rs2228480

Variant summary

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

The NM_000125.4(ESR1):​c.1782G>A​(p.Thr594Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.189 in 1,612,120 control chromosomes in the GnomAD database, including 29,351 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.18 ( 2469 hom., cov: 32)
Exomes 𝑓: 0.19 ( 26882 hom. )

Consequence

ESR1
NM_000125.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3O:1

Conservation

PhyloP100: -0.344

Publications

182 publications found
Variant links:
Genes affected
ESR1 (HGNC:3467): (estrogen receptor 1) This gene encodes an estrogen receptor and ligand-activated transcription factor. The canonical protein contains an N-terminal ligand-independent transactivation domain, a central DNA binding domain, a hinge domain, and a C-terminal ligand-dependent transactivation domain. The protein localizes to the nucleus where it may form either a homodimer or a heterodimer with estrogen receptor 2. The protein encoded by this gene regulates the transcription of many estrogen-inducible genes that play a role in growth, metabolism, sexual development, gestation, and other reproductive functions and is expressed in many non-reproductive tissues. The receptor encoded by this gene plays a key role in breast cancer, endometrial cancer, and osteoporosis. This gene is reported to have dozens of transcript variants due to the use of alternate promoters and alternative splicing, however, the full-length nature of many of these variants remain uncertain. [provided by RefSeq, Jul 2020]
ESR1 Gene-Disease associations (from GenCC):
  • estrogen resistance syndrome
    Inheritance: AR Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet

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=-0.86).
BP6
Variant 6-152098960-G-A is Benign according to our data. Variant chr6-152098960-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 1263746.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.344 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.224 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ESR1NM_000125.4 linkc.1782G>A p.Thr594Thr synonymous_variant Exon 8 of 8 ENST00000206249.8 NP_000116.2 P03372-1G4XH65

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ESR1ENST00000206249.8 linkc.1782G>A p.Thr594Thr synonymous_variant Exon 8 of 8 1 NM_000125.4 ENSP00000206249.3 P03372-1

Frequencies

GnomAD3 genomes
AF:
0.179
AC:
27192
AN:
152006
Hom.:
2462
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.154
Gnomad AMI
AF:
0.110
Gnomad AMR
AF:
0.230
Gnomad ASJ
AF:
0.131
Gnomad EAS
AF:
0.205
Gnomad SAS
AF:
0.190
Gnomad FIN
AF:
0.183
Gnomad MID
AF:
0.0892
Gnomad NFE
AF:
0.184
Gnomad OTH
AF:
0.155
GnomAD2 exomes
AF:
0.194
AC:
48493
AN:
250380
AF XY:
0.190
show subpopulations
Gnomad AFR exome
AF:
0.154
Gnomad AMR exome
AF:
0.271
Gnomad ASJ exome
AF:
0.135
Gnomad EAS exome
AF:
0.219
Gnomad FIN exome
AF:
0.183
Gnomad NFE exome
AF:
0.180
Gnomad OTH exome
AF:
0.170
GnomAD4 exome
AF:
0.190
AC:
276902
AN:
1459992
Hom.:
26882
Cov.:
31
AF XY:
0.189
AC XY:
136931
AN XY:
726374
show subpopulations
African (AFR)
AF:
0.150
AC:
5015
AN:
33448
American (AMR)
AF:
0.265
AC:
11831
AN:
44678
Ashkenazi Jewish (ASJ)
AF:
0.140
AC:
3666
AN:
26128
East Asian (EAS)
AF:
0.192
AC:
7631
AN:
39684
South Asian (SAS)
AF:
0.191
AC:
16429
AN:
86220
European-Finnish (FIN)
AF:
0.186
AC:
9911
AN:
53360
Middle Eastern (MID)
AF:
0.111
AC:
641
AN:
5764
European-Non Finnish (NFE)
AF:
0.190
AC:
210969
AN:
1110376
Other (OTH)
AF:
0.179
AC:
10809
AN:
60334
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
11608
23216
34825
46433
58041
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
7550
15100
22650
30200
37750
<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:
0.179
AC:
27235
AN:
152128
Hom.:
2469
Cov.:
32
AF XY:
0.181
AC XY:
13439
AN XY:
74386
show subpopulations
African (AFR)
AF:
0.154
AC:
6380
AN:
41524
American (AMR)
AF:
0.231
AC:
3523
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.131
AC:
455
AN:
3468
East Asian (EAS)
AF:
0.206
AC:
1061
AN:
5158
South Asian (SAS)
AF:
0.190
AC:
915
AN:
4822
European-Finnish (FIN)
AF:
0.183
AC:
1935
AN:
10590
Middle Eastern (MID)
AF:
0.0856
AC:
25
AN:
292
European-Non Finnish (NFE)
AF:
0.184
AC:
12499
AN:
67982
Other (OTH)
AF:
0.162
AC:
342
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1177
2354
3532
4709
5886
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
298
596
894
1192
1490
<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:
0.180
Hom.:
10220
Bravo
AF:
0.182
Asia WGS
AF:
0.212
AC:
737
AN:
3478
EpiCase
AF:
0.174
EpiControl
AF:
0.169

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

ESR1-related disorder Benign:1
Mar 11, 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). -

not provided Benign:1
Aug 17, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 15934440, 19636371, 19860576) -

Familial cancer of breast;C1832662:Myocardial infarction, susceptibility to;C3809250:Estrogen resistance syndrome;C3887485:Migraine with or without aura, susceptibility to, 1 Benign:1
Mar 23, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Migraine with or without aura, susceptibility to Other:1
Jun 01, 2004
OMIM
Significance:risk factor
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.86
CADD
Benign
0.093
DANN
Benign
0.50
PhyloP100
-0.34
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs2228480; hg19: chr6-152420095; COSMIC: COSV52780915; COSMIC: COSV52780915; API