5-132579462-G-T
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong
The NM_005732.4(RAD50):c.511G>T(p.Ala171Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0000254 in 1,613,872 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A171T) has been classified as Uncertain significance.
Frequency
Consequence
NM_005732.4 missense
Scores
Clinical Significance
Conservation
Publications
- Nijmegen breakage syndrome-like disorderInheritance: AR Classification: STRONG, LIMITED Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
- familial ovarian cancerInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
- hereditary breast carcinomaInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| RAD50 | ENST00000378823.8 | c.511G>T | p.Ala171Ser | missense_variant | Exon 4 of 25 | 1 | NM_005732.4 | ENSP00000368100.4 | ||
| ENSG00000283782 | ENST00000638452.2 | c.214G>T | p.Ala72Ser | missense_variant | Exon 6 of 27 | 5 | ENSP00000492349.2 |
Frequencies
GnomAD3 genomes AF: 0.0000526 AC: 8AN: 152116Hom.: 0 Cov.: 31 show subpopulations
GnomAD2 exomes AF: 0.0000637 AC: 16AN: 251314 AF XY: 0.0000589 show subpopulations
GnomAD4 exome AF: 0.0000226 AC: 33AN: 1461638Hom.: 0 Cov.: 31 AF XY: 0.0000261 AC XY: 19AN XY: 727126 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000526 AC: 8AN: 152234Hom.: 0 Cov.: 31 AF XY: 0.0000403 AC XY: 3AN XY: 74446 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Hereditary cancer-predisposing syndrome Uncertain:2
The p.A171S variant (also known as c.511G>T), located in coding exon 4 of the RAD50 gene, results from a G to T substitution at nucleotide position 511. The alanine at codon 171 is replaced by serine, an amino acid with similar properties. This variant was reported in 1/1313 early-onset breast cancer cases and 0/1123 population controls (Damiola F et al, 2014 Jun;16:R58). This alteration was also identified in an individual diagnosed with breast cancer who had a family history of breast and/or ovarian cancer (Wang J et al. Cancer Med, 2019 05;8:2074-2084). This amino acid position is well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
This sequence change replaces alanine, which is neutral and non-polar, with serine, which is neutral and polar, at codon 171 of the RAD50 protein (p.Ala171Ser). This variant is present in population databases (rs143483210, gnomAD 0.08%). This missense change has been observed in individual(s) with breast cancer (PMID: 24894818). ClinVar contains an entry for this variant (Variation ID: 142739). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt RAD50 protein function with a negative predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Nijmegen breakage syndrome-like disorder Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at