NM_002691.4:c.2955G>T
Variant summary
Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_ModerateBP6_Very_StrongBP7
The NM_002691.4(POLD1):c.2955G>T(p.Arg985Arg) variant causes a splice region, synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000852 in 1,560,452 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. R985R) has been classified as Likely benign.
Frequency
Consequence
NM_002691.4 splice_region, synonymous
Scores
Clinical Significance
Conservation
Publications
- POLD1-related polyposis and colorectal cancer syndromeInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- colorectal cancer, susceptibility to, 10Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
- mandibular hypoplasia-deafness-progeroid syndromeInheritance: AD, AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Genomics England PanelApp, Ambry Genetics, Orphanet, G2P
- Polymerase proofreading-related adenomatous polyposisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- immunodeficiency 120Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
- non-severe combined immunodeficiency due to polymerase delta deficiencyInheritance: AR Classification: LIMITED Submitted by: ClinGen
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ACMG classification
Our verdict: Benign. The variant received -11 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| POLD1 | NM_002691.4 | c.2955G>T | p.Arg985Arg | splice_region_variant, synonymous_variant | Exon 24 of 27 | ENST00000440232.7 | NP_002682.2 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| POLD1 | ENST00000440232.7 | c.2955G>T | p.Arg985Arg | splice_region_variant, synonymous_variant | Exon 24 of 27 | 1 | NM_002691.4 | ENSP00000406046.1 | ||
| ENSG00000142539 | ENST00000599632.1 | c.162G>T | p.Arg54Arg | splice_region_variant, synonymous_variant | Exon 3 of 10 | 5 | ENSP00000473233.1 | 
Frequencies
GnomAD3 genomes  0.0000920  AC: 14AN: 152196Hom.:  0  Cov.: 34 show subpopulations 
GnomAD2 exomes  AF:  0.000644  AC: 106AN: 164594 AF XY:  0.000501   show subpopulations 
GnomAD4 exome  AF:  0.0000845  AC: 119AN: 1408256Hom.:  1  Cov.: 34 AF XY:  0.0000761  AC XY: 53AN XY: 696710 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000920  AC: 14AN: 152196Hom.:  0  Cov.: 34 AF XY:  0.0000807  AC XY: 6AN XY: 74336 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not provided    Benign:3 
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not specified    Benign:2 
Variant summary: POLD1 c.2955G>T (p.Arg985Arg) alters a non-conserved nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. 4/4 computational tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 0.00064 in 164594 control chromosomes. The observed variant frequency is approximately 45 fold of the estimated maximal expected allele frequency for a pathogenic variant in POLD1 causing Colorectal Cancer phenotype (1.4e-05), strongly suggesting that the variant is benign. To our knowledge, no occurrence of c.2955G>T in individuals affected with Colorectal Cancer and no experimental evidence demonstrating its impact on protein function have been reported. Four clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as benign (n=1)/likely benign(n=3). Based on the evidence outlined above, the variant was classified as benign. -
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Colorectal cancer, susceptibility to, 10    Benign:1 
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Hereditary cancer-predisposing syndrome    Benign:1 
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at