rs20582

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_002691.4(POLD1):​c.324G>A​(p.Ala108Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0918 in 1,611,890 control chromosomes in the GnomAD database, including 9,638 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. A108A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.14 ( 2213 hom., cov: 32)
Exomes 𝑓: 0.087 ( 7425 hom. )

Consequence

POLD1
NM_002691.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -3.89

Publications

20 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 -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP6
Variant 19-50401785-G-A is Benign according to our data. Variant chr19-50401785-G-A is described in ClinVar as Benign. ClinVar VariationId is 380219.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-3.89 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.287 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
POLD1NM_002691.4 linkc.324G>A p.Ala108Ala synonymous_variant Exon 4 of 27 ENST00000440232.7 NP_002682.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
POLD1ENST00000440232.7 linkc.324G>A p.Ala108Ala synonymous_variant Exon 4 of 27 1 NM_002691.4 ENSP00000406046.1

Frequencies

GnomAD3 genomes
AF:
0.139
AC:
21097
AN:
151992
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:
27177
AN:
245174
AF XY:
0.113
show subpopulations
Gnomad AFR exome
AF:
0.299
Gnomad AMR exome
AF:
0.107
Gnomad ASJ exome
AF:
0.105
Gnomad EAS exome
AF:
0.140
Gnomad FIN exome
AF:
0.0404
Gnomad NFE exome
AF:
0.0707
Gnomad OTH exome
AF:
0.0999
GnomAD4 exome
AF:
0.0869
AC:
126900
AN:
1459780
Hom.:
7425
Cov.:
34
AF XY:
0.0901
AC XY:
65460
AN XY:
726348
show subpopulations
African (AFR)
AF:
0.295
AC:
9884
AN:
33464
American (AMR)
AF:
0.105
AC:
4702
AN:
44710
Ashkenazi Jewish (ASJ)
AF:
0.106
AC:
2761
AN:
26114
East Asian (EAS)
AF:
0.167
AC:
6611
AN:
39696
South Asian (SAS)
AF:
0.197
AC:
17018
AN:
86240
European-Finnish (FIN)
AF:
0.0413
AC:
2138
AN:
51772
Middle Eastern (MID)
AF:
0.146
AC:
839
AN:
5758
European-Non Finnish (NFE)
AF:
0.0692
AC:
76948
AN:
1111686
Other (OTH)
AF:
0.0994
AC:
5999
AN:
60340
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
6091
12182
18274
24365
30456
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3162
6324
9486
12648
15810
<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:
21131
AN:
152110
Hom.:
2213
Cov.:
32
AF XY:
0.138
AC XY:
10251
AN XY:
74382
show subpopulations
African (AFR)
AF:
0.291
AC:
12063
AN:
41462
American (AMR)
AF:
0.103
AC:
1572
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.106
AC:
367
AN:
3472
East Asian (EAS)
AF:
0.153
AC:
789
AN:
5158
South Asian (SAS)
AF:
0.200
AC:
966
AN:
4828
European-Finnish (FIN)
AF:
0.0359
AC:
381
AN:
10620
Middle Eastern (MID)
AF:
0.116
AC:
34
AN:
294
European-Non Finnish (NFE)
AF:
0.0671
AC:
4558
AN:
67962
Other (OTH)
AF:
0.127
AC:
269
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
831
1662
2493
3324
4155
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:
0.0878
Hom.:
1571
Bravo
AF:
0.153
EpiCase
AF:
0.0748
EpiControl
AF:
0.0763

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
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. -

Sep 16, 2016
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
May 17, 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.324G>A (p.Ala108Ala) variant causes a synonymous change involving a non-conserved nucleotide with 5/5 splice prediction tools predicting no significant impact on splicing, however, these predictions have yet to be functionally assessed. This variant was observed in the large, broad control population, ExAC, with an allele frequency of 13554/117858 (1121 homozygotes, 1/8, frequency: 0.1150028), which significantly exceeds the estimated maximal expected allele frequency for a pathogenic POLD1 variant of 1/70422 (0.0000142), suggesting this variant is likely a benign polymorphism. Therefore, the variant of interest 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
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
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 synonymous variant NM_001308632.1(POLD1):c.324G>A (p.Ala108=) has been reported to ClinVar as Benign with a status of (2 stars) criteria provided, multiple submitters, no conflicts (Variation ID 380219 as of 2024-12-05). The p.Ala108= variant is not predicted to disrupt the existing acceptor splice site 8bp upstream by any splice site algorithm. The p.Ala108= variant results in a substitution of a base that is not predicted conserved by GERP++ and PhyloP. 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
BayesDel_noAF
Benign
-0.82
CADD
Benign
0.18
DANN
Benign
0.86
PhyloP100
-3.9
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
3.2
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: rs20582; hg19: chr19-50905042; COSMIC: COSV70955193; COSMIC: COSV70955193; API