rs374274388

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_017443.5(POLE3):​c.100C>T​(p.Arg34Trp) variant causes a missense change. The variant allele was found at a frequency of 0.0000723 in 1,589,874 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000079 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000072 ( 0 hom. )

Consequence

POLE3
NM_017443.5 missense

Scores

10
7
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.69

Publications

0 publications found
Variant links:
Genes affected
POLE3 (HGNC:13546): (DNA polymerase epsilon 3, accessory subunit) POLE3 is a histone-fold protein that interacts with other histone-fold proteins to bind DNA in a sequence-independent manner. These histone-fold protein dimers combine within larger enzymatic complexes for DNA transcription, replication, and packaging.[supplied by OMIM, Apr 2004]
C9orf43 (HGNC:23570): (chromosome 9 open reading frame 43)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.895

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
POLE3NM_017443.5 linkc.100C>T p.Arg34Trp missense_variant Exon 3 of 5 ENST00000374171.5 NP_059139.3 Q9NRF9A0A024R829
POLE3NM_001278255.1 linkc.100C>T p.Arg34Trp missense_variant Exon 3 of 5 NP_001265184.1 Q9NRF9A0A024R829
POLE3NM_001433719.1 linkc.100C>T p.Arg34Trp missense_variant Exon 2 of 4 NP_001420648.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
POLE3ENST00000374171.5 linkc.100C>T p.Arg34Trp missense_variant Exon 3 of 5 2 NM_017443.5 ENSP00000363286.4 Q9NRF9

Frequencies

GnomAD3 genomes
AF:
0.0000789
AC:
12
AN:
152170
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
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:
0.000132
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.0000618
AC:
13
AN:
210446
AF XY:
0.0000530
show subpopulations
Gnomad AFR exome
AF:
0.0000775
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:
0.000130
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000716
AC:
103
AN:
1437704
Hom.:
0
Cov.:
32
AF XY:
0.0000617
AC XY:
44
AN XY:
712978
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33208
American (AMR)
AF:
0.0000246
AC:
1
AN:
40654
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25592
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38850
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82962
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51232
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4882
European-Non Finnish (NFE)
AF:
0.0000908
AC:
100
AN:
1100908
Other (OTH)
AF:
0.0000337
AC:
2
AN:
59416
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
6
12
17
23
29
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.0000789
AC:
12
AN:
152170
Hom.:
0
Cov.:
32
AF XY:
0.0000538
AC XY:
4
AN XY:
74342
show subpopulations
African (AFR)
AF:
0.0000483
AC:
2
AN:
41446
American (AMR)
AF:
0.00
AC:
0
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10610
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000132
AC:
9
AN:
68034
Other (OTH)
AF:
0.000478
AC:
1
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.521
Heterozygous variant carriers
0
1
2
3
4
5
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:
0.0000387
Hom.:
0
Bravo
AF:
0.0000604
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000579
AC:
7

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Dec 02, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.100C>T (p.R34W) alteration is located in exon 3 (coding exon 2) of the POLE3 gene. This alteration results from a C to T substitution at nucleotide position 100, causing the arginine (R) at amino acid position 34 to be replaced by a tryptophan (W). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Benign
-0.012
T
BayesDel_noAF
Uncertain
-0.020
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.49
T;T
Eigen
Pathogenic
0.81
Eigen_PC
Pathogenic
0.72
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Pathogenic
0.99
.;D
M_CAP
Uncertain
0.097
D
MetaRNN
Pathogenic
0.89
D;D
MetaSVM
Uncertain
-0.034
T
MutationAssessor
Pathogenic
3.5
H;H
PhyloP100
3.7
PrimateAI
Pathogenic
0.84
D
PROVEAN
Pathogenic
-6.9
D;D
REVEL
Uncertain
0.46
Sift
Uncertain
0.0020
D;D
Sift4G
Pathogenic
0.0010
D;D
Polyphen
1.0
D;D
Vest4
0.92
MVP
0.67
MPC
0.94
ClinPred
0.95
D
GERP RS
4.9
PromoterAI
0.045
Neutral
RBP_binding_hub_radar
1.0
RBP_regulation_power_radar
2.9
Varity_R
0.85
gMVP
0.81
Mutation Taster
=87/13
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: rs374274388; hg19: chr9-116172387; API