chr17-58734199-C-T
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PVS1_Moderate
The NM_058216.3(RAD51C):c.1108C>T(p.Arg370*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000093 in 1,612,478 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. R370R) has been classified as Likely benign.
Frequency
Consequence
NM_058216.3 stop_gained
Scores
Clinical Significance
Conservation
Publications
- breast-ovarian cancer, familial, susceptibility to, 3Inheritance: AD Classification: STRONG, LIMITED Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
- Fanconi anemia complementation group OInheritance: AR Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen
- hereditary breast ovarian cancer syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Fanconi anemiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- hereditary breast carcinomaInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
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ACMG classification
Our verdict: Uncertain_significance. The variant received 2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000526 AC: 8AN: 152108Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000121 AC: 3AN: 248636 AF XY: 0.00000745 show subpopulations
GnomAD4 exome AF: 0.00000479 AC: 7AN: 1460370Hom.: 0 Cov.: 31 AF XY: 0.00000551 AC XY: 4AN XY: 726336 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000526 AC: 8AN: 152108Hom.: 0 Cov.: 32 AF XY: 0.0000673 AC XY: 5AN XY: 74296 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:2
Not observed at significant frequency in large population cohorts (gnomAD); Nonsense variant predicted to result in protein truncation as the last 7 amino acids are lost, although loss-of-function variants have not been reported downstream of this position in the protein; This variant is associated with the following publications: (PMID: 12966089, 14704354, 37298034, 34570441, 32809180, 35171259) -
The RAD51C c.1108C>T (p.Arg370*) variant is predicted to cause a premature stop codon in the last exon. This is not expected to result in nonsense-mediated decay, although it is predicted to truncate the protein by 7 amino acids. The potential impact of this alteration on protein function is unclear. This variant has been reported in the published literature in individuals with breast or pancreatic cancer (PMIDs: 35171259 (2022), 34570441 (2021), 32809180 (2020)). The frequency of this variant in the general population, 0.000014 (4/280040 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Based on the available information, we are unable to determine the clinical significance of this variant. -
Hereditary cancer-predisposing syndrome Uncertain:2
This variant changes 1 nucleotide in exon 9 of the RAD51C gene, creating a premature translation stop signal in the last coding exon. While this mutant transcript is predicted to escape nonsense-mediated decay, it is expected to delete 7 amino acids from the C-terminus of the RAD51C protein. While to our knowledge, functional studies have not been reported for this variant, cells with a variant protein missing the 11 amino acids from the C-terminus have been reported to have reduced mitomycin C resistance (PMID: 12966089). This variant has not been reported in individuals affected with hereditary cancer in the literature. This variant has been identified in 4/280040 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
The p.R370* variant (also known as c.1108C>T) located in coding exon 9 of the RAD51C gene, results from a C to T substitution at nucleotide position 1108. This changes the amino acid from an arginine to a stop codon within coding exon 9. This alteration was detected in a cohort of 116 patients from Chinese familial breast cancer families (Dong L et al. Cancer Biol Med, 2021 Sep;19:850-70). This alteration occurs at the 3' terminus of the RAD51C gene, is not expected to trigger nonsense-mediated mRNAdecay, and only impacts the last seven amino acids of the protein. The exact functional effect of this alteration is unknown. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Breast-ovarian cancer, familial, susceptibility to, 3 Uncertain:2
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not specified Uncertain:1
Variant summary: RAD51C c.1108C>T (p.Arg370X) results in a premature termination codon, predicted to cause a truncation of the encoded protein, and no downtream pathogenic variants have been reported. The variant allele was found at a frequency of 1.2e-05 in 248636 control chromosomes. c.1108C>T has been reported in the literature in individuals affected with Breast Cancer, Pancreatic ductal adenocarcinoma and Acute pancreatitis, without strong evidence for causality (Bagherzadeh_2020, Dong_2022, Yin_2022). These report(s) do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 32809180, 34570441, 35171259). ClinVar contains an entry for this variant (Variation ID: 187300). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Fanconi anemia complementation group O Uncertain:1
This sequence change creates a premature translational stop signal (p.Arg370*) in the RAD51C gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 7 amino acid(s) of the RAD51C protein. This variant is present in population databases (rs756744016, gnomAD 0.006%). This premature translational stop signal has been observed in individual(s) with breast cancer (PMID: 32809180, 34570441). ClinVar contains an entry for this variant (Variation ID: 187300). RNA analysis performed to evaluate the impact of this premature translational stop signal on mRNA splicing indicates it does not significantly alter splicing (internal data). 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:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at