rs587779866

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PVS1_ModeratePP5_Very_Strong

The NM_000051.4(ATM):​c.7630-2A>C variant causes a splice acceptor, intron change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000105 in 1,613,150 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000010 ( 0 hom. )

Consequence

ATM
NM_000051.4 splice_acceptor, intron

Scores

5
1
1
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:27O:1

Conservation

PhyloP100: 7.35

Publications

32 publications found
Variant links:
Genes affected
ATM (HGNC:795): (ATM serine/threonine kinase) The protein encoded by this gene belongs to the PI3/PI4-kinase family. This protein is an important cell cycle checkpoint kinase that phosphorylates; thus, it functions as a regulator of a wide variety of downstream proteins, including tumor suppressor proteins p53 and BRCA1, checkpoint kinase CHK2, checkpoint proteins RAD17 and RAD9, and DNA repair protein NBS1. This protein and the closely related kinase ATR are thought to be master controllers of cell cycle checkpoint signaling pathways that are required for cell response to DNA damage and for genome stability. Mutations in this gene are associated with ataxia telangiectasia, an autosomal recessive disorder. [provided by RefSeq, Aug 2010]
C11orf65 (HGNC:28519): (chromosome 11 open reading frame 65) Predicted to be involved in negative regulation of mitochondrial fission and negative regulation of protein targeting to mitochondrion. Predicted to be located in cytosol and mitochondrial outer membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 10 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.017337259 fraction of the gene. Cryptic splice site detected, with MaxEntScore 5.4, offset of 11, new splice context is: ttcttaccgctaatctctAGaat. Cryptic site results in frameshift change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
PP5
Variant 11-108331877-A-C is Pathogenic according to our data. Variant chr11-108331877-A-C is described in ClinVar as Pathogenic. ClinVar VariationId is 127447.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATMNM_000051.4 linkc.7630-2A>C splice_acceptor_variant, intron_variant Intron 51 of 62 ENST00000675843.1 NP_000042.3 Q13315A0A024R3C7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATMENST00000675843.1 linkc.7630-2A>C splice_acceptor_variant, intron_variant Intron 51 of 62 NM_000051.4 ENSP00000501606.1 Q13315

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152152
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000796
AC:
2
AN:
251132
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000103
AC:
15
AN:
1460998
Hom.:
0
Cov.:
31
AF XY:
0.0000124
AC XY:
9
AN XY:
726852
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33458
American (AMR)
AF:
0.00
AC:
0
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26112
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39636
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86236
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53380
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.0000135
AC:
15
AN:
1111344
Other (OTH)
AF:
0.00
AC:
0
AN:
60348
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152152
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74328
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41428
American (AMR)
AF:
0.00
AC:
0
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
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:
0.0000294
AC:
2
AN:
68028
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.000771
Hom.:
0
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:27Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Ataxia-telangiectasia syndrome Pathogenic:8
Dec 10, 2019
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: ATM c.7630-2A>C, also known as IVS53-2A>C, is located in a canonical splice-site and is predicted to affect mRNA splicing resulting in a significantly altered protein due to either exon skipping, shortening, or inclusion of intronic material. Several computational tools predict a significant impact on normal splicing: Four predict the variant abolishes the canonical 3' acceptor site. Three predict the variant strengthens an alternate intronic 3' acceptor site. At least one publication reports experimental evidence that this variant affects mRNA splicing reporting skipping of exon 54 (60%) and skipping of the first 11 nt of exon 54 (40%) (legacy exon numbering) (Sandoval_1999). The variant allele was found at a frequency of 8e-06 in 251132 control chromosomes. c.7630-2A>C has been reported in the literature in multiple individuals affected with Ataxia-Telangiectasia as well as in individuals undergoing multigene panel testing for hereditary cancers (example, Sandoval_1999, Telatar_1998, Susswein_2016, Tsaousis_2019). These data indicate that the variant is very likely to be associated with disease. Nine clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic for Ataxia Telangectasia and ATM associated cancers. -

