Our verdict is Benign. The variant received -11 ACMG points: 2P and 13B. PM2BP4_StrongBP6_Very_StrongBP7
The NM_000038.6(APC):c.5136A>G(p.Glu1712Glu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000124 in 1,614,150 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 Likely benign (★★).
APC (HGNC:583): (APC regulator of WNT signaling pathway) This gene encodes a tumor suppressor protein that acts as an antagonist of the Wnt signaling pathway. It is also involved in other processes including cell migration and adhesion, transcriptional activation, and apoptosis. Defects in this gene cause familial adenomatous polyposis (FAP), an autosomal dominant pre-malignant disease that usually progresses to malignancy. Mutations in the APC gene have been found to occur in most colorectal cancers, where disease-associated mutations tend to be clustered in a small region designated the mutation cluster region (MCR) and result in a truncated protein product. [provided by RefSeq, Jun 2022]
APC Gene-Disease associations (from GenCC):
classic or attenuated familial adenomatous polyposis
Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
desmoid tumor
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
familial adenomatous polyposis 1
Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
gastric adenocarcinoma and proximal polyposis of the stomach
Our verdict: Benign. The variant received -11 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BP6
Variant 5-112840730-A-G is Benign according to our data. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112840730-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 469992.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.109 with no splicing effect.
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000240
AC:
1
AN:
41586
American (AMR)
AF:
0.00
AC:
0
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68030
Other (OTH)
AF:
0.00
AC:
0
AN:
2110
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.325
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:
0.0000936
Hom.:
0
Bravo
AF:
0.00000756
ClinVar
Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts