rs55943169

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004448.4(ERBB2):​c.3647C>A​(p.Ala1216Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00726 in 1,614,188 control chromosomes in the GnomAD database, including 65 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A1216A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0056 ( 6 hom., cov: 32)
Exomes 𝑓: 0.0074 ( 59 hom. )

Consequence

ERBB2
NM_004448.4 missense

Scores

3
6
8

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3O:1

Conservation

PhyloP100: 2.88

Publications

40 publications found
Variant links:
Genes affected
ERBB2 (HGNC:3430): (erb-b2 receptor tyrosine kinase 2) This gene encodes a member of the epidermal growth factor (EGF) receptor family of receptor tyrosine kinases. This protein has no ligand binding domain of its own and therefore cannot bind growth factors. However, it does bind tightly to other ligand-bound EGF receptor family members to form a heterodimer, stabilizing ligand binding and enhancing kinase-mediated activation of downstream signalling pathways, such as those involving mitogen-activated protein kinase and phosphatidylinositol-3 kinase. Allelic variations at amino acid positions 654 and 655 of isoform a (positions 624 and 625 of isoform b) have been reported, with the most common allele, Ile654/Ile655, shown here. Amplification and/or overexpression of this gene has been reported in numerous cancers, including breast and ovarian tumors. Alternative splicing results in several additional transcript variants, some encoding different isoforms and others that have not been fully characterized. [provided by RefSeq, Jul 2008]
ERBB2 Gene-Disease associations (from GenCC):
  • Hirschsprung disease
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • lung cancer
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • glioma susceptibility 1
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
  • visceral neuropathy, familial, 2, autosomal recessive
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008421838).
BP6
Variant 17-39727923-C-A is Benign according to our data. Variant chr17-39727923-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 134084.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00559 (851/152354) while in subpopulation NFE AF = 0.00783 (533/68032). AF 95% confidence interval is 0.00728. There are 6 homozygotes in GnomAd4. There are 437 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 851 Unknown,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ERBB2NM_004448.4 linkc.3647C>A p.Ala1216Asp missense_variant Exon 27 of 27 ENST00000269571.10 NP_004439.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ERBB2ENST00000269571.10 linkc.3647C>A p.Ala1216Asp missense_variant Exon 27 of 27 1 NM_004448.4 ENSP00000269571.4

Frequencies

GnomAD3 genomes
AF:
0.00559
AC:
851
AN:
152236
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00133
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00131
Gnomad ASJ
AF:
0.00749
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.0194
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00783
Gnomad OTH
AF:
0.00383
GnomAD2 exomes
AF:
0.00566
AC:
1421
AN:
250928
AF XY:
0.00551
show subpopulations
Gnomad AFR exome
AF:
0.00148
Gnomad AMR exome
AF:
0.000925
Gnomad ASJ exome
AF:
0.00647
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0170
Gnomad NFE exome
AF:
0.00772
Gnomad OTH exome
AF:
0.00604
GnomAD4 exome
AF:
0.00743
AC:
10865
AN:
1461834
Hom.:
59
Cov.:
34
AF XY:
0.00726
AC XY:
5281
AN XY:
727228
show subpopulations
African (AFR)
AF:
0.00116
AC:
39
AN:
33480
American (AMR)
AF:
0.00130
AC:
58
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00643
AC:
168
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000835
AC:
72
AN:
86258
European-Finnish (FIN)
AF:
0.0165
AC:
879
AN:
53390
Middle Eastern (MID)
AF:
0.000520
AC:
3
AN:
5768
European-Non Finnish (NFE)
AF:
0.00837
AC:
9310
AN:
1111986
Other (OTH)
AF:
0.00556
AC:
336
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
599
1198
1797
2396
2995
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
354
708
1062
1416
1770
<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:
0.00559
AC:
851
AN:
152354
Hom.:
6
Cov.:
32
AF XY:
0.00587
AC XY:
437
AN XY:
74504
show subpopulations
African (AFR)
AF:
0.00132
AC:
55
AN:
41574
American (AMR)
AF:
0.00131
AC:
20
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00749
AC:
26
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.000621
AC:
3
AN:
4832
European-Finnish (FIN)
AF:
0.0194
AC:
206
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00783
AC:
533
AN:
68032
Other (OTH)
AF:
0.00379
AC:
8
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.498
Heterozygous variant carriers
0
45
90
134
179
224
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00628
Hom.:
26
Bravo
AF:
0.00413
TwinsUK
AF:
0.00917
AC:
34
ALSPAC
AF:
0.00934
AC:
36
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.00744
AC:
64
ExAC
AF:
0.00536
AC:
651
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.00698
EpiControl
AF:
0.00652

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Nov 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ERBB2: PP3, BS2

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

not specified Other:1
Sep 19, 2013
ITMI
Significance:not provided
Review Status:no classification provided
Collection Method:reference population

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.72
BayesDel_addAF
Benign
-0.093
T
BayesDel_noAF
Uncertain
0.10
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0
.;.;.;T;T
Eigen
Uncertain
0.21
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Benign
0.0
.;D;D;D;D
MetaRNN
Benign
0.0084
T;T;T;T;T
MetaSVM
Uncertain
0.20
D
MutationAssessor
Benign
0.0
.;.;.;.;M
PhyloP100
2.9
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
0.0
.;N;N;N;N
REVEL
Benign
0.0
Sift
Pathogenic
0.0
.;D;D;D;D
Sift4G
Benign
0.13
T;T;T;T;T
Vest4
0.49
ClinPred
0.031
T
GERP RS
4.4
Varity_R
0.45
gMVP
0.69
Mutation Taster
=91/9
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs55943169; hg19: chr17-37884176; COSMIC: COSV99059727; COSMIC: COSV99059727; API