Nov 11, 2020
Natera, Inc.
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Dec 04, 2015
Counsyl
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Jan 26, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change affects an acceptor splice site in intron 51 of the ATM gene. RNA analysis indicates that disruption of this splice site induces altered splicing and may result in an absent or altered protein product. This variant is present in population databases (rs587779866, gnomAD 0.003%). Disruption of this splice site has been observed in individual(s) with breast cancer and ataxia-telangiectasia (AT) (PMID: 9443866, 9887333, 21833744, 25374739, 26681312). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. This variant is also known as IVS51-2A>C and IVS53-2A>C. ClinVar contains an entry for this variant (Variation ID: 127447). Studies have shown that disruption of this splice site results in skipping of exon 52 and activation of a cryptic splice site, and produces a non-functional protein and/or introduces a premature termination codon (PMID: 9887333; internal data). For these reasons, this variant has been classified as Pathogenic. -

Jul 02, 2018
Mendelics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 29, 2022
Genetics and Molecular Pathology, SA Pathology
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 01, 2022
3billion
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The variant is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.001%). Canonical splice site is predicted to alter splicing and result in a loss or disruption of normal protein function. Multiple pathogenic loss-of-function variants are reported downstream of the variant. The variant has been reported at least twice as pathogenic with clinical assertions and evidence for the classification (ClinVar ID: VCV000127447). Therefore, this variant is classified as Pathogenic according to the recommendation of ACMG/AMP guideline. -

not provided Pathogenic:6
Jul 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ATM: PS3, PVS1:Strong, PM2, PS4:Moderate -

May 23, 2018
Genetic Services Laboratory, University of Chicago
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.7630-2A>C sequence change is predicted to abolish the splice acceptor site, and affects splicing of exon 52. RNA study has demonstrated that this variant leads to exon skipping (Sandoval et. al., 1999). This variant has been reported in several patients with ataxia-telangiectasia in the homozygous state or compound heterozygous state with another pathogenic variant (Sandoval et. al., 1999; Podralska et. al., 2014). This variant has also been reported in two patients with breast cancer in the heterozygous state (Susswein et. al., 2016). The contribution of this pathogenic sequence change to this patient's AML remains uncertain. Approximately 10% of patients with ataxia telangiectasia due to biallelic ATM mutations develop cancer, mostly of the lymphoid malignancies including Hodgkin's lymphoma, non-Hodgkin's lymphoma, and several forms of leukemia (Boultwood 2001; Taylor et al., 1996). Heterozygous carriers of pathogenic variants in ATM have been associated with increased risk of breast cancer (Tavtigian et. al., 2009). Our interpretation is based on the current understanding of the genetics of ATM-related diseases. -

Jun 23, 2022
GeneDx
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Canonical splice site variant demonstrated to cause aberrant splicing by exon skipping or use of a cryptic splice site (Sandoval et al., 1999; Laake et al., 2000); Identified in the homozygous state or with a pathogenic variant on the opposite allele in multiple unrelated patients with ataxia telangiectasia and has been described as a pathogenic founder variant in individuals of Polish descent (Telatar et al., 1998; Li and Swift, 2000; Mitui et al., 2005; Soukupova et al., 2011; Nespoli et al., 2013; Podralska et al., 2014); Observed in the heterozygous state in individuals with ATM-related cancers (Brand et al., 2018; Dudley et al., 2018; Goidescu et al., 2018; Cybulski et al., 2019); Not observed at significant frequency in large population cohorts (gnomAD); Also known as IVS53-2A>C; This variant is associated with the following publications: (PMID: 16411093, 27433846, 28843361, 26580448, 30067863, 31159747, 30772474, 31407689, 25525159, 25374739, 9443866, 25614872, 16266405, 10817650, 21833744, 10980530, 29360161, 15039971, 29785153, 29678143, 30293248, 31173646, 31285527, 34199532, 35716007, 9887333, 10330348) -

