rs370974124
Variant summary
Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PVS1_ModeratePM2
The NM_000136.3(FANCC):c.1663C>T(p.Arg555*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000155 in 1,613,828 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_000136.3 stop_gained
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 4 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
FANCC | NM_000136.3 | c.1663C>T | p.Arg555* | stop_gained | Exon 15 of 15 | ENST00000289081.8 | NP_000127.2 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152134Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.0000199 AC: 5AN: 251076Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135762
GnomAD4 exome AF: 0.0000151 AC: 22AN: 1461694Hom.: 0 Cov.: 31 AF XY: 0.00000825 AC XY: 6AN XY: 727126
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152134Hom.: 0 Cov.: 33 AF XY: 0.00 AC XY: 0AN XY: 74314
ClinVar
Submissions by phenotype
Fanconi anemia complementation group C Pathogenic:2Uncertain:3
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This nonsense variant is categorized as deleterious according to ACMG guidelines (PMID:18414213). It would be pathogenic in a recessive state; heterozygotes would be carriers for the condition. It was found once in our study paternally inherited in a 5-year-old female with Wilms tumor; LOH was not detected in this region in the tumor. The patient also had a heterozygous frameshift variant in DIS3L2, with the tumor showing LOH for that region, and a heterozygous frameshift CHEK2 variant. -
not provided Uncertain:2
Nonsense variant predicted to result in protein truncation as the last 4 amino acids are lost, although loss-of-function variants have not been reported downstream of this position in the protein; Not observed at significant frequency in large population cohorts (gnomAD); Identified in an individual with Wilms tumor who also harbored a pathogenic CHEK2 variant (PMID: 26822237); This variant is associated with the following publications: (PMID: 8882868, Gordon2000[Book], 29922827, 26822237) -
The FANCC c.1663C>T (p.Arg555*) variant creates a premature stop codon in the last exon of the FANCC gene, disrupting the last four amino acids of the protein but is not expected to trigger nonsense-mediated decay of the affected transcript. In the published literature, this variant has been reported in an individual with Wilms tumor who also carried pathogenic variants in the CHEK2 and DIS3L2 genes (PMID: 26822237 (2016)). The frequency of this variant in the general population, 0.000026 (3/113548 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Based on the available information, we are unable to determine the clinical significance of this variant. -
Fanconi anemia Uncertain:1
This sequence change creates a premature translational stop signal (p.Arg555*) in the FANCC gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 4 amino acid(s) of the FANCC protein. This variant is present in population databases (rs370974124, gnomAD 0.01%). This premature translational stop signal has been observed in individual(s) with Wilms tumor (PMID: 26822237). ClinVar contains an entry for this variant (Variation ID: 234905). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -
Hereditary cancer-predisposing syndrome Uncertain:1
The p.R555* variant (also known as c.1663C>T), located in coding exon 14 of the FANCC gene, results from a C to T substitution at nucleotide position 1663. This changes the amino acid from an arginine to a stop codon within coding exon 14. This alteration occurs at the 3' terminus of theFANCC gene, is not expected to trigger nonsense-mediated mRNAdecay, and only impacts the last four amino acids of the protein. The exact functional effect of this alteration is unknown. This variant was reported in a child with Wilms tumor, who had whole exome sequencing, as part of a study of unselected children with newly diagnosed and previously untreated central nervous system (CNS) and non-CNS solid tumors; her tumor did not show loss of heterozygosity and the variant was not de novo (Parsons DW et al. JAMA Oncol. 2016 May;2:616-624). Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at