rs2699896

Variant summary

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

The NM_006218.4(PIK3CA):​c.1060-17C>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.58 in 1,290,704 control chromosomes in the GnomAD database, including 223,781 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). There are indicators that this mutation may affect the branch point..

Frequency

Genomes: 𝑓 0.64 ( 32593 hom., cov: 31)
Exomes 𝑓: 0.57 ( 191188 hom. )

Consequence

PIK3CA
NM_006218.4 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.523

Publications

24 publications found
Variant links:
Genes affected
PIK3CA (HGNC:8975): (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) Phosphatidylinositol 3-kinase is composed of an 85 kDa regulatory subunit and a 110 kDa catalytic subunit. The protein encoded by this gene represents the catalytic subunit, which uses ATP to phosphorylate PtdIns, PtdIns4P and PtdIns(4,5)P2. This gene has been found to be oncogenic and has been implicated in cervical cancers. A pseudogene of this gene has been defined on chromosome 22. [provided by RefSeq, Apr 2016]
PIK3CA Gene-Disease associations (from GenCC):
  • overgrowth syndrome and/or cerebral malformations due to abnormalities in MTOR pathway genes
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • megalencephaly-capillary malformation-polymicrogyria syndrome
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • vascular malformation
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • Cowden disease
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Cowden syndrome 5
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
  • familial ovarian cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
  • hereditary breast carcinoma
    Inheritance: AD Classification: NO_KNOWN 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
This position, referring to a specific DNA site, is a probable branch point but rather VUS (scored 4 / 10). The score ranges from 0 to 10, with values ≤3 considered benign and >5 classified as pathogenic. Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BP6
Variant 3-179204486-C-A is Benign according to our data. Variant chr3-179204486-C-A is described in ClinVar as Benign. ClinVar VariationId is 259957.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.85 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PIK3CANM_006218.4 linkc.1060-17C>A intron_variant Intron 5 of 20 ENST00000263967.4 NP_006209.2 P42336Q4LE51
PIK3CAXM_006713658.5 linkc.1060-17C>A intron_variant Intron 5 of 20 XP_006713721.1 P42336Q4LE51

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PIK3CAENST00000263967.4 linkc.1060-17C>A intron_variant Intron 5 of 20 2 NM_006218.4 ENSP00000263967.3 P42336

Frequencies

GnomAD3 genomes
AF:
0.637
AC:
96765
AN:
151954
Hom.:
32547
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.857
Gnomad AMI
AF:
0.793
Gnomad AMR
AF:
0.548
Gnomad ASJ
AF:
0.620
Gnomad EAS
AF:
0.259
Gnomad SAS
AF:
0.552
Gnomad FIN
AF:
0.478
Gnomad MID
AF:
0.696
Gnomad NFE
AF:
0.580
Gnomad OTH
AF:
0.647
GnomAD2 exomes
AF:
0.555
AC:
137275
AN:
247268
AF XY:
0.555
show subpopulations
Gnomad AFR exome
AF:
0.865
Gnomad AMR exome
AF:
0.487
Gnomad ASJ exome
AF:
0.629
Gnomad EAS exome
AF:
0.263
Gnomad FIN exome
AF:
0.486
Gnomad NFE exome
AF:
0.584
Gnomad OTH exome
AF:
0.575
GnomAD4 exome
AF:
0.572
AC:
651106
AN:
1138632
Hom.:
191188
Cov.:
15
AF XY:
0.571
AC XY:
332186
AN XY:
581320
show subpopulations
African (AFR)
AF:
0.873
AC:
23677
AN:
27134
American (AMR)
AF:
0.496
AC:
21709
AN:
43786
Ashkenazi Jewish (ASJ)
AF:
0.629
AC:
14990
AN:
23850
East Asian (EAS)
AF:
0.241
AC:
9177
AN:
38060
South Asian (SAS)
AF:
0.565
AC:
44498
AN:
78812
European-Finnish (FIN)
AF:
0.483
AC:
25572
AN:
52948
Middle Eastern (MID)
AF:
0.678
AC:
3467
AN:
5114
European-Non Finnish (NFE)
AF:
0.585
AC:
479531
AN:
819474
Other (OTH)
AF:
0.576
AC:
28485
AN:
49454
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
12511
25022
37532
50043
62554
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
11536
23072
34608
46144
57680
<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:
0.637
AC:
96864
AN:
152072
Hom.:
32593
Cov.:
31
AF XY:
0.627
AC XY:
46590
AN XY:
74320
show subpopulations
African (AFR)
AF:
0.858
AC:
35611
AN:
41528
American (AMR)
AF:
0.548
AC:
8366
AN:
15268
Ashkenazi Jewish (ASJ)
AF:
0.620
AC:
2151
AN:
3470
East Asian (EAS)
AF:
0.259
AC:
1338
AN:
5170
South Asian (SAS)
AF:
0.551
AC:
2655
AN:
4820
European-Finnish (FIN)
AF:
0.478
AC:
5029
AN:
10522
Middle Eastern (MID)
AF:
0.701
AC:
206
AN:
294
European-Non Finnish (NFE)
AF:
0.580
AC:
39426
AN:
67972
Other (OTH)
AF:
0.642
AC:
1359
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
1658
3316
4974
6632
8290
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
772
1544
2316
3088
3860
<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:
0.614
Hom.:
9707
Bravo
AF:
0.653
Asia WGS
AF:
0.408
AC:
1417
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

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

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
Jul 06, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Cowden syndrome 5 Benign:1
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cowden syndrome Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
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
-0.84
CADD
Benign
0.48
DANN
Benign
0.44
PhyloP100
-0.52
BranchPoint Hunter
4.0
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs2699896; hg19: chr3-178922274; COSMIC: COSV55874930; API