Oct 23, 2020
Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 03, 2021
Institute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU Dresden
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 17, 2024
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The ATM c.7630-2A>C variant disrupts a canonical splice-acceptor site and interferes with normal ATM mRNA splicing. This variant has been reported in the published literature in the homozygous and compound heterozygous state in individuals affected with Ataxia-Telangiectasia (PMID: 9443866 (1998), 10330348 (1999), 21833744 (2011), 25374739 (2013), 30772474 (2019)). In addition, this variant has been identified in individuals with breast cancer (PMID: 26681312 (2015), 29360161 (2018), 29785153 (2018)), lung cancer (PMID: 28843361 (2017)), and pancreatic cancer (PMID: 30067863 (2018)). A study in cell lines indicated this variant causes exon skipping, and no detectable ATM protein was observed in the homozygous case (PMID: 9887333 (1999)). The frequency of this variant in the general population, 0.000023 (3/128914 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is consistent with pathogenicity. Based on the available information, this variant is classified as pathogenic. -

Familial cancer of breast Pathogenic:5
Dec 09, 2022
Centre for Mendelian Genomics, University Medical Centre Ljubljana
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

PVS1, PS3_MOD, PM3_VSTR , PM2_SUP -

Jan 10, 2024
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 01, 2022
MGZ Medical Genetics Center
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 02, 2024
Myriad Genetics, Inc.
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered pathogenic. This variant occurs within a consensus splice junction and is predicted to result in abnormal mRNA splicing of either an out-of-frame exon or an in-frame exon necessary for protein stability and/or normal function. This variant has been reported in multiple individuals with clinical features of gene-specific disease [PMID: 9443866, 9887333, 10330348]. Functional studies indicate this variant impacts protein function [PMID: 9443866, 9887333, 10330348]. -

Nov 11, 2024
Institute of Human Genetics, University of Leipzig Medical Center
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Criteria applied: PVS1,PM3,PM2_SUP -

Hereditary cancer-predisposing syndrome Pathogenic:3
Jan 01, 2020
GeneKor MSA
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant occurs 2 nucleotides before exon 52 of the ATM gene. This position is highly conserved in the human and other genomes and is crucial in mRNA processing. This mutation is expected to result in incorrect splicing, alteration in the reading frame and a truncated protein. This variant is present in population databases ( rs587779866, <0.01%) and the mutation database ClinVar contains an entry for this variant (Variation ID: 127447/). This particular variant has been reported in the literature in individuals affected with ataxia-telangiectasia and in breast cancer patients (PMID: 988733, PMID: 26681312). An experimental study showed that this variant results in two aberrant forms of the ATM transcript, one in which exon 52 is skipped and another in which the first 11 nucleotides of exons 52 are skipped (PMID: 9887333 ). -

Jun 24, 2024
Color Diagnostics, LLC DBA Color Health
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant causes an A to C nucleotide substitution at the -2 position of intron 51 splice acceptor site of the ATM gene. This variant has been shown to cause aberrant RNA splicing and result in the absence of ATM protein (PMID: 9887333, 35716007). This variant has been reported in multiple individuals affected with breast cancer cancer (PMID: 26681312, 29360161, 33050356) and pancreatic cancer (PMID: 29360161, 30067863; Peters et al., 2017, DOI: 10.1200/JCO.2017.35.15_suppl.1501). This variant has been reported in over ten individuals affected with ataxia-telangiectasia (PMID: 9887333, 10817650, 25374739, 25614872, 30772474, 33330270, 34199532; DOI:10.1016/j.nerep.2021.100011). This variant has been identified in 4/276934 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Loss of ATM function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic. -

