NM_002691.4:c.872T>C

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBP6

The NM_002691.4(POLD1):​c.872T>C​(p.Leu291Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000883 in 1,585,550 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). Synonymous variant affecting the same amino acid position (i.e. L291L) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 33)
Exomes š‘“: 0.0000091 ( 0 hom. )

Consequence

POLD1
NM_002691.4 missense

Scores

1
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: -0.130

Publications

1 publications found
Variant links:
Genes affected
POLD1 (HGNC:9175): (DNA polymerase delta 1, catalytic subunit) This gene encodes the 125-kDa catalytic subunit of DNA polymerase delta. DNA polymerase delta possesses both polymerase and 3' to 5' exonuclease activity and plays a critical role in DNA replication and repair. Alternatively spliced transcript variants have been observed for this gene, and a pseudogene of this gene is located on the long arm of chromosome 6. [provided by RefSeq, Mar 2012]
POLD1 Gene-Disease associations (from GenCC):
  • mandibular hypoplasia-deafness-progeroid syndrome
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG, SUPPORTIVE, LIMITED Submitted by: G2P, Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp
  • POLD1-related polyposis and colorectal cancer syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • colorectal cancer, susceptibility to, 10
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • Polymerase proofreading-related adenomatous polyposis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • immunodeficiency 120
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
  • non-severe combined immunodeficiency due to polymerase delta deficiency
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0799849).
BP6
Variant 19-50402643-T-C is Benign according to our data. Variant chr19-50402643-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 408040.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002691.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLD1
NM_002691.4
MANE Select
c.872T>Cp.Leu291Pro
missense
Exon 8 of 27NP_002682.2P28340
POLD1
NM_001308632.1
c.872T>Cp.Leu291Pro
missense
Exon 7 of 26NP_001295561.1M0R2B7
POLD1
NM_001256849.1
c.872T>Cp.Leu291Pro
missense
Exon 8 of 27NP_001243778.1P28340

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLD1
ENST00000440232.7
TSL:1 MANE Select
c.872T>Cp.Leu291Pro
missense
Exon 8 of 27ENSP00000406046.1P28340
POLD1
ENST00000595904.6
TSL:1
c.872T>Cp.Leu291Pro
missense
Exon 8 of 27ENSP00000472445.1M0R2B7
POLD1
ENST00000599857.7
TSL:1
c.872T>Cp.Leu291Pro
missense
Exon 8 of 27ENSP00000473052.1P28340

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152264
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000386
AC:
8
AN:
207434
AF XY:
0.0000446
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000512
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000907
AC:
13
AN:
1433168
Hom.:
0
Cov.:
34
AF XY:
0.0000113
AC XY:
8
AN XY:
710112
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33098
American (AMR)
AF:
0.00
AC:
0
AN:
39836
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25504
East Asian (EAS)
AF:
0.000311
AC:
12
AN:
38626
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83492
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50992
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5028
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1097354
Other (OTH)
AF:
0.0000169
AC:
1
AN:
59238
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
1
3
4
6
7
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
AF:
0.00000656
AC:
1
AN:
152382
Hom.:
0
Cov.:
33
AF XY:
0.0000134
AC XY:
1
AN XY:
74514
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41594
American (AMR)
AF:
0.00
AC:
0
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68040
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00104
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000497
AC:
6

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Colorectal cancer, susceptibility to, 10 (1)
-
-
1
Hereditary cancer-predisposing syndrome (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
16
DANN
Benign
0.86
DEOGEN2
Benign
0.10
T
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.73
FATHMM_MKL
Benign
0.080
N
LIST_S2
Benign
0.78
T
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.080
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
0.28
N
PhyloP100
-0.13
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-0.33
N
REVEL
Benign
0.25
Sift
Benign
0.26
T
Sift4G
Benign
0.29
T
Polyphen
0.0010
B
Vest4
0.54
MVP
0.18
MPC
0.45
ClinPred
0.0094
T
GERP RS
2.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.22
gMVP
0.79
Mutation Taster
=82/18
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs199999050; hg19: chr19-50905900; API