chr17-35107384-T-TG
Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_002878.4(RAD51D):c.326dupC(p.Gly110ArgfsTer2) variant causes a frameshift change. The variant allele was found at a frequency of 0.00000256 in 1,561,028 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_002878.4 frameshift
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 18 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
RAD51D | ENST00000345365.11 | c.326dupC | p.Gly110ArgfsTer2 | frameshift_variant | Exon 4 of 10 | 1 | NM_002878.4 | ENSP00000338790.6 | ||
ENSG00000267618 | ENST00000593039.5 | c.4-904dupC | intron_variant | Intron 1 of 6 | 2 | ENSP00000466834.1 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152160Hom.: 0 Cov.: 31
GnomAD3 exomes AF: 0.00000796 AC: 2AN: 251280Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135810
GnomAD4 exome AF: 0.00000142 AC: 2AN: 1408868Hom.: 0 Cov.: 31 AF XY: 0.00000142 AC XY: 1AN XY: 703508
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152160Hom.: 0 Cov.: 31 AF XY: 0.00 AC XY: 0AN XY: 74330
ClinVar
Submissions by phenotype
not provided Pathogenic:4
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This frameshift variant alters the translational reading frame of the RAD51D mRNA and causes the premature termination of RAD51D protein synthesis. The frequency of this variant in the general population, 0.000008 (2/251280 chromosomes, http://gnomad.broadinstitute.org), is consistent with pathogenicity. In the published literature, the variant has been reported in individuals with breast and/or ovarian cancer (PMID: 27153395 (2016)), prostate cancer (PMID: 27433846 (2016)), and colorectal cancer (PMID: 27433846 (2015)). Based on the available information, this variant is classified as pathogenic. -
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Frameshift variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 26681312, 27433846, 27153395) -
Breast-ovarian cancer, familial, susceptibility to, 4 Pathogenic:4
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This sequence change creates a premature translational stop signal (p.Gly110Argfs*2) in the RAD51D gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in RAD51D are known to be pathogenic (PMID: 21822267). This variant is present in population databases (rs730882119, gnomAD 0.007%). This premature translational stop signal has been observed in individual(s) with prostate cancer and breast and ovarian cancer (PMID: 27153395, 27433846). ClinVar contains an entry for this variant (Variation ID: 182849). For these reasons, this variant has been classified as Pathogenic. -
This variant is considered pathogenic. This variant creates a frameshift predicted to result in premature protein truncation. -
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Hereditary cancer-predisposing syndrome Pathogenic:2
The c.326dupC pathogenic mutation, located in coding exon 4 of the RAD51D gene, results from a duplication of C at nucleotide position 326, causing a translational frameshift with a predicted alternate stop codon (p.G110Rfs*2). This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. -
This variant inserts 1 nucleotide in exon 4 of the RAD51D gene, creating a frameshift and premature translation stop signal. This variant is expected to result in an absent or non-functional protein product. This variant has been reported in individuals affected with colorectal cancer or prostate cancer (PMID: 26681312, 27433846). This variant has been identified in 2/251280 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Loss of RAD51D function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at