Aug 03, 2022
Ambry Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.7630-2A>C intronic pathogenic mutation results from an A to C substitution two nucleotides upstream from coding exon 51 in the ATM gene. This alteration has been detected in conjunction with another pathogenic mutation in numerous individuals with ataxia telangiectasia and has been shown to result in aberrant splicing and decreased ATM protein levels (Sandoval N et al. Hum. Mol. Genet. 1999 Jan;8:69-79; Teraoka S et al. Am J Hum Genet. 1999 Jun;64(6):1617-31; Coutinho G et al. Am. J. Med. Genet. A. 2004 Apr;126A:33-40; Soukupova J et al. Neuromolecular Med. 2011 Sep;13:204-11; Nespoli L et al. Case Reports Immunol, 2013 Oct;2013:296827; Podralska MJ et al. Mol Genet Genomic Med. 2014 Nov;2:504-11;). RNA studies have demonstrated that this alteration results in abnormal splicing in the set of samples tested (Ambry internal data). This mutation has also been identified in multiple individuals with breast cancer, metastatic prostate cancer, and pancreatic adenocarcinoma (Susswein LR et al. Genet. Med. 2016 Aug;18:823-32; Pritchard CC et al. N. Engl. J. Med. 2016 Aug;375:443-53; Dudley B et al. Cancer, 2018 Apr;124:1691-1700; Brand R et al. Cancer, 2018 Sep;124:3520-3527). Of note, this alteration is also designated IVS53-2A>C in published literature. Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation. -

Ataxia-telangiectasia syndrome;C0346153:Familial cancer of breast Pathogenic:1Other:1
-
GenomeConnect - Invitae Patient Insights Network
Significance:not provided
Review Status:no classification provided
Collection Method:phenotyping only

Variant interpreted as Pathogenic and reported on 08-13-2018 by Lab Invitae. GenomeConnect-Invitae Patient Insights Network assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. Registry team members make no attempt to reinterpret the clinical significance of the variant. Phenotypic details are available under supporting information. -

Apr 12, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Breast and/or ovarian cancer Pathogenic:1
Jun 11, 2019
CZECANCA consortium
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Colorectal cancer Pathogenic:1
Jun 29, 2022
Human Genetics Bochum, Ruhr University Bochum
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ACMG criteria used to clasify this variant: PVS1, PM2 -

Tip-toe gait Pathogenic:1
Oct 21, 2021
Practice for Gait Abnormalities, David Pomarino, Competency Network Toe Walking c/o Practice Pomarino
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

Gait disorder -

ATM-related disorder Pathogenic:1
Jul 12, 2024
PreventionGenetics, part of Exact Sciences
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

The ATM c.7630-2A>C variant is predicted to disrupt the AG splice acceptor site and interfere with normal splicing. This variant has been reported with a second ATM variant in many unrelated individuals with ataxia telangiectasia (Sandoval et al. 1999. PubMed ID: 9887333; Mitui et al. 2005. PubMed ID: 16266405; Suspitsin E et al 2019. PubMed ID: 30772474). RT-PCR studies indicate this variant disrupts normal splicing and results in two alternatively spliced products with either skipping of exon 54 or skipping of the first 11 nucleotides of exon 54 (Sandoval et al. 1999. PubMed ID: 9887333). This variant has also been reported in the heterozygous state in individuals with breast cancer (Goidescu et al. 2018. PubMed ID: 29785153; Nurmi et al 2022. PubMed ID: 36551643; Supp. Table S2 Guindalini et al. 2022. PubMed ID: 35264596), pancreatic cancer (Dudley et al 2018. PubMed ID: 29360161; Brand et al 2018. PubMed ID: 30067863), and prostate cancer (Wokołorczyk. 2020. PubMed ID: 32875559). This variant is reported in 0.0023% of alleles in individuals of European (non-Finnish) descent in gnomAD and is interpreted as pathogenic in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/127447). Variants that disrupt the consensus splice acceptor site in ATM are expected to be pathogenic. This variant is interpreted as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.18
CADD
Pathogenic
34
DANN
Uncertain
0.99
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
0.93
FATHMM_MKL
Pathogenic
0.98
D
PhyloP100
7.3
GERP RS
5.3
Mutation Taster
=0/100
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.93
SpliceAI score (max)
0.91
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.53
Position offset: 13
DS_AL_spliceai
0.91
Position offset: 2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs587779866; hg19: chr11-108202604; COSMIC: COSV105124714; API