rs5744990

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_006231.4(POLE):​c.5707C>T​(p.Leu1903Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.154 in 1,613,292 control chromosomes in the GnomAD database, including 19,799 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. L1903L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.15 ( 1904 hom., cov: 33)
Exomes 𝑓: 0.15 ( 17895 hom. )

Consequence

POLE
NM_006231.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -0.271

Publications

28 publications found
Variant links:
Genes affected
POLE (HGNC:9177): (DNA polymerase epsilon, catalytic subunit) This gene encodes the catalytic subunit of DNA polymerase epsilon. The enzyme is involved in DNA repair and chromosomal DNA replication. Mutations in this gene have been associated with colorectal cancer 12 and facial dysmorphism, immunodeficiency, livedo, and short stature. [provided by RefSeq, Sep 2013]
POLE Gene-Disease associations (from GenCC):
  • POLE-related polyposis and colorectal cancer syndrome
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • colorectal cancer, susceptibility to, 12
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
  • facial dysmorphism-immunodeficiency-livedo-short stature syndrome
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, genital anomalies, and immunodeficiency
    Inheritance: AR Classification: STRONG Submitted by: G2P
  • IMAGe syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Polymerase proofreading-related adenomatous polyposis
    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 -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.73).
BP6
Variant 12-132635996-G-A is Benign according to our data. Variant chr12-132635996-G-A is described in ClinVar as Benign. ClinVar VariationId is 380216.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.271 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.189 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_006231.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLE
NM_006231.4
MANE Select
c.5707C>Tp.Leu1903Leu
synonymous
Exon 42 of 49NP_006222.2Q07864

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLE
ENST00000320574.10
TSL:1 MANE Select
c.5707C>Tp.Leu1903Leu
synonymous
Exon 42 of 49ENSP00000322570.5Q07864
POLE
ENST00000535270.5
TSL:1
c.5626C>Tp.Leu1876Leu
synonymous
Exon 41 of 48ENSP00000445753.1F5H1D6
POLE
ENST00000537064.5
TSL:1
n.*5458C>T
non_coding_transcript_exon
Exon 42 of 49ENSP00000442578.1F5H7E4

Frequencies

GnomAD3 genomes
AF:
0.153
AC:
23269
AN:
152128
Hom.:
1895
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.141
Gnomad AMI
AF:
0.270
Gnomad AMR
AF:
0.195
Gnomad ASJ
AF:
0.152
Gnomad EAS
AF:
0.105
Gnomad SAS
AF:
0.104
Gnomad FIN
AF:
0.146
Gnomad MID
AF:
0.158
Gnomad NFE
AF:
0.158
Gnomad OTH
AF:
0.135
GnomAD2 exomes
AF:
0.155
AC:
38817
AN:
250976
AF XY:
0.151
show subpopulations
Gnomad AFR exome
AF:
0.143
Gnomad AMR exome
AF:
0.223
Gnomad ASJ exome
AF:
0.153
Gnomad EAS exome
AF:
0.111
Gnomad FIN exome
AF:
0.147
Gnomad NFE exome
AF:
0.157
Gnomad OTH exome
AF:
0.164
GnomAD4 exome
AF:
0.154
AC:
225645
AN:
1461046
Hom.:
17895
Cov.:
32
AF XY:
0.152
AC XY:
110677
AN XY:
726824
show subpopulations
African (AFR)
AF:
0.143
AC:
4786
AN:
33462
American (AMR)
AF:
0.219
AC:
9796
AN:
44638
Ashkenazi Jewish (ASJ)
AF:
0.152
AC:
3975
AN:
26118
East Asian (EAS)
AF:
0.102
AC:
4057
AN:
39682
South Asian (SAS)
AF:
0.102
AC:
8815
AN:
86172
European-Finnish (FIN)
AF:
0.147
AC:
7862
AN:
53366
Middle Eastern (MID)
AF:
0.147
AC:
847
AN:
5768
European-Non Finnish (NFE)
AF:
0.159
AC:
176183
AN:
1111480
Other (OTH)
AF:
0.154
AC:
9324
AN:
60360
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
8937
17875
26812
35750
44687
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
6258
12516
18774
25032
31290
<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:
0.153
AC:
23296
AN:
152246
Hom.:
1904
Cov.:
33
AF XY:
0.153
AC XY:
11415
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.141
AC:
5850
AN:
41546
American (AMR)
AF:
0.195
AC:
2985
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.152
AC:
527
AN:
3472
East Asian (EAS)
AF:
0.105
AC:
544
AN:
5186
South Asian (SAS)
AF:
0.104
AC:
503
AN:
4826
European-Finnish (FIN)
AF:
0.146
AC:
1551
AN:
10608
Middle Eastern (MID)
AF:
0.160
AC:
47
AN:
294
European-Non Finnish (NFE)
AF:
0.158
AC:
10758
AN:
67994
Other (OTH)
AF:
0.135
AC:
285
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1027
2054
3082
4109
5136
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
260
520
780
1040
1300
<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:
0.155
Hom.:
3654
Bravo
AF:
0.156
Asia WGS
AF:
0.135
AC:
471
AN:
3478
EpiCase
AF:
0.148
EpiControl
AF:
0.150

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
not specified (5)
-
-
3
not provided (3)
-
-
1
Colorectal cancer, susceptibility to, 12 (1)
-
-
1
Colorectal cancer, susceptibility to, 12;C3554576:Facial dysmorphism-immunodeficiency-livedo-short stature syndrome;C5193036:Intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, genital anomalies, and immunodeficiency (1)
-
-
1
Hereditary cancer-predisposing syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.73
CADD
Benign
0.29
DANN
Benign
0.46
PhyloP100
-0.27
Mutation Taster
=100/0
polymorphism (auto)

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: rs5744990; hg19: chr12-133212582; COSMIC: COSV105207326; COSMIC: COSV105207326; API