Our verdict is Benign. The variant received -11 ACMG points: 2P and 13B. PM2BP4_StrongBP6_Very_StrongBP7
The NM_000038.6(APC):c.8508G>A(p.Gly2836Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,460,466 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 (★★). Synonymous variant affecting the same amino acid position (i.e. G2836G) has been classified 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=-0.54).
BP6
Variant 5-112844102-G-A is Benign according to our data. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112844102-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 1332559.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.319 with no splicing effect.
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000299
AC:
1
AN:
33412
American (AMR)
AF:
0.0000450
AC:
2
AN:
44474
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26072
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85928
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53406
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5758
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111378
Other (OTH)
AF:
0.00
AC:
0
AN:
60342
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 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: 0.375
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Age Distribution
Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
32
ClinVar
Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts