense_variant 12/191 ENSP00000426401
POLNENST00000514858.5 linkuse as main transcriptn.971C>T non_coding_transcript_exon_variant 10/142

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.89e-7
AC:
1
AN:
1450362
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
722342
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
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.:
32
Bravo
AF:
0.00000378

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 GeneticsJan 26, 2022The c.1964C>T (p.S655F) alteration is located in exon 17 (coding exon 17) of the POLN gene. This alteration results from a C to T substitution at nucleotide position 1964, causing the serine (S) at amino acid position 655 to be replaced by a phenylalanine (F). 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
0.15
BayesDel_addAF
Pathogenic
0.29
D
BayesDel_noAF
Pathogenic
0.18
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.62
D;D
Eigen
Uncertain
0.59
Eigen_PC
Uncertain
0.58
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Uncertain
0.88
D;.
M_CAP
Uncertain
0.20
D
MetaRNN
Pathogenic
0.82
D;D
MetaSVM
Pathogenic
0.97
D
MutationAssessor
Uncertain
2.7
M;M
MutationTaster
Benign
0.55
N;N
PrimateAI
Benign
0.45
T
PROVEAN
Uncertain
-3.5
D;D
REVEL
Uncertain
0.63
Sift
Uncertain
0.0040
D;D
Sift4G
Uncertain
0.012
D;D
Polyphen
0.93
P;P
Vest4
0.57
MutPred
0.68
Loss of disorder (P = 0.011);Loss of disorder (P = 0.011);
MVP
0.96
MPC
0.39
ClinPred
0.95
D
GERP RS
4.3
Varity_R
0.88
gMVP
0.54

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.25
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.25
Position offset: -18

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: rs1209335735; hg19: chr4-2129858; API