rs375921240
Variant summary
Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2
The NM_000136.3(FANCC):c.191T>G(p.Phe64Cys) variant causes a missense change. The variant allele was found at a frequency of 0.0000093 in 1,613,540 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_000136.3 missense
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.191T>G | p.Phe64Cys | missense_variant | Exon 3 of 15 | ENST00000289081.8 | NP_000127.2 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152228Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000159 AC: 4AN: 250888Hom.: 0 AF XY: 0.0000148 AC XY: 2AN XY: 135582
GnomAD4 exome AF: 0.00000753 AC: 11AN: 1461312Hom.: 0 Cov.: 30 AF XY: 0.00000963 AC XY: 7AN XY: 727014
GnomAD4 genome AF: 0.0000263 AC: 4AN: 152228Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74378
ClinVar
Submissions by phenotype
Fanconi anemia Uncertain:2
This sequence change replaces phenylalanine, which is neutral and non-polar, with cysteine, which is neutral and slightly polar, at codon 64 of the FANCC protein (p.Phe64Cys). This variant is present in population databases (rs375921240, gnomAD 0.003%). This variant has not been reported in the literature in individuals affected with FANCC-related conditions. ClinVar contains an entry for this variant (Variation ID: 182494). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be disruptive. 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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not provided Uncertain:2
The FANCC c.191T>G (p.Phe64Cys) variant has been reported in the published literature in individuals affected with breast and ovarian cancer (PMID: 34326862 (2021)), head and neck squamous cell carcinoma (PMID: 28678401 (2017)), and neuroblastoma (PMID: 26580448 (2015)). This variant was also identified in reportedly healthy individuals (PMIDs: 32546565 (2021), 35884425 (2022), 37349538 (2023)). The frequency of this variant in the general population, 0.000035 (4/113338 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Analysis of this variant using bioinformatics tools for the prediction of the effect of amino acid changes on protein structure and function yielded conflicting predictions that this variant is benign or damaging. Based on the available information, we are unable to determine the clinical significance of this variant. -
Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Observed in patients with breast, ovarian, head/neck, and other cancers in published literature (PMID: 26580448, 28678401, 34326862); This variant is associated with the following publications: (PMID: 26580448, 28678401, 34326862, Gordon2000[Book], 34864095) -
Fanconi anemia complementation group C Uncertain:1
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Hereditary cancer-predisposing syndrome Uncertain:1
The p.F64C variant (also known as c.191T>G), located in coding exon 2 of the FANCC gene, results from a T to G substitution at nucleotide position 191. The phenylalanine at codon 64 is replaced by cysteine, an amino acid with highly dissimilar properties. This variant has been reported in 1/1120 pediatric cancer patients who underwent whole genome sequencing and/or whole exome sequencing; this patient was diagnosed with a neuroblastoma (Zhang J et al. N Engl J Med, 2015 Dec;373:2336-2346). This alteration was also reported in 1/647 individuals with head and neck squamous cell carcinoma diagnosed under age 50 (Chandrasekharappa SC et al. Cancer, 2017 Oct;123:3943-3954). This amino acid position is highly conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. 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