rs370567994
Variant summary
Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BP4
The NM_000051.4(ATM):c.7244C>G(p.Ala2415Gly) variant causes a missense change. The variant allele was found at a frequency of 0.0000242 in 1,613,872 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_000051.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -1 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
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ATM | NM_000051.4 | c.7244C>G | p.Ala2415Gly | missense_variant | Exon 49 of 63 | ENST00000675843.1 | NP_000042.3 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000131 AC: 20AN: 152094Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000319 AC: 8AN: 251150Hom.: 0 AF XY: 0.0000295 AC XY: 4AN XY: 135712
GnomAD4 exome AF: 0.0000130 AC: 19AN: 1461778Hom.: 0 Cov.: 31 AF XY: 0.0000165 AC XY: 12AN XY: 727182
GnomAD4 genome AF: 0.000131 AC: 20AN: 152094Hom.: 0 Cov.: 32 AF XY: 0.0000808 AC XY: 6AN XY: 74282
ClinVar
Submissions by phenotype
not provided Uncertain:3
In silico analysis indicates that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge; This variant is associated with the following publications: (PMID: 23532176) -
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Hereditary cancer-predisposing syndrome Uncertain:3
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The p.A2415G variant (also known as c.7244C>G), located in coding exon 48 of the ATM gene, results from a C to G substitution at nucleotide position 7244. The alanine at codon 2415 is replaced by glycine, an amino acid with similar properties. This amino acid position is well conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Based on the available evidence, the clinical significance of this variant remains unclear. -
This missense variant replaces alanine with glycine at codon 2415 of the ATM protein. Computational prediction suggests that this variant may not impact protein structure and function. To our knowledge, functional studies have not been reported for this variant. This variant has not been reported in individuals affected with hereditary cancer in the literature. This variant has been identified in 12/282516 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
not specified Uncertain:2
Variant summary: ATM c.7244C>G (p.Ala2415Gly) results in a non-conservative amino acid change located in the FAT domain (IPR003151) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4.3e-05 in 276876 control chromosomes, predominantly within the African subpopulation at a frequency of 0.00046 in the gnomAD database. This frequency is somewhat lower than the expected maximum allele frequency for a pathogenic variant in ATM causing Breast Cancer (0.00046 vs. 0.001), allowing no conclusion about variant significance. To our knowledge, no occurrence of c.7244C>G in individuals affected with Breast Cancer and no experimental evidence demonstrating its impact on protein function have been reported. Four clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
DNA sequence analysis of the ATM gene demonstrated a sequence change, c.7244C>G, in exon 49 that results in an amino acid change, p.Ala2415Gly. This sequence change has been described in the gnomAD database with a frequency of 0.044% in the African/African American subpopulation (dbSNP rs370567994).The p.Ala2415Gly change affects a moderately conserved amino acid residue located in a domain of the ATM protein that is known to be functional. In-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL) provide contradictory results for the p.Ala2415Gly substitution. This sequence change does not appear to have been previously described in individuals with ATM-related disorders. Due to insufficient evidences and the lack of functional studies, the clinical significance of the p.Ala2415Gly change remains unknown at this time. -
Ataxia-telangiectasia syndrome Uncertain:2
This sequence change replaces alanine, which is neutral and non-polar, with glycine, which is neutral and non-polar, at codon 2415 of the ATM protein (p.Ala2415Gly). This variant is present in population databases (rs370567994, gnomAD 0.05%). This variant has not been reported in the literature in individuals affected with ATM-related conditions. ClinVar contains an entry for this variant (Variation ID: 236768). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt ATM protein function with a negative predictive value of 95%. RNA analysis performed to evaluate the impact of this missense change on mRNA splicing indicates it does not significantly alter splicing (internal data). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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ATM-related cancer predisposition Uncertain:1
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Ataxia-telangiectasia syndrome;C0346153:Familial cancer of breast Uncertain:1
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ATM-related disorder Uncertain:1
The ATM c.7244C>G variant is predicted to result in the amino acid substitution p.Ala2415Gly. This variant has been reported with uncertain significance in a clinical variant interpretation study (Table S1, Mighton et al. 2022. PubMed ID: 33875564). This variant is reported in 0.044% of alleles in individuals of African descent in gnomAD and has been interpreted as a variant of uncertain significance in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/236768/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Familial cancer of breast Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at