chr17-65537671-T-C

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_004655.4(AXIN2):ā€‹c.1365A>Gā€‹(p.Pro455=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.895 in 1,559,288 control chromosomes in the GnomAD database, including 625,484 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Synonymous variant affecting the same amino acid position (i.e. P455P) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.90 ( 62168 hom., cov: 32)
Exomes š‘“: 0.89 ( 563316 hom. )

Consequence

AXIN2
NM_004655.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: -7.66
Variant links:
Genes affected
AXIN2 (HGNC:904): (axin 2) The Axin-related protein, Axin2, presumably plays an important role in the regulation of the stability of beta-catenin in the Wnt signaling pathway, like its rodent homologs, mouse conductin/rat axil. In mouse, conductin organizes a multiprotein complex of APC (adenomatous polyposis of the colon), beta-catenin, glycogen synthase kinase 3-beta, and conductin, which leads to the degradation of beta-catenin. Apparently, the deregulation of beta-catenin is an important event in the genesis of a number of malignancies. The AXIN2 gene has been mapped to 17q23-q24, a region that shows frequent loss of heterozygosity in breast cancer, neuroblastoma, and other tumors. Mutations in this gene have been associated with colorectal cancer with defective mismatch repair. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP6
Variant 17-65537671-T-C is Benign according to our data. Variant chr17-65537671-T-C is described in ClinVar as [Benign]. Clinvar id is 259509.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-65537671-T-C is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-7.66 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.929 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AXIN2NM_004655.4 linkuse as main transcriptc.1365A>G p.Pro455= synonymous_variant 6/11 ENST00000307078.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AXIN2ENST00000307078.10 linkuse as main transcriptc.1365A>G p.Pro455= synonymous_variant 6/111 NM_004655.4 P1
AXIN2ENST00000375702.5 linkuse as main transcriptc.1365A>G p.Pro455= synonymous_variant 5/91
AXIN2ENST00000618960.4 linkuse as main transcriptc.1365A>G p.Pro455= synonymous_variant 6/105

Frequencies

GnomAD3 genomes
AF:
0.904
AC:
137242
AN:
151752
Hom.:
62111
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.932
Gnomad AMI
AF:
0.896
Gnomad AMR
AF:
0.897
Gnomad ASJ
AF:
0.948
Gnomad EAS
AF:
0.816
Gnomad SAS
AF:
0.951
Gnomad FIN
AF:
0.899
Gnomad MID
AF:
0.965
Gnomad NFE
AF:
0.891
Gnomad OTH
AF:
0.916
GnomAD3 exomes
AF:
0.902
AC:
154632
AN:
171458
Hom.:
69841
AF XY:
0.904
AC XY:
82746
AN XY:
91536
show subpopulations
Gnomad AFR exome
AF:
0.933
Gnomad AMR exome
AF:
0.891
Gnomad ASJ exome
AF:
0.948
Gnomad EAS exome
AF:
0.824
Gnomad SAS exome
AF:
0.955
Gnomad FIN exome
AF:
0.894
Gnomad NFE exome
AF:
0.892
Gnomad OTH exome
AF:
0.910
GnomAD4 exome
AF:
0.894
AC:
1258681
AN:
1407418
Hom.:
563316
Cov.:
85
AF XY:
0.896
AC XY:
623035
AN XY:
695252
show subpopulations
Gnomad4 AFR exome
AF:
0.937
Gnomad4 AMR exome
AF:
0.893
Gnomad4 ASJ exome
AF:
0.951
Gnomad4 EAS exome
AF:
0.839
Gnomad4 SAS exome
AF:
0.956
Gnomad4 FIN exome
AF:
0.893
Gnomad4 NFE exome
AF:
0.889
Gnomad4 OTH exome
AF:
0.898
GnomAD4 genome
AF:
0.904
AC:
137359
AN:
151870
Hom.:
62168
Cov.:
32
AF XY:
0.905
AC XY:
67149
AN XY:
74182
show subpopulations
Gnomad4 AFR
AF:
0.932
Gnomad4 AMR
AF:
0.897
Gnomad4 ASJ
AF:
0.948
Gnomad4 EAS
AF:
0.816
Gnomad4 SAS
AF:
0.952
Gnomad4 FIN
AF:
0.899
Gnomad4 NFE
AF:
0.891
Gnomad4 OTH
AF:
0.917
Alfa
AF:
0.899
Hom.:
16007
Bravo
AF:
0.904
Asia WGS
AF:
0.874
AC:
3043
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 29, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo Clinic-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Oligodontia-cancer predisposition syndrome Benign:4
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
not provided Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 30, 2023- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 17, 2016Variant summary: The AXIN2 c.1365A>G (p.Pro455Pro) variant causes a synonymous change involving a non-conserved nucleotide. The variant of interest was observed in the large, broad control population, ExAC, with an allele frequency of 0.914 (39107/42768 chromosomes, 17839 homozygotes), therefore suggesting that the G allele is the major allele (most commonly observed) found in the general population. Therefore, the variant of interest has been classified as Benign. -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Hereditary cancer-predisposing syndrome Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 10, 2018This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.82
CADD
Benign
0.48
DANN
Benign
0.65

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: rs9915936; hg19: chr17-63533789; COSMIC: COSV61055320; COSMIC: COSV61055320; API