rs145473716

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_002691.4(POLD1):​c.2275G>A​(p.Val759Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00117 in 1,609,734 control chromosomes in the GnomAD database, including 19 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

Genomes: 𝑓 0.0011 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0012 ( 18 hom. )

Consequence

POLD1
NM_002691.4 missense

Scores

7
3
9

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:16

Conservation

PhyloP100: 9.20
Variant links:
Genes affected
POLD1 (HGNC:9175): (DNA polymerase delta 1, catalytic subunit) This gene encodes the 125-kDa catalytic subunit of DNA polymerase delta. DNA polymerase delta possesses both polymerase and 3' to 5' exonuclease activity and plays a critical role in DNA replication and repair. Alternatively spliced transcript variants have been observed for this gene, and a pseudogene of this gene is located on the long arm of chromosome 6. [provided by RefSeq, Mar 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.017968148).
BP6
Variant 19-50413766-G-A is Benign according to our data. Variant chr19-50413766-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 221038.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=7, Benign=5, Uncertain_significance=3}. Variant chr19-50413766-G-A is described in Lovd as [Likely_benign].
BS2
High AC in GnomAd4 at 172 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
POLD1NM_002691.4 linkc.2275G>A p.Val759Ile missense_variant Exon 19 of 27 ENST00000440232.7 NP_002682.2 P28340A0A024R4F4Q59FA0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
POLD1ENST00000440232.7 linkc.2275G>A p.Val759Ile missense_variant Exon 19 of 27 1 NM_002691.4 ENSP00000406046.1 P28340

Frequencies

GnomAD3 genomes
AF:
0.00113
AC:
172
AN:
152206
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00137
Gnomad ASJ
AF:
0.0213
Gnomad EAS
AF:
0.000964
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.000779
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.00184
AC:
456
AN:
247622
Hom.:
8
AF XY:
0.00184
AC XY:
247
AN XY:
133922
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.000671
Gnomad ASJ exome
AF:
0.0203
Gnomad EAS exome
AF:
0.00109
Gnomad SAS exome
AF:
0.00270
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000969
Gnomad OTH exome
AF:
0.00330
GnomAD4 exome
AF:
0.00118
AC:
1718
AN:
1457410
Hom.:
18
Cov.:
31
AF XY:
0.00130
AC XY:
944
AN XY:
725038
show subpopulations
Gnomad4 AFR exome
AF:
0.000539
Gnomad4 AMR exome
AF:
0.000743
Gnomad4 ASJ exome
AF:
0.0229
Gnomad4 EAS exome
AF:
0.000756
Gnomad4 SAS exome
AF:
0.00286
Gnomad4 FIN exome
AF:
0.0000196
Gnomad4 NFE exome
AF:
0.000501
Gnomad4 OTH exome
AF:
0.00249
GnomAD4 genome
AF:
0.00113
AC:
172
AN:
152324
Hom.:
1
Cov.:
33
AF XY:
0.00101
AC XY:
75
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.00137
Gnomad4 ASJ
AF:
0.0213
Gnomad4 EAS
AF:
0.000966
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000779
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00224
Hom.:
3
Bravo
AF:
0.00129
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00198
AC:
17
ExAC
AF:
0.00171
AC:
208
Asia WGS
AF:
0.00173
AC:
6
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:16
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1Benign:5
Feb 26, 2022
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 14, 2018
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 02, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant 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: This variant is present in ExAC with a MaxMAF of 0.242% (35 South Asian and 150 European alleles) and 2% in gnomAD (207 Ashkenazi alleles - too high for disease prevalence). It is classified in ClinVar with 1 star as Likely benign by 2 submitters (Invitae, Vantari) and as VUS by GeneDx. -

Apr 18, 2017
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 04, 2025
Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

The POLD1 p.Val759Ile variant was identified in 4 of 84 proband chromosomes (frequency: 0.0476) from individuals or families with early-onset colon cancer (Rosner_2015). The variant was also identified in dbSNP (ID: rs145473716) as “With other allele”, ClinVar (as benign by Invitae, as likely benign by Vantari Genetics, GeneDx, Partners Health Care Personalized Medicine, Quest Diagnostics, and Ambry Genetics, and as uncertain significance by Counsyl), Clinvitae (3x), and Cosmic (in somatic tumours in the large intestine and central nervous system). The variant was not identified in the MutDB database. The variant was identified in control databases in 461 of 273426 chromosomes (8 homozygous) at a frequency of 0.001686 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). Breakdown of the observations by population include African in 1 of 24014 chromosomes (freq: 0.000042), Other in 12 of 6404 chromosomes (freq: 0.001874), Latino in 21 of 34128 chromosomes (freq: 0.000615), European (Non-Finnish) in 116 of 125376 chromosomes (freq: 0.000925), Ashkenazi Jewish in 209 of 9996 chromosomes (freq: 0.02091), East Asian in 19 of 18792 chromosomes (freq: 0.001011), and South Asian in 83 of 30524 chromosomes (freq: 0.002719), while the variant was not observed in the European (Finnish) populations. Interestingly, in a study of genetic variants that cause longevity, the p.Val759Ile variant was found in 14 controls and 17 centenarians (individuals over 105 years old) (Han_2013_23376243). The p.Val759 residue is conserved in mammals and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) provide inconsistent predictions regarding the impact to the protein; this information is not very predictive of pathogenicity. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) do not predict a difference in splicing. In summary, based on the above information this variant meets our laboratory's criteria to be classified as benign. -

Colorectal cancer, susceptibility to, 10 Uncertain:2Benign:2
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Apr 19, 2023
Myriad Genetics, Inc.
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is classified as a variant of uncertain significance as there is insufficient evidence to determine its impact on protein function and/or cancer risk. -

May 28, 2019
Mendelics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 25, 2016
Counsyl
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:4
Nov 04, 2016
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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. -

Sep 29, 2017
True Health Diagnostics
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Oct 20, 2020
Sema4, Sema4
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: curation

- -

Oct 26, 2015
Vantari Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:3
Apr 05, 2022
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 23, 2019
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 25986922, 25822476, 23376243, 27153395, 30086056) -

Oct 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

POLD1: BS2 -

POLD1-related disorder Benign:1
Aug 26, 2019
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Malignant tumor of breast Benign:1
-
Center of Medical Genetics and Primary Health Care
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.27
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.16
T;.;.;T
Eigen
Pathogenic
0.83
Eigen_PC
Pathogenic
0.77
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.98
.;.;D;D
M_CAP
Benign
0.083
D
MetaRNN
Benign
0.018
T;T;T;T
MetaSVM
Benign
-0.84
T
MutationAssessor
Uncertain
2.8
M;.;.;M
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-1.0
N;.;.;.
REVEL
Uncertain
0.32
Sift
Pathogenic
0.0
D;.;.;.
Sift4G
Pathogenic
0.0
D;D;D;D
Polyphen
1.0
D;.;.;D
Vest4
0.52
MVP
0.56
MPC
1.5
ClinPred
0.059
T
GERP RS
4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.52
gMVP
0.52

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: rs145473716; hg19: chr19-50917023; COSMIC: COSV70955199; COSMIC: COSV70955199; API