6-35455772-C-T
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6
The NM_021922.3(FANCE):c.274C>T(p.Arg92Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000496 in 1,613,994 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R92Q) has been classified as Uncertain significance.
Frequency
Consequence
NM_021922.3 missense
Scores
Clinical Significance
Conservation
Publications
- Fanconi anemia complementation group EInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P
- Fanconi anemiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.000131  AC: 20AN: 152184Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.0000875  AC: 22AN: 251386 AF XY:  0.0000810   show subpopulations 
GnomAD4 exome  AF:  0.0000410  AC: 60AN: 1461810Hom.:  0  Cov.: 65 AF XY:  0.0000426  AC XY: 31AN XY: 727210 show subpopulations 
Age Distribution
GnomAD4 genome  0.000131  AC: 20AN: 152184Hom.:  0  Cov.: 33 AF XY:  0.000121  AC XY: 9AN XY: 74350 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Fanconi anemia complementation group E    Uncertain:1Benign:1 
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This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
not specified    Uncertain:1 
DNA sequence analysis of the FANCE gene demonstrated a sequence change, c.274C>T, in exon 2 that results in an amino acid change, p.Arg92Trp. This sequence change does not appear to have been previously described in patients with FANCE-related disorders and has been described in the gnomAD database with a frequency of 0.032% in the African sub-population (dbSNP rs375195621). The p.Arg92Trp change affects a poorly conserved amino acid residue located in a domain of the FANCE protein that is not known to be functional. In-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL) provide contradictory results for the p.Arg92Trp substitution. Due to these contrasting evidences and the lack of functional studies, the clinical significance of the p.Arg92Trp change remains unknown at this time. -
Fanconi anemia    Uncertain:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at