rs750932552
Variant summary
Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2
This summary comes from the ClinGen Evidence Repository: The NM_177438.3:c.2951A>G variant in DICER1 is a missense variant predicted to cause substitution of asparagine by serine at amino acid 984 (p.Asn984Ser). Although this variant has been observed in germline cases, to our knowledge, this variant has not been reported in individuals with DICER1-related tumor predisposition (PS4 not met; Internal lab contributors). This variant has been seen in 40 or more unrelated females without tumors through age 50 in at least one testing laboratory (BS2; Internal lab contributors). The total allele frequency in gnomAD v4.1.0 is 0.00002603 (42/1613822 alleles) with a highest population minor allele frequency of 0.0001068 (8/74908 alleles) in the African/African American population (PM2_Supporting, BS1, and BA1 are not met). Two different missense variants, c.2950A>C (p.Asn984His) and c.2952C>A (p.Asn984Lys), in the same codon have been reported (ClinVar Variation ID: 2716149, 1015034). However, these variants have not yet met the criteria to be classified as pathogenic by the ClinGen DICER VCEP (PM5 not met). In silico tools predict no damaging impact of the variant on protein function (REVEL: 0.136; MaxEntScan and SpliceAI: no effect on splicing) (BP4). In summary, this variant meets the criteria to be classified as likely benign for DICER1-related tumor predisposition based on the ACMG/AMP criteria applied, as specified by the ClinGen DICER1 VCEP: BS2, BP4. (Bayesian Points: -5; VCEP specifications version 1.3.0; 01/07/2025). LINK:https://erepo.genome.network/evrepo/ui/classification/CA7331148/MONDO:0100216/024
Frequency
Consequence
NM_177438.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -5 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000460 AC: 7AN: 152146Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.0000319 AC: 8AN: 250590Hom.: 0 AF XY: 0.0000443 AC XY: 6AN XY: 135572
GnomAD4 exome AF: 0.0000239 AC: 35AN: 1461676Hom.: 0 Cov.: 32 AF XY: 0.0000206 AC XY: 15AN XY: 727158
GnomAD4 genome AF: 0.0000460 AC: 7AN: 152146Hom.: 0 Cov.: 33 AF XY: 0.0000538 AC XY: 4AN XY: 74320
ClinVar
Submissions by phenotype
DICER1-related tumor predisposition Uncertain:1Benign:2
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The NM_177438.3:c.2951A>G variant in DICER1 is a missense variant predicted to cause substitution of asparagine by serine at amino acid 984 (p.Asn984Ser). Although this variant has been observed in germline cases, to our knowledge, this variant has not been reported in individuals with DICER1-related tumor predisposition (PS4 not met; Internal lab contributors). This variant has been seen in 40 or more unrelated females without tumors through age 50 in at least one testing laboratory (BS2; Internal lab contributors). The total allele frequency in gnomAD v4.1.0 is 0.00002603 (42/1613822 alleles) with a highest population minor allele frequency of 0.0001068 (8/74908 alleles) in the African/African American population (PM2_Supporting, BS1, and BA1 are not met). Two different missense variants, c.2950A>C (p.Asn984His) and c.2952C>A (p.Asn984Lys), in the same codon have been reported (ClinVar Variation ID: 2716149, 1015034). However, these variants have not yet met the criteria to be classified as pathogenic by the ClinGen DICER VCEP (PM5 not met). In silico tools predict no damaging impact of the variant on protein function (REVEL: 0.136; MaxEntScan and SpliceAI: no effect on splicing) (BP4). In summary, this variant meets the criteria to be classified as likely benign for DICER1-related tumor predisposition based on the ACMG/AMP criteria applied, as specified by the ClinGen DICER1 VCEP: BS2, BP4. (Bayesian Points: -5; VCEP specifications version 1.3.0; 01/07/2025). -
This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Hereditary cancer-predisposing syndrome Uncertain:2
The c.2951A>G (p.N984S) alteration is located in exon 18 (coding exon 17) of the DICER1 gene. This alteration results from a A to G substitution at nucleotide position 2951, causing the asparagine (N) at amino acid position 984 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
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not specified Uncertain:1
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Global developmental delay - lung cysts - overgrowth - Wilms tumor syndrome Uncertain:1
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not provided Uncertain:1
In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at