rs372481703

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_ModerateBP6_Very_Strong

The NM_000038.6(APC):​c.3512G>A​(p.Arg1171His) variant causes a missense change. The variant allele was found at a frequency of 0.0000248 in 1,613,912 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1171L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000026 ( 1 hom. )

Consequence

APC
NM_000038.6 missense

Scores

2
17

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 4.67

Publications

17 publications found
Variant links:
Genes affected
APC (HGNC:583): (APC regulator of WNT signaling pathway) This gene encodes a tumor suppressor protein that acts as an antagonist of the Wnt signaling pathway. It is also involved in other processes including cell migration and adhesion, transcriptional activation, and apoptosis. Defects in this gene cause familial adenomatous polyposis (FAP), an autosomal dominant pre-malignant disease that usually progresses to malignancy. Mutations in the APC gene have been found to occur in most colorectal cancers, where disease-associated mutations tend to be clustered in a small region designated the mutation cluster region (MCR) and result in a truncated protein product. [provided by RefSeq, Jun 2022]
APC Gene-Disease associations (from GenCC):
  • classic or attenuated familial adenomatous polyposis
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • desmoid tumor
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
  • familial adenomatous polyposis 1
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • gastric adenocarcinoma and proximal polyposis of the stomach
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), ClinGen, Orphanet
  • sarcoma
    Inheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
  • APC-related attenuated familial adenomatous polyposis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Turcot syndrome with polyposis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Cenani-Lenz syndactyly syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.09349775).
BP6
Variant 5-112839106-G-A is Benign according to our data. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-112839106-G-A is described in CliVar as Likely_benign. Clinvar id is 418573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
APCNM_000038.6 linkc.3512G>A p.Arg1171His missense_variant Exon 16 of 16 ENST00000257430.9 NP_000029.2 P25054-1Q4LE70

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
APCENST00000257430.9 linkc.3512G>A p.Arg1171His missense_variant Exon 16 of 16 5 NM_000038.6 ENSP00000257430.4 P25054-1
ENSG00000258864ENST00000520401.1 linkn.228+10134G>A intron_variant Intron 3 of 7 3 ENSP00000454861.1 H3BNH8

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152168
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000160
AC:
4
AN:
250310
AF XY:
0.00000738
show subpopulations
Gnomad AFR exome
AF:
0.000190
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000883
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000260
AC:
38
AN:
1461744
Hom.:
1
Cov.:
33
AF XY:
0.0000261
AC XY:
19
AN XY:
727178
show subpopulations
African (AFR)
AF:
0.0000597
AC:
2
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86252
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53334
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000306
AC:
34
AN:
1111960
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.0000131
AC:
2
AN:
152168
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74336
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41444
American (AMR)
AF:
0.00
AC:
0
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68038
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000712
Hom.:
0
Bravo
AF:
0.0000113
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hereditary cancer-predisposing syndrome Benign:3
Jul 10, 2018
Color Diagnostics, LLC DBA Color Health
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 28, 2021
Sema4, Sema4
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Jun 01, 2018
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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. -

not specified Benign:1
Nov 02, 2017
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Familial adenomatous polyposis 1 Benign:1
Sep 22, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Mar 07, 2023
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Classic or attenuated familial adenomatous polyposis Benign:1
May 14, 2024
All of Us Research Program, National Institutes of Health
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.052
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
18
DANN
Benign
0.80
DEOGEN2
Benign
0.36
T;T;T
Eigen
Benign
-0.51
Eigen_PC
Benign
-0.25
FATHMM_MKL
Benign
0.086
N
LIST_S2
Benign
0.66
.;T;T
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.093
T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Benign
-0.90
N;N;.
PhyloP100
4.7
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
0.64
N;N;N
REVEL
Benign
0.26
Sift
Benign
1.0
T;T;T
Sift4G
Benign
0.46
T;T;T
Polyphen
0.0
B;B;.
Vest4
0.17
MVP
0.55
ClinPred
0.050
T
GERP RS
5.6
Varity_R
0.034
gMVP
0.46
Mutation Taster
=95/5
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs372481703; hg19: chr5-112174803; COSMIC: COSV57363764; API