rs112610898
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6
The NM_000038.6(APC):āc.5690A>Cā(p.His1897Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000651 in 1,613,990 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. H1897D) has been classified as Uncertain significance.
Frequency
Consequence
NM_000038.6 missense
Scores
Clinical Significance
Conservation
Publications
- classic or attenuated familial adenomatous polyposisInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- desmoid tumorInheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
- familial adenomatous polyposis 1Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
- gastric adenocarcinoma and proximal polyposis of the stomachInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen, Orphanet
- sarcomaInheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
- APC-related attenuated familial adenomatous polyposisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Turcot syndrome with polyposisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Cenani-Lenz syndactyly syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| APC | ENST00000257430.9 | c.5690A>C | p.His1897Pro | missense_variant | Exon 16 of 16 | 5 | NM_000038.6 | ENSP00000257430.4 | ||
| ENSG00000258864 | ENST00000520401.1 | n.228+12312A>C | intron_variant | Intron 3 of 7 | 3 | ENSP00000454861.1 | 
Frequencies
GnomAD3 genomes  0.000355  AC: 54AN: 152198Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000518  AC: 13AN: 250934 AF XY:  0.0000295   show subpopulations 
GnomAD4 exome  AF:  0.0000349  AC: 51AN: 1461674Hom.:  0  Cov.: 64 AF XY:  0.0000289  AC XY: 21AN XY: 727142 show subpopulations 
Age Distribution
GnomAD4 genome  0.000355  AC: 54AN: 152316Hom.:  0  Cov.: 32 AF XY:  0.000295  AC XY: 22AN XY: 74482 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Familial adenomatous polyposis 1    Uncertain:2Benign:3 
- -
This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -
This variant is considered likely benign. This variant has been observed at a population frequency that is significantly greater than expected given the associated disease prevalence and penetrance. -
- -
ACMG classification criteria: BP4 supporting -
not provided    Uncertain:1Benign:3 
- -
Variant summary: The APC c.5690A>C (p.His1897Pro) variant involves the alteration of a conserved nucleotide. It is not present in a known domain till date. 3/4 in silico tools predict a benign outcome (SNPs&GO not captured due to low reliability index). This variant was found in 10/120962 control chromosomes, predominantly observed in the African subpopulation at a frequency of 0.0008699 (9/10346). This frequency is about 12 times the estimated maximal expected allele frequency of a pathogenic APC variant (0.0000714), suggesting this is likely a benign polymorphism found primarily in the populations of African origin. Multiple clinical diagnostic laboratories have classified this variant as uncertain significance without evidence to independently evaluate. The variant of interest has been reported in one subject with suspected Lynch syndrome who also carried MSH2 c.1511-1G>A and BRIP1 p.His478Arg, supporting for the benign outcome (Yurgelun_2015). Taken together, this variant is currently classified as Likely Benign. -
- -
This variant is associated with the following publications: (PMID: 25980754) -
Hereditary cancer-predisposing syndrome    Benign:3 
- -
This alteration is classified as likely 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. -
- -
APC-related disorder    Benign:1 
This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at