rs199545019

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_002691.4(POLD1):​c.883G>A​(p.Val295Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000462 in 1,591,384 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 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. V295L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00059 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00045 ( 1 hom. )

Consequence

POLD1
NM_002691.4 missense

Scores

3
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:13O:1

Conservation

PhyloP100: 0.624

Publications

15 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):
  • mandibular hypoplasia-deafness-progeroid syndrome
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG, SUPPORTIVE, LIMITED Submitted by: G2P, Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp
  • 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: Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • 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: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.03110981).
BP6
Variant 19-50402654-G-A is Benign according to our data. Variant chr19-50402654-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 239373.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002691.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLD1
NM_002691.4
MANE Select
c.883G>Ap.Val295Met
missense
Exon 8 of 27NP_002682.2P28340
POLD1
NM_001308632.1
c.883G>Ap.Val295Met
missense
Exon 7 of 26NP_001295561.1M0R2B7
POLD1
NM_001256849.1
c.883G>Ap.Val295Met
missense
Exon 8 of 27NP_001243778.1P28340

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLD1
ENST00000440232.7
TSL:1 MANE Select
c.883G>Ap.Val295Met
missense
Exon 8 of 27ENSP00000406046.1P28340
POLD1
ENST00000595904.6
TSL:1
c.883G>Ap.Val295Met
missense
Exon 8 of 27ENSP00000472445.1M0R2B7
POLD1
ENST00000599857.7
TSL:1
c.883G>Ap.Val295Met
missense
Exon 8 of 27ENSP00000473052.1P28340

Frequencies

GnomAD3 genomes
AF:
0.000591
AC:
90
AN:
152250
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00190
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000588
Gnomad OTH
AF:
0.00335
GnomAD2 exomes
AF:
0.000553
AC:
121
AN:
218624
AF XY:
0.000549
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00125
Gnomad ASJ exome
AF:
0.00129
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000558
Gnomad OTH exome
AF:
0.00127
GnomAD4 exome
AF:
0.000449
AC:
646
AN:
1439016
Hom.:
1
Cov.:
34
AF XY:
0.000422
AC XY:
301
AN XY:
713450
show subpopulations
African (AFR)
AF:
0.000211
AC:
7
AN:
33198
American (AMR)
AF:
0.00160
AC:
66
AN:
41152
Ashkenazi Jewish (ASJ)
AF:
0.00105
AC:
27
AN:
25606
East Asian (EAS)
AF:
0.0000257
AC:
1
AN:
38922
South Asian (SAS)
AF:
0.000345
AC:
29
AN:
84064
European-Finnish (FIN)
AF:
0.0000194
AC:
1
AN:
51528
Middle Eastern (MID)
AF:
0.00461
AC:
23
AN:
4986
European-Non Finnish (NFE)
AF:
0.000389
AC:
428
AN:
1100194
Other (OTH)
AF:
0.00108
AC:
64
AN:
59366
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
40
80
119
159
199
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
20
40
60
80
100
<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:
0.000591
AC:
90
AN:
152368
Hom.:
0
Cov.:
33
AF XY:
0.000537
AC XY:
40
AN XY:
74514
show subpopulations
African (AFR)
AF:
0.000144
AC:
6
AN:
41592
American (AMR)
AF:
0.00189
AC:
29
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.00173
AC:
6
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.000588
AC:
40
AN:
68030
Other (OTH)
AF:
0.00331
AC:
7
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
6
13
19
26
32
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000635
Hom.:
0
Bravo
AF:
0.000714
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000466
AC:
4
ExAC
AF:
0.000372
AC:
45
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
6
not provided (7)
-
2
2
not specified (4)
-
-
2
Colorectal cancer, susceptibility to, 10 (2)
-
-
2
Hereditary cancer-predisposing syndrome (2)
-
1
-
Carcinoma of colon (1)
-
-
1
POLD1-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.12
T
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.14
FATHMM_MKL
Benign
0.73
D
LIST_S2
Uncertain
0.97
D
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.031
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.090
N
PhyloP100
0.62
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
0.41
N
REVEL
Benign
0.057
Sift
Benign
0.092
T
Sift4G
Benign
0.081
T
Polyphen
0.41
B
Vest4
0.40
MVP
0.53
MPC
0.21
ClinPred
0.014
T
GERP RS
3.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.071
gMVP
0.45
Mutation Taster
=93/7
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.15
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: rs199545019; hg19: chr19-50905911; COSMIC: COSV70954508; COSMIC: COSV70954508; API