chr2-47377037-C-T

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_002354.3(EPCAM):​c.515C>T​(p.Thr172Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00209 in 1,610,568 control chromosomes in the GnomAD database, including 111 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0029 ( 14 hom., cov: 31)
Exomes 𝑓: 0.0020 ( 97 hom. )

Consequence

EPCAM
NM_002354.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -1.41
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a topological_domain Extracellular (size 241) in uniprot entity EPCAM_HUMAN there are 12 pathogenic changes around while only 2 benign (86%) in NM_002354.3
BP4
Computational evidence support a benign effect (MetaRNN=0.007371813).
BP6
Variant 2-47377037-C-T is Benign according to our data. Variant chr2-47377037-C-T is described in ClinVar as [Benign]. Clinvar id is 132748.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47377037-C-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0618 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPCAMNM_002354.3 linkuse as main transcriptc.515C>T p.Thr172Met missense_variant 5/9 ENST00000263735.9 NP_002345.2 P16422

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPCAMENST00000263735.9 linkuse as main transcriptc.515C>T p.Thr172Met missense_variant 5/91 NM_002354.3 ENSP00000263735.4 P16422
EPCAMENST00000405271.5 linkuse as main transcriptc.599C>T p.Thr200Met missense_variant 6/105 ENSP00000385476.1 B5MCA4
EPCAMENST00000456133.5 linkuse as main transcriptn.599C>T non_coding_transcript_exon_variant 6/115 ENSP00000410675.1 B5MCA4
EPCAMENST00000490733.1 linkuse as main transcriptn.364C>T non_coding_transcript_exon_variant 3/63

Frequencies

GnomAD3 genomes
AF:
0.00295
AC:
448
AN:
151992
Hom.:
14
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00162
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000787
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0678
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000735
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00569
AC:
1429
AN:
251356
Hom.:
54
AF XY:
0.00497
AC XY:
675
AN XY:
135868
show subpopulations
Gnomad AFR exome
AF:
0.00154
Gnomad AMR exome
AF:
0.0000867
Gnomad ASJ exome
AF:
0.000198
Gnomad EAS exome
AF:
0.0734
Gnomad SAS exome
AF:
0.000719
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000704
Gnomad OTH exome
AF:
0.00326
GnomAD4 exome
AF:
0.00201
AC:
2927
AN:
1458458
Hom.:
97
Cov.:
28
AF XY:
0.00191
AC XY:
1389
AN XY:
725854
show subpopulations
Gnomad4 AFR exome
AF:
0.00162
Gnomad4 AMR exome
AF:
0.000134
Gnomad4 ASJ exome
AF:
0.0000766
Gnomad4 EAS exome
AF:
0.0630
Gnomad4 SAS exome
AF:
0.000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000541
Gnomad4 OTH exome
AF:
0.00387
GnomAD4 genome
AF:
0.00292
AC:
444
AN:
152110
Hom.:
14
Cov.:
31
AF XY:
0.00320
AC XY:
238
AN XY:
74346
show subpopulations
Gnomad4 AFR
AF:
0.00162
Gnomad4 AMR
AF:
0.000786
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0676
Gnomad4 SAS
AF:
0.000622
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000735
Gnomad4 OTH
AF:
0.00332
Alfa
AF:
0.00253
Hom.:
16
Bravo
AF:
0.00347
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00493
AC:
599
Asia WGS
AF:
0.0290
AC:
100
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.0000593

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 06, 2023- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Hereditary cancer-predisposing syndrome Benign:2
Likely benign, no assertion criteria providedclinical testingTrue Health DiagnosticsSep 11, 2017- -
Benign, criteria provided, single submittercurationSema4, Sema4May 18, 2021- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Lynch syndrome 8 Benign:1
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
16
DANN
Benign
0.97
DEOGEN2
Benign
0.027
T;T
Eigen
Benign
-0.97
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.020
N
LIST_S2
Benign
0.80
.;T
MetaRNN
Benign
0.0074
T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.9
.;M
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.23
Sift
Benign
0.071
T;T
Sift4G
Benign
0.072
T;T
Polyphen
0.98
D;D
Vest4
0.28
MVP
0.32
MPC
0.021
ClinPred
0.013
T
GERP RS
-4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.029
gMVP
0.24

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: rs74531854; hg19: chr2-47604176; COSMIC: COSV55392691; COSMIC: COSV55392691; API