rs369613619
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_ModerateBP6BP7
The NM_002691.4(POLD1):c.3054G>A(p.Val1018Val) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00113 in 1,539,184 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. V1018V) has been classified as Likely benign.
Frequency
Consequence
NM_002691.4 synonymous
Scores
Clinical Significance
Conservation
Publications
- POLD1-related polyposis and colorectal cancer syndromeInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
 - colorectal cancer, susceptibility to, 10Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
 - mandibular hypoplasia-deafness-progeroid syndromeInheritance: 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 polyposisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - immunodeficiency 120Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
 - non-severe combined immunodeficiency due to polymerase delta deficiencyInheritance: AR Classification: LIMITED Submitted by: ClinGen
 
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| POLD1 | NM_002691.4  | c.3054G>A | p.Val1018Val | synonymous_variant | Exon 24 of 27 | ENST00000440232.7 | NP_002682.2 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| POLD1 | ENST00000440232.7  | c.3054G>A | p.Val1018Val | synonymous_variant | Exon 24 of 27 | 1 | NM_002691.4 | ENSP00000406046.1 | ||
| ENSG00000142539 | ENST00000599632.1  | c.261G>A | p.Val87Val | synonymous_variant | Exon 3 of 10 | 5 | ENSP00000473233.1 | 
Frequencies
GnomAD3 genomes   AF:  0.000973  AC: 148AN: 152164Hom.:  1  Cov.: 34 show subpopulations 
GnomAD2 exomes  AF:  0.000502  AC: 69AN: 137366 AF XY:  0.000414   show subpopulations 
GnomAD4 exome  AF:  0.00114  AC: 1586AN: 1386902Hom.:  0  Cov.: 34 AF XY:  0.00108  AC XY: 738AN XY: 684676 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.000972  AC: 148AN: 152282Hom.:  1  Cov.: 34 AF XY:  0.000980  AC XY: 73AN XY: 74458 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not provided    Uncertain:1Benign:6 
This variant is associated with the following publications: (PMID: 25356899) -
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Variant summary: The POLD1 c.3054G>A (p.Val1018Val) variant involves the alteration of a non-conserved nucleotide causes a synonymous change and 4/5 splice prediction tools predict no significant impact on normal splicing. ESE finder predicts that this variant may alter ESE binding. However, these predictions have yet to be confirmed by functional studies. This variant was found in 89/139890 control chromosomes at a frequency of 0.0006362, which is approximately 45 times the estimated maximal expected allele frequency of a pathogenic POLD1 variant (0.0000142), suggesting this variant is likely a benign polymorphism. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as benign/likely benign. Taken together, this variant is classified as Benign. -
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POLD1: BP4, BP7 -
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not specified    Benign:4 
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Colorectal cancer, susceptibility to, 10    Benign:2 
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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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Polymerase proofreading-related adenomatous polyposis    Benign:1 
The POLD1 p.Val1018= variant was not identified in the literature. The variant was identified in dbSNP (ID: rs369613619) “With Likely benign allele”, and ClinVar (classified with conflicting interpretations of pathogenicity; submitters: benign by Invitae and 2 other laboratories, likely benign by GeneDx, Ambry Genetics, Prevention Genetics and 2 other laboratories, and uncertain significance by EGL Genetic Diagnostics (Eurofins Clinical Genetics)).The variant was identified in control databases in 89 of 162606 chromosomes at a frequency of 0.0005 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: African in 3 of 15192 chromosomes (freq: 0.0002), Other in 2 of 4524 chromosomes (freq: 0.0004), Latino in 17 of 24616 chromosomes (freq: 0.0007), European Non-Finnish in 63 of 64570 chromosomes (freq: 0.001), European Finnish in 4 of 11144 chromosomes (freq: 0.0004), while not observed in the Ashkenazi Jewish, East Asian, and South Asian populations. The variant was also identified by our laboratory in 1 individual with pancreatic cancer, co-occurring with a pathogenic ATM variant (c.8418+5_8418+8del, r.spl?), increasing the likelihood the variant has little clinical significance. The p.Val1018= variant is not expected to have clinical significance because it does not result in a change of amino acid and is not located in a known consensus splice site. The variant occurs outside of the splicing consensus sequence and 1 of 4 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) predict a greater than 10% difference in splicing; this is not very predictive of pathogenicity. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at