rs145201970
Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate
The NM_000122.2(ERCC3):c.847C>T(p.Arg283Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00159 in 1,613,538 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_000122.2 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 0 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00141 AC: 214AN: 152132Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.000847 AC: 213AN: 251462Hom.: 0 AF XY: 0.000861 AC XY: 117AN XY: 135910
GnomAD4 exome AF: 0.00160 AC: 2344AN: 1461288Hom.: 1 Cov.: 32 AF XY: 0.00160 AC XY: 1164AN XY: 727002
GnomAD4 genome AF: 0.00141 AC: 214AN: 152250Hom.: 0 Cov.: 32 AF XY: 0.00144 AC XY: 107AN XY: 74454
ClinVar
Submissions by phenotype
not provided Uncertain:3
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This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 283 of the ERCC3 protein (p.Arg283Cys). This variant is present in population databases (rs145201970, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with ERCC3-related conditions (PMID: 28259476, 30414346, 31664448, 32295625). ClinVar contains an entry for this variant (Variation ID: 134128). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt ERCC3 protein function with a positive predictive value of 80%. 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. -
In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Observed in individuals with a personal and family history of melanoma or breast cancer (Bonache 2018, Potjer 2019); This variant is associated with the following publications: (PMID: 24728327, 30306255, 30414346) -
not specified Uncertain:2Other:1
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Variant summary: ERCC3 c.847C>T (p.Arg283Cys) results in a non-conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00085 in 251462 control chromosomes (gnomAD). The observed variant frequency is approximately 8-fold of the estimated maximal expected allele frequency for a pathogenic variant in ERCC3 causing Xeroderma Pigmentosum phenotype (0.00011), strongly suggesting that the variant could be benign. c.847C>T has been reported in the literature in individuals as not co-segregating with the melanoma phenotype in two affected members from at least one family (Potjer_2019). It has additionally been reported in individuals affected with breast cancer (Bonache_2018, VanMarke_2020) and prostate cancer (Mateo_2020) as well as an individual from a cohort of healthy controls (n=681) (Bodian_2014). Since the penetrance of Xeroderma Pigmentosum due to this variant appears to be lower than expected, no conclusions can be drawn from these data. 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: 24728327, 30306255, 31874108, 31664448, 30414346, 32295625). Eight ClinVar submitters have submitted clinical-significance assessments for this variant to ClinVar after 2014. All laboratories classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Xeroderma pigmentosum Uncertain:1
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Xeroderma pigmentosum group B;C4225344:Trichothiodystrophy 2, photosensitive Uncertain:1
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Trichothiodystrophy 2, photosensitive Uncertain:1
This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
Xeroderma pigmentosum group B Uncertain:1
This 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Inborn genetic diseases Benign:1
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. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at