NM_177438.3:c.179C>T
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BS2BP4
This summary comes from the ClinGen Evidence Repository: The NM_177438.3:c.179C>T variant in DICER1 is a missense variant predicted to cause substitution of threonine by isoleucine at amino acid 60 (p.Thr60Ile). Although this variant has been observed in germline cases, to our knowledge, this variant has not been reported in individuals with DICER1-related tumor predisposition (PS4 not met; PMIDs: 29399970, 37019617, 24728327, Internal lab contributors). This variant has been seen in 40 or more unrelated females without tumors through age 50 in at least one testing laboratory (BS2; Internal lab contributors). The total allele frequency in gnomAD v4.1.0 is 0.0001599 (258/1613772 alleles) with a highest population minor allele frequency of 0.0002144 (253/1179916 alleles) in the European (non-Finnish) population (PM2_Supporting, BS1, and BA1 are not met). In silico tools predict no damaging impact of the variant on protein function (REVEL: 0.32; MaxEntScan and SpliceAI: no effect on splicing) (BP4). In summary, this variant meets the criteria to be classified as Likely Benign for DICER1-related tumor predisposition based on the ACMG/AMP criteria applied, as specified by the ClinGen DICER1 VCEP: BS2, BP4. (Bayesian Points: -5; VCEP specifications version 1.3.0; 01/07/2025) LINK:https://erepo.genome.network/evrepo/ui/classification/CA158267/MONDO:0100216/024
Frequency
Consequence
NM_177438.3 missense
Scores
Clinical Significance
Conservation
Publications
- DICER1-related tumor predispositionInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- pleuropulmonary blastomaInheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- DICER1 syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- global developmental delay - lung cysts - overgrowth - Wilms tumor syndromeInheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| DICER1 | NM_177438.3 | c.179C>T | p.Thr60Ile | missense_variant | Exon 3 of 27 | ENST00000343455.8 | NP_803187.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| DICER1 | ENST00000343455.8 | c.179C>T | p.Thr60Ile | missense_variant | Exon 3 of 27 | 1 | NM_177438.3 | ENSP00000343745.3 |
Frequencies
GnomAD3 genomes AF: 0.0000657 AC: 10AN: 152124Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.0000517 AC: 13AN: 251352 AF XY: 0.0000662 show subpopulations
GnomAD4 exome AF: 0.000170 AC: 248AN: 1461648Hom.: 0 Cov.: 32 AF XY: 0.000169 AC XY: 123AN XY: 727138 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000657 AC: 10AN: 152124Hom.: 0 Cov.: 33 AF XY: 0.0000807 AC XY: 6AN XY: 74304 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:3
The DICER1 c.179C>T (p.Thr60Ile) variant has been identified in a reportedly healthy individual from an ancestrally diverse cohort (PMID: 24728327 (2014)). The frequency of this variant in the general population, 0.00011 (14/129096 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Analysis of this variant using a bioinformatics tool (i.e., MutationTaster) for the prediction of the effect of amino acid changes on protein structure and function yielded predictions that this variant is damaging. Based on the available information, we are unable to determine the clinical significance of this variant. -
In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge; This variant is associated with the following publications: (PMID: 24728327) -
The DICER1 c.179C>T; p.Thr60Ile variant (rs587778228), to our knowledge, is not reported in the medical literature in affected individuals but is found in healthy controls (Bodian 2014). This variant is also reported in ClinVar (Variation ID: 133968). This variant is found in the non-Finnish European population with an allele frequency of 0.01% (14/129096 alleles) in the Genome Aggregation Database. Computational analyses are uncertain whether this variant is neutral or deleterious (REVEL: 0.32). Due to limited information, the clinical significance of the p.Thr60Ile variant is uncertain at this time. References: Bodian DL et al. Germline variation in cancer-susceptibility genes in a healthy, ancestrally diverse cohort: implications for individual genome sequencing. PLoS One. 2014 Apr 11;9(4):e94554. PMID: 24728327. -
not specified Uncertain:1Other:1
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DICER1-related tumor predisposition Benign:2
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The NM_177438.3:c.179C>T variant in DICER1 is a missense variant predicted to cause substitution of threonine by isoleucine at amino acid 60 (p.Thr60Ile). Although this variant has been observed in germline cases, to our knowledge, this variant has not been reported in individuals with DICER1-related tumor predisposition (PS4 not met; PMIDs: 29399970, 37019617, 24728327, Internal lab contributors). This variant has been seen in 40 or more unrelated females without tumors through age 50 in at least one testing laboratory (BS2; Internal lab contributors). The total allele frequency in gnomAD v4.1.0 is 0.0001599 (258/1613772 alleles) with a highest population minor allele frequency of 0.0002144 (253/1179916 alleles) in the European (non-Finnish) population (PM2_Supporting, BS1, and BA1 are not met). In silico tools predict no damaging impact of the variant on protein function (REVEL: 0.32; MaxEntScan and SpliceAI: no effect on splicing) (BP4). In summary, this variant meets the criteria to be classified as Likely Benign for DICER1-related tumor predisposition based on the ACMG/AMP criteria applied, as specified by the ClinGen DICER1 VCEP: BS2, BP4. (Bayesian Points: -5; VCEP specifications version 1.3.0; 01/07/2025) -
Euthyroid goiter;C1266144:Pleuropulmonary blastoma;C1867234:Rhabdomyosarcoma, embryonal, 2;C4748924:Global developmental delay - lung cysts - overgrowth - Wilms tumor syndrome Uncertain:1
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Global developmental delay - lung cysts - overgrowth - Wilms tumor syndrome Uncertain:1
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DICER1-related disorder Uncertain:1
The DICER1 c.179C>T variant is predicted to result in the amino acid substitution p.Thr60Ile. To our knowledge, this variant has not been reported in individuals with DICER1 related disorders in the literature. This variant is reported in 0.011% of alleles in individuals of European (Non-Finnish) descent in gnomAD. This variant is interpreted as a variant of uncertain significance by majority of the submitters in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/133968/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Hereditary cancer-predisposing syndrome Uncertain:1
The p.T60I variant (also known as c.179C>T), located in coding exon 2 of the DICER1 gene, results from a C to T substitution at nucleotide position 179. The threonine at codon 60 is replaced by isoleucine, an amino acid with similar properties. This amino acid position is highly conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Based on the available evidence, the clinical significance of this variant remains unclear. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at