rs28903085

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_005732.4(RAD50):​c.280A>C​(p.Ile94Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00444 in 1,602,792 control chromosomes in the GnomAD database, including 27 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I94M) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0032 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0046 ( 25 hom. )

Consequence

RAD50
NM_005732.4 missense

Scores

19

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: -0.0120

Publications

28 publications found
Variant links:
Genes affected
RAD50 (HGNC:9816): (RAD50 double strand break repair protein) The protein encoded by this gene is highly similar to Saccharomyces cerevisiae Rad50, a protein involved in DNA double-strand break repair. This protein forms a complex with MRE11 and NBS1. The protein complex binds to DNA and displays numerous enzymatic activities that are required for nonhomologous joining of DNA ends. This protein, cooperating with its partners, is important for DNA double-strand break repair, cell cycle checkpoint activation, telomere maintenance, and meiotic recombination. Knockout studies of the mouse homolog suggest this gene is essential for cell growth and viability. Mutations in this gene are the cause of Nijmegen breakage syndrome-like disorder.[provided by RefSeq, Apr 2010]
RAD50 Gene-Disease associations (from GenCC):
  • Nijmegen breakage syndrome-like disorder
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: Ambry Genetics, G2P, 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 -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0056197047).
BP6
Variant 5-132575843-A-C is Benign according to our data. Variant chr5-132575843-A-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 128012.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 2 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RAD50NM_005732.4 linkc.280A>C p.Ile94Leu missense_variant Exon 3 of 25 ENST00000378823.8 NP_005723.2 Q92878-1A5D6Y3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RAD50ENST00000378823.8 linkc.280A>C p.Ile94Leu missense_variant Exon 3 of 25 1 NM_005732.4 ENSP00000368100.4 Q92878-1
ENSG00000283782ENST00000638452.2 linkc.-18A>C 5_prime_UTR_variant Exon 5 of 27 5 ENSP00000492349.2 A0A1W2PQ90

Frequencies

GnomAD3 genomes
AF:
0.00319
AC:
485
AN:
152234
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000892
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00294
Gnomad ASJ
AF:
0.00576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00497
Gnomad FIN
AF:
0.000565
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.00497
Gnomad OTH
AF:
0.00382
GnomAD2 exomes
AF:
0.00343
AC:
863
AN:
251344
AF XY:
0.00348
show subpopulations
Gnomad AFR exome
AF:
0.000492
Gnomad AMR exome
AF:
0.00234
Gnomad ASJ exome
AF:
0.00526
Gnomad EAS exome
AF:
0.000218
Gnomad FIN exome
AF:
0.00157
Gnomad NFE exome
AF:
0.00415
Gnomad OTH exome
AF:
0.00408
GnomAD4 exome
AF:
0.00457
AC:
6633
AN:
1450440
Hom.:
25
Cov.:
31
AF XY:
0.00456
AC XY:
3294
AN XY:
722270
show subpopulations
African (AFR)
AF:
0.000843
AC:
28
AN:
33220
American (AMR)
AF:
0.00268
AC:
120
AN:
44708
Ashkenazi Jewish (ASJ)
AF:
0.00514
AC:
134
AN:
26070
East Asian (EAS)
AF:
0.0000757
AC:
3
AN:
39618
South Asian (SAS)
AF:
0.00555
AC:
477
AN:
86020
European-Finnish (FIN)
AF:
0.00103
AC:
55
AN:
53416
Middle Eastern (MID)
AF:
0.00644
AC:
37
AN:
5746
European-Non Finnish (NFE)
AF:
0.00501
AC:
5516
AN:
1101640
Other (OTH)
AF:
0.00438
AC:
263
AN:
60002
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
333
666
998
1331
1664
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
224
448
672
896
1120
<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:
0.00318
AC:
484
AN:
152352
Hom.:
2
Cov.:
32
AF XY:
0.00307
AC XY:
229
AN XY:
74518
show subpopulations
African (AFR)
AF:
0.000890
AC:
37
AN:
41586
American (AMR)
AF:
0.00294
AC:
45
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00576
AC:
20
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00497
AC:
24
AN:
4826
European-Finnish (FIN)
AF:
0.000565
AC:
6
AN:
10622
Middle Eastern (MID)
AF:
0.0204
AC:
6
AN:
294
European-Non Finnish (NFE)
AF:
0.00497
AC:
338
AN:
68032
Other (OTH)
AF:
0.00378
AC:
8
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
25
50
76
101
126
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00425
Hom.:
9
Bravo
AF:
0.00328
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00649
AC:
25
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.00465
AC:
40
ExAC
AF:
0.00347
AC:
421
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.00485
EpiControl
AF:
0.00557

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Nijmegen breakage syndrome-like disorder Benign:5
Sep 30, 2016
Counsyl
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Apr 25, 2017
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jun 15, 2016
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 16, 2020
Sema4, Sema4
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Feb 01, 2025
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:3
Nov 06, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 24093751, 20981092, 14684699, 27884173, 27153395, 23555315, 26483394, 16385572, 27782108, 28492532, 28202063, 26209080) -

Apr 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

RAD50: BP4, BS2 -

Jul 03, 2023
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:2
Dec 11, 2015
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 31, 2020
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: RAD50 c.280A>C (p.Ile94Leu) results in a conservative amino acid change located in the Rad50/SbcC-type AAA domain of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.0034 in 255166 control chromosomes, predominantly at a frequency of 0.0061 within the South Asian subpopulation in the gnomAD database, including 5 homozygotes. The observed variant frequency within South Asian control individuals in the gnomAD database is approximately 98-fold of the estimated maximal expected allele frequency for a pathogenic variant in RAD50 causing Hereditary Breast And Ovarian Cancer Syndrome phenotype (6.3e-05), strongly suggesting that the variant is a benign polymorphism found primarily in populations of South Asian origin. Further evidence in support of a benign polymorphism is provided by a recent study in Arabic individuals (a population underrepresented in publicly available databases) reporting the variant as benign based on a population frequency of >1% and its presence in the homozygous state in multiple individuals who lack the reported phenotype (Abouelhoda_2016). c.280A>C has been reported in the literature in individuals affected with Hereditary Breast And Ovarian Cancer Syndrome (e.g. Heikkinen_2003, Tommiska_2006, Young_2018) but was also reported in controls (e.g. Heikkinen_2003, Kurki_2014). In addition, one family with breast cancer history was documented with one unaffected and two affected sisters carrying the variant (Jalkh_2017). These data do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Five ClinVar submitters (evaluation after 2014) cite the variant as benign/likely benign and one ClinVar submitter (evaluation after 2014) cites the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as benign. -

Hereditary cancer-predisposing syndrome Benign:2
Nov 20, 2014
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. -

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Familial cancer of breast Benign:1
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.069
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
2.4
DANN
Benign
0.85
DEOGEN2
Benign
0.063
T;T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.71
T;T
M_CAP
Benign
0.0037
T
MetaRNN
Benign
0.0056
T;T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
0.70
N;.
PhyloP100
-0.012
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-1.1
.;N
REVEL
Benign
0.071
Sift
Benign
0.35
.;T
Sift4G
Benign
0.23
T;T
Polyphen
0.0
B;.
Vest4
0.17
MutPred
0.48
Loss of catalytic residue at I94 (P = 0.0063);Loss of catalytic residue at I94 (P = 0.0063);
MVP
0.23
ClinPred
0.0039
T
GERP RS
-10
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.070
gMVP
0.46
Mutation Taster
=299/1
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.13
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: rs28903085; hg19: chr5-131911535; COSMIC: COSV54756699; COSMIC: COSV54756699; API