chr2-47375266-G-C

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 2P and 16B. PM2BP4_StrongBP6_Very_StrongBS1

The NM_002354.3(EPCAM):ā€‹c.458G>Cā€‹(p.Arg153Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00023 in 1,612,484 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R153G) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.00033 ( 0 hom., cov: 33)
Exomes š‘“: 0.00022 ( 1 hom. )

Consequence

EPCAM
NM_002354.3 missense

Scores

3
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:4

Conservation

PhyloP100: 6.01
Variant links:
Genes affected
EPCAM (HGNC:11529): (epithelial cell adhesion molecule) This gene encodes a carcinoma-associated antigen and is a member of a family that includes at least two type I membrane proteins. This antigen is expressed on most normal epithelial cells and gastrointestinal carcinomas and functions as a homotypic calcium-independent cell adhesion molecule. The antigen is being used as a target for immunotherapy treatment of human carcinomas. Mutations in this gene result in congenital tufting enteropathy. [provided by RefSeq, Dec 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.007149756).
BP6
Variant 2-47375266-G-C is Benign according to our data. Variant chr2-47375266-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 215501.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.000328 (50/152260) while in subpopulation EAS AF= 0.00847 (44/5192). AF 95% confidence interval is 0.00649. There are 0 homozygotes in gnomad4. There are 33 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EPCAMNM_002354.3 linkuse as main transcriptc.458G>C p.Arg153Thr missense_variant 4/9 ENST00000263735.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EPCAMENST00000263735.9 linkuse as main transcriptc.458G>C p.Arg153Thr missense_variant 4/91 NM_002354.3 P1

Frequencies

GnomAD3 genomes
AF:
0.000322
AC:
49
AN:
152142
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00826
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000724
AC:
182
AN:
251266
Hom.:
0
AF XY:
0.000685
AC XY:
93
AN XY:
135826
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00903
Gnomad SAS exome
AF:
0.000523
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000220
AC:
321
AN:
1460224
Hom.:
1
Cov.:
29
AF XY:
0.000227
AC XY:
165
AN XY:
726504
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00555
Gnomad4 SAS exome
AF:
0.000743
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.000597
GnomAD4 genome
AF:
0.000328
AC:
50
AN:
152260
Hom.:
0
Cov.:
33
AF XY:
0.000443
AC XY:
33
AN XY:
74442
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00847
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000214
Hom.:
0
Bravo
AF:
0.000249
ExAC
AF:
0.000659
AC:
80
Asia WGS
AF:
0.00318
AC:
11
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2023EPCAM: BP4 -
Benign, criteria provided, single submitterclinical testingInvitaeFeb 02, 2021- -
Lynch syndrome 1 Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingDing PR Lab, Sun Yat-sen University Cancer Center-- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoJun 24, 2016- -
EPCAM-related disorder Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesOct 09, 2020This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.38
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Uncertain
-0.010
CADD
Benign
23
DANN
Benign
0.91
DEOGEN2
Benign
0.013
T;T
Eigen
Benign
-0.031
Eigen_PC
Benign
0.074
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.80
.;T
MetaRNN
Benign
0.0071
T;T
MetaSVM
Benign
-0.75
T
MutationAssessor
Benign
2.0
.;M
MutationTaster
Benign
0.74
D;D
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-1.2
N;N
REVEL
Benign
0.24
Sift
Benign
1.0
T;T
Sift4G
Benign
1.0
T;T
Polyphen
0.79
P;P
Vest4
0.71
MVP
0.77
MPC
0.047
ClinPred
0.099
T
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.17
gMVP
0.54

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs189732445; hg19: chr2-47602405; API