rs372821099

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4_StrongBP6BP7BS1BS2

The ENST00000455263.6(TP53):​c.1038G>A​(p.Ser346Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000919 in 1,175,560 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000097 ( 0 hom. )

Consequence

TP53
ENST00000455263.6 synonymous

Scores

2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: -1.28

Publications

5 publications found
Variant links:
Genes affected
TP53 (HGNC:11998): (tumor protein p53) This gene encodes a tumor suppressor protein containing transcriptional activation, DNA binding, and oligomerization domains. The encoded protein responds to diverse cellular stresses to regulate expression of target genes, thereby inducing cell cycle arrest, apoptosis, senescence, DNA repair, or changes in metabolism. Mutations in this gene are associated with a variety of human cancers, including hereditary cancers such as Li-Fraumeni syndrome. Alternative splicing of this gene and the use of alternate promoters result in multiple transcript variants and isoforms. Additional isoforms have also been shown to result from the use of alternate translation initiation codons from identical transcript variants (PMIDs: 12032546, 20937277). [provided by RefSeq, Dec 2016]
TP53 Gene-Disease associations (from GenCC):
  • breast cancer
    Inheritance: AD Classification: DEFINITIVE Submitted by: Ambry Genetics
  • Li-Fraumeni syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, ClinGen, Orphanet
  • Li-Fraumeni syndrome 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Genomics England PanelApp
  • adrenocortical carcinoma, hereditary
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
  • sarcoma
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • bone marrow failure syndrome 5
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • colorectal cancer
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • choroid plexus carcinoma
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.66).
BP6
Variant 17-7673222-C-T is Benign according to our data. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651. Variant chr17-7673222-C-T is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 492651.
BP7
Synonymous conserved (PhyloP=-1.28 with no splicing effect.
BS1
Variant frequency is greater than expected in population sas. GnomAdExome4 allele frequency = 0.0000967 (99/1024290) while in subpopulation SAS AF = 0.000473 (34/71838). AF 95% confidence interval is 0.000348. There are 0 homozygotes in GnomAdExome4. There are 60 alleles in the male GnomAdExome4 subpopulation. Median coverage is 13. This position passed quality control check.
BS2
High AC in GnomAd4 at 9 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
TP53NM_000546.6 linkc.993+313G>A intron_variant Intron 9 of 10 ENST00000269305.9 NP_000537.3 P04637-1K7PPA8Q53GA5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
TP53ENST00000269305.9 linkc.993+313G>A intron_variant Intron 9 of 10 1 NM_000546.6 ENSP00000269305.4 P04637-1

Frequencies

GnomAD3 genomes
AF:
0.0000595
AC:
9
AN:
151174
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000486
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000195
Gnomad SAS
AF:
0.000624
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000442
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000112
AC:
18
AN:
160710
AF XY:
0.000129
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000802
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000852
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000968
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000967
AC:
99
AN:
1024290
Hom.:
0
Cov.:
13
AF XY:
0.000115
AC XY:
60
AN XY:
521144
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
24196
American (AMR)
AF:
0.0000850
AC:
3
AN:
35292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22824
East Asian (EAS)
AF:
0.0000580
AC:
2
AN:
34494
South Asian (SAS)
AF:
0.000473
AC:
34
AN:
71838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49488
Middle Eastern (MID)
AF:
0.000200
AC:
1
AN:
4988
European-Non Finnish (NFE)
AF:
0.0000775
AC:
57
AN:
735602
Other (OTH)
AF:
0.0000439
AC:
2
AN:
45568
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.509
Heterozygous variant carriers
0
6
11
17
22
28
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.0000595
AC:
9
AN:
151270
Hom.:
0
Cov.:
31
AF XY:
0.000108
AC XY:
8
AN XY:
73852
show subpopulations
African (AFR)
AF:
0.0000485
AC:
2
AN:
41238
American (AMR)
AF:
0.00
AC:
0
AN:
15154
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.000196
AC:
1
AN:
5108
South Asian (SAS)
AF:
0.000626
AC:
3
AN:
4794
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10314
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000442
AC:
3
AN:
67902
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.0000965
Hom.:
0
Bravo
AF:
0.0000491
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hereditary cancer-predisposing syndrome Uncertain:1Benign:1
May 25, 2017
Color Diagnostics, LLC DBA Color Health
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 20, 2025
Molecular Diagnostics Laboratory, Catalan Institute of Oncology
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

TP53 (NM_000546.5) c.993+313G>A is an intronic variant at or beyond +7/–21. In beta and gamma isoforms, the nomenclature of this variant is NM_0011216114.2 (beta isoform): c.*85G>A and NM_001126113.2 (gamma isoform): c.1038G>A; (p.Ser346=).This variant is found in 17/185965 alleles at a frequency of 0.009% in the gnomAD v2.1.1 database, non-cancer dataset. The SpliceAI algorithm predicts no significant impact on splicing on isoform NM_000546.5: c.993+313G>A, but can not predict the effect on isoform NM_0011216114.2 c.*85G>A. To our knowledge, neither relevant clinical data nor functional studies have been reported for this variant. This variant has been reported in ClinVar (3x likely benign) and LOVD (1x uncertain significance) databases. Based on currently available information, the variant c.993+313G>A should be considered an uncertain significance variant. -

Li-Fraumeni syndrome 1 Benign:1
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

TP53-related disorder Benign:1
Dec 04, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.66
CADD
Benign
7.0
DANN
Benign
0.94
PhyloP100
-1.3
PromoterAI
-0.021
Neutral
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.080
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: rs372821099; hg19: chr17-7576540; API