6-151689399-T-C

Position:

• chr6-151689399-T-C

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_001385568.1(ESR1):​c.-201-12476T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.389 in 152,020 control chromosomes in the GnomAD database, including 11,867 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.39 (11867 hom., cov: 32)
• Consequence: ESR1 NM_001385568.1 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 0.484

Genes affected

ESR1 (HGNC:):

ESR1 (HGNC:3467): (estrogen receptor 1) This gene encodes an estrogen receptor and ligand-activated transcription factor. The canonical protein contains an N-terminal ligand-independent transactivation domain, a central DNA binding domain, a hinge domain, and a C-terminal ligand-dependent transactivation domain. The protein localizes to the nucleus where it may form either a homodimer or a heterodimer with estrogen receptor 2. The protein encoded by this gene regulates the transcription of many estrogen-inducible genes that play a role in growth, metabolism, sexual development, gestation, and other reproductive functions and is expressed in many non-reproductive tissues. The receptor encoded by this gene plays a key role in breast cancer, endometrial cancer, and osteoporosis. This gene is reported to have dozens of transcript variants due to the use of alternate promoters and alternative splicing, however, the full-length nature of many of these variants remain uncertain. [provided by RefSeq, Jul 2020]

ACMG classification

Verdict is Benign. Variant got -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.83).
• BA1: GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.424 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
ESR1	NM_001385568.1	c.-201-12476T>C		intron_variant			NP_001372497.1
ESR1	XM_017010377.2	c.-201-12476T>C		intron_variant			XP_016865866.1
ESR1	XM_017010380.2	c.-71+32636T>C		intron_variant			XP_016865869.1
ESR1	XM_047418290.1	c.-201-12476T>C		intron_variant			XP_047274246.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
ESR1	ENST00000473497.5	n.74-12476T>C		intron_variant		1

Frequencies

GnomAD3 genomes AF: 0.389 AC: 59154 AN: 151902 Hom.: 11865 Cov.: 32

Gnomad AFR AF: 0.368

Gnomad AMI AF: 0.557

Gnomad AMR AF: 0.366

Gnomad ASJ AF: 0.366

Gnomad EAS AF: 0.135

Gnomad SAS AF: 0.225

Gnomad FIN AF: 0.457

Gnomad MID AF: 0.351

Gnomad NFE AF: 0.428

Gnomad OTH AF: 0.365

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.389 AC: 59180 AN: 152020 Hom.: 11867 Cov.: 32 AF XY: 0.384 AC XY: 28543 AN XY: 74304

Gnomad4 AFR AF: 0.367

Gnomad4 AMR AF: 0.366

Gnomad4 ASJ AF: 0.366

Gnomad4 EAS AF: 0.135

Gnomad4 SAS AF: 0.226

Gnomad4 FIN AF: 0.457

Gnomad4 NFE AF: 0.428

Gnomad4 OTH AF: 0.361

Alfa AF: 0.413 Hom.: 4579

Bravo AF: 0.381

Asia WGS AF: 0.191 AC: 667 AN: 3474

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.83
CADD	Benign	13
DANN	Benign	0.68

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Other links and lift over

dbSNP: rs2982573; hg19: chr6-152010534;