chr12-68809237-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_002392.6(MDM2):​c.44C>T​(p.Pro15Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000468 in 1,613,790 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00050 ( 0 hom. )

Consequence

MDM2
NM_002392.6 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.901
Variant links:
Genes affected
MDM2 (HGNC:6973): (MDM2 proto-oncogene) This gene encodes a nuclear-localized E3 ubiquitin ligase. The encoded protein can promote tumor formation by targeting tumor suppressor proteins, such as p53, for proteasomal degradation. This gene is itself transcriptionally-regulated by p53. Overexpression or amplification of this locus is detected in a variety of different cancers. There is a pseudogene for this gene on chromosome 2. Alternative splicing results in a multitude of transcript variants, many of which may be expressed only in tumor cells. [provided by RefSeq, Jun 2013]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.07069111).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MDM2NM_002392.6 linkuse as main transcriptc.44C>T p.Pro15Leu missense_variant 2/11 ENST00000258149.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MDM2ENST00000258149.11 linkuse as main transcriptc.44C>T p.Pro15Leu missense_variant 2/111 NM_002392.6 Q00987-11

Frequencies

GnomAD3 genomes
AF:
0.000184
AC:
28
AN:
152022
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000397
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000160
AC:
40
AN:
249550
Hom.:
0
AF XY:
0.000133
AC XY:
18
AN XY:
135388
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000344
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000498
AC:
728
AN:
1461768
Hom.:
0
Cov.:
31
AF XY:
0.000477
AC XY:
347
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000610
Gnomad4 OTH exome
AF:
0.000795
GnomAD4 genome
AF:
0.000184
AC:
28
AN:
152022
Hom.:
0
Cov.:
33
AF XY:
0.0000943
AC XY:
7
AN XY:
74232
show subpopulations
Gnomad4 AFR
AF:
0.0000242
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000397
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000297
Hom.:
0
Bravo
AF:
0.000166
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000611
AC:
5
ExAC
AF:
0.000124
AC:
15
EpiCase
AF:
0.000491
EpiControl
AF:
0.000296

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Accelerated tumor formation, susceptibility to Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeSep 03, 2023This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 15 of the MDM2 protein (p.Pro15Leu). This variant is present in population databases (rs201821879, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with MDM2-related conditions. ClinVar contains an entry for this variant (Variation ID: 856511). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.49
CADD
Uncertain
24
DANN
Benign
0.97
DEOGEN2
Benign
0.32
.;T;T;T;T;T;.;.;.;.;T;.;.;.;.;.;T;T;.
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.27
FATHMM_MKL
Benign
0.046
N
LIST_S2
Uncertain
0.90
D;D;D;D;D;D;D;D;.;.;.;D;D;D;.;D;D;.;.
M_CAP
Benign
0.0032
T
MetaRNN
Benign
0.071
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
.;.;.;.;N;.;.;.;.;.;.;N;N;.;.;N;.;.;.
MutationTaster
Benign
0.54
D;D;D;D;D;D;D;D;D;D;D;D;D;N;N;N;N;N
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.8
.;N;D;N;N;N;D;D;N;D;N;N;N;D;D;D;D;N;D
REVEL
Benign
0.061
Sift
Uncertain
0.026
.;D;D;T;T;T;D;D;.;T;D;T;D;D;D;D;T;D;.
Sift4G
Benign
0.24
T;T;D;T;T;T;D;D;T;T;D;D;D;D;D;D;T;D;D
Polyphen
0.0
B;.;B;B;B;.;.;.;.;.;B;B;B;B;.;B;.;.;.
Vest4
0.15
MVP
0.45
ClinPred
0.061
T
GERP RS
3.8
Varity_R
0.39
gMVP
0.20

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs201821879; hg19: chr12-69203017; API