rs1726801

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_002691.4(POLD1):​c.356G>A​(p.Arg119His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0918 in 1,613,260 control chromosomes in the GnomAD database, including 9,626 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R119C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.14 ( 2213 hom., cov: 32)
Exomes 𝑓: 0.087 ( 7413 hom. )

Consequence

POLD1
NM_002691.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -0.744

Publications

54 publications found
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]
POLD1 Gene-Disease associations (from GenCC):
  • POLD1-related polyposis and colorectal cancer syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • colorectal cancer, susceptibility to, 10
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
  • mandibular hypoplasia-deafness-progeroid syndrome
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Genomics England PanelApp, Ambry Genetics, Orphanet, G2P
  • Polymerase proofreading-related adenomatous polyposis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • immunodeficiency 120
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
  • non-severe combined immunodeficiency due to polymerase delta deficiency
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0053633153).
BP6
Variant 19-50401817-G-A is Benign according to our data. Variant chr19-50401817-G-A is described in ClinVar as Benign. ClinVar VariationId is 380220.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.286 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
POLD1NM_002691.4 linkc.356G>A p.Arg119His missense_variant Exon 4 of 27 ENST00000440232.7 NP_002682.2 P28340A0A024R4F4Q59FA0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
POLD1ENST00000440232.7 linkc.356G>A p.Arg119His missense_variant Exon 4 of 27 1 NM_002691.4 ENSP00000406046.1 P28340

Frequencies

GnomAD3 genomes
AF:
0.139
AC:
21083
AN:
151988
Hom.:
2207
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.291
Gnomad AMI
AF:
0.145
Gnomad AMR
AF:
0.103
Gnomad ASJ
AF:
0.106
Gnomad EAS
AF:
0.152
Gnomad SAS
AF:
0.200
Gnomad FIN
AF:
0.0359
Gnomad MID
AF:
0.123
Gnomad NFE
AF:
0.0670
Gnomad OTH
AF:
0.128
GnomAD2 exomes
AF:
0.111
AC:
27583
AN:
249360
AF XY:
0.112
show subpopulations
Gnomad AFR exome
AF:
0.298
Gnomad AMR exome
AF:
0.107
Gnomad ASJ exome
AF:
0.105
Gnomad EAS exome
AF:
0.139
Gnomad FIN exome
AF:
0.0405
Gnomad NFE exome
AF:
0.0703
Gnomad OTH exome
AF:
0.0994
GnomAD4 exome
AF:
0.0869
AC:
126919
AN:
1461152
Hom.:
7413
Cov.:
35
AF XY:
0.0901
AC XY:
65476
AN XY:
726968
show subpopulations
African (AFR)
AF:
0.295
AC:
9860
AN:
33470
American (AMR)
AF:
0.105
AC:
4701
AN:
44700
Ashkenazi Jewish (ASJ)
AF:
0.106
AC:
2762
AN:
26106
East Asian (EAS)
AF:
0.166
AC:
6589
AN:
39696
South Asian (SAS)
AF:
0.197
AC:
17017
AN:
86234
European-Finnish (FIN)
AF:
0.0413
AC:
2187
AN:
52998
Middle Eastern (MID)
AF:
0.146
AC:
841
AN:
5762
European-Non Finnish (NFE)
AF:
0.0692
AC:
76962
AN:
1111816
Other (OTH)
AF:
0.0994
AC:
6000
AN:
60370
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
6161
12321
18482
24642
30803
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3164
6328
9492
12656
15820
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.139
AC:
21117
AN:
152108
Hom.:
2213
Cov.:
32
AF XY:
0.138
AC XY:
10244
AN XY:
74364
show subpopulations
African (AFR)
AF:
0.291
AC:
12056
AN:
41472
American (AMR)
AF:
0.103
AC:
1574
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.106
AC:
367
AN:
3472
East Asian (EAS)
AF:
0.153
AC:
789
AN:
5164
South Asian (SAS)
AF:
0.200
AC:
962
AN:
4818
European-Finnish (FIN)
AF:
0.0359
AC:
380
AN:
10596
Middle Eastern (MID)
AF:
0.116
AC:
34
AN:
294
European-Non Finnish (NFE)
AF:
0.0670
AC:
4554
AN:
67976
Other (OTH)
AF:
0.127
AC:
269
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
822
1643
2465
3286
4108
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
222
444
666
888
1110
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0964
Hom.:
2033
Bravo
AF:
0.150
TwinsUK
AF:
0.0763
AC:
283
ALSPAC
AF:
0.0682
AC:
263
ESP6500AA
AF:
0.296
AC:
1305
ESP6500EA
AF:
0.0720
AC:
619
ExAC
AF:
0.114
AC:
13861
Asia WGS
AF:
0.186
AC:
645
AN:
3478
EpiCase
AF:
0.0748
EpiControl
AF:
0.0763

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Nov 06, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Nov 02, 2016
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 24, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 22% of patients studied by a panel of primary immunodeficiencies. Number of patients: 21. Only high quality variants are reported. -

not provided Benign:2
May 18, 2016
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: The POLD1 c.356G>A (p.Arg119His) variant involves the alteration of a non-conserved nucleotide. 4/5 in silico tools predict a benign outcome for this variant. This variant was found in 13802/119582 control chromosomes (1139 homozygotes) at a frequency of 0.1154187, which is approximately 8125 times the estimated maximal expected allele frequency of a pathogenic POLD1 variant (0.0000142), suggesting this variant is likely a benign polymorphism. Taken together, this variant is classified as benign. -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

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

- -

Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:2
Dec 23, 2024
Institute for Biomarker Research, Medical Diagnostic Laboratories, L.L.C.
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The missense variant NM_001308632.1(POLD1):c.356G>A (p.Arg119His) has been reported to ClinVar as Benign with a status of (2 stars) criteria provided, multiple submitters, no conflicts (Variation ID 380220 as of 2024-12-05). The p.Arg119His variant is not predicted to introduce a novel splice site by any splice site algorithm. The p.Arg119His missense variant is predicted to be tolerated by both SIFT or PolyPhen2. The histidine residue at codon 119 of POLD1 is present in Orangutan and 4 other mammalian species. The nucleotide c.356 in POLD1 is not conserved according to a GERP++ and PhyloP analysis of 100 vertebrates. For these reasons, this variant has been classified as Benign. -

May 20, 2015
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as 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. -

Mandibular hypoplasia-deafness-progeroid syndrome Benign:1
Oct 25, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.073
BayesDel_addAF
Benign
-0.82
T
BayesDel_noAF
Benign
-0.80
CADD
Benign
0.0070
DANN
Benign
0.91
DEOGEN2
Benign
0.17
T;.;.;.;T
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.9
FATHMM_MKL
Benign
0.022
N
LIST_S2
Benign
0.17
.;.;T;T;T
MetaRNN
Benign
0.0054
T;T;T;T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
0.97
L;.;.;.;L
PhyloP100
-0.74
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.37
N;.;.;.;.
REVEL
Benign
0.011
Sift
Benign
0.33
T;.;.;.;.
Sift4G
Benign
0.19
T;T;T;T;T
Polyphen
0.0010
B;.;.;.;B
Vest4
0.020
MPC
0.23
ClinPred
0.0037
T
GERP RS
-8.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.012
gMVP
0.22
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs1726801; hg19: chr19-50905074; COSMIC: COSV70955196; COSMIC: COSV70955196; API