rs201415999
Variant summary
Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP7BS2BP4
This summary comes from the ClinGen Evidence Repository: The NM_177438.2:c.4647C>T (p.His1549=) variant is a synonymous (silent) variant that is not predicted by MaxEntScan or SpliceAI to impact splicing (BP4, BP7). This variant has been seen in 40 or more unrelated females without tumors through age 50 in at least one testing laboratory (SCV000661822.3, SCV000563438.6) (BS2). In summary, this variant meets the criteria to be classified as Likely Benign for DICER1 syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen DICER1 VCEP: BP7, BP4, BS2. (Bayesian Points: -6; VCEP specifications version 1; 02/11/2022) LINK:https://erepo.genome.network/evrepo/ui/classification/CA7330821/MONDO:0017288/024
Frequency
Consequence
NM_177438.3 synonymous
Scores
Clinical Significance
Conservation
Publications
- DICER1-related tumor predispositionInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- pleuropulmonary blastomaInheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- DICER1 syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- global developmental delay - lung cysts - overgrowth - Wilms tumor syndromeInheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Likely_benign. The variant received -6 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000125 AC: 19AN: 152236Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000597 AC: 15AN: 251448 AF XY: 0.0000515 show subpopulations
GnomAD4 exome AF: 0.000147 AC: 215AN: 1461892Hom.: 0 Cov.: 32 AF XY: 0.000127 AC XY: 92AN XY: 727248 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000125 AC: 19AN: 152236Hom.: 0 Cov.: 32 AF XY: 0.0000538 AC XY: 4AN XY: 74376 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
DICER1-related tumor predisposition Benign:2
The NM_177438.2:c.4647C>T (p.His1549=) variant is a synonymous (silent) variant that is not predicted by MaxEntScan or SpliceAI to impact splicing (BP4, BP7). This variant has been seen in 40 or more unrelated females without tumors through age 50 in at least one testing laboratory (SCV000661822.3, SCV000563438.6) (BS2). In summary, this variant meets the criteria to be classified as Likely Benign for DICER1 syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen DICER1 VCEP: BP7, BP4, BS2. (Bayesian Points: -6; VCEP specifications version 1; 02/11/2022) -
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Hereditary cancer-predisposing syndrome Benign:2
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. -
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not provided Uncertain:1
The DICER1 c.4647C>T (p.His1549=) synonymous variant has been reported in the published literature in reportedly healthy individual(s) in a community health initiative study (PMID: 33630087 (2021)). The frequency of this variant in the general population, 0.00024 (12/50800 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Analysis of this variant using software algorithms for the prediction of the effect of nucleotide changes on splicing yielded predictions that this variant does not affect DICER1 mRNA splicing. Based on the available information, we are unable to determine the clinical significance of this variant. -
DICER1-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