rs771210838

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4BP6

The NM_005228.5(EGFR):​c.11C>A​(p.Ser4Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000148 in 1,354,588 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S4F) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000015 ( 0 hom. )

Consequence

EGFR
NM_005228.5 missense

Scores

2
2
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: -0.142

Publications

29 publications found
Variant links:
Genes affected
EGFR (HGNC:3236): (epidermal growth factor receptor) The protein encoded by this gene is a transmembrane glycoprotein that is a member of the protein kinase superfamily. This protein is a receptor for members of the epidermal growth factor family. EGFR is a cell surface protein that binds to epidermal growth factor, thus inducing receptor dimerization and tyrosine autophosphorylation leading to cell proliferation. Mutations in this gene are associated with lung cancer. EGFR is a component of the cytokine storm which contributes to a severe form of Coronavirus Disease 2019 (COVID-19) resulting from infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). [provided by RefSeq, Jul 2020]
EGFR Gene-Disease associations (from GenCC):
  • lung cancer
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P, Ambry Genetics
  • non-small cell lung carcinoma
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • inflammatory skin and bowel disease, neonatal, 2
    Inheritance: AR Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • neonatal inflammatory skin and bowel disease
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.27177566).
BP6
Variant 7-55019288-C-A is Benign according to our data. Variant chr7-55019288-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 957645.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005228.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EGFR
NM_005228.5
MANE Select
c.11C>Ap.Ser4Tyr
missense
Exon 1 of 28NP_005219.2
EGFR
NM_001346899.2
c.11C>Ap.Ser4Tyr
missense
Exon 1 of 27NP_001333828.1
EGFR
NM_001346898.2
c.11C>Ap.Ser4Tyr
missense
Exon 1 of 27NP_001333827.1E7BSV0

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EGFR
ENST00000275493.7
TSL:1 MANE Select
c.11C>Ap.Ser4Tyr
missense
Exon 1 of 28ENSP00000275493.2P00533-1
EGFR
ENST00000455089.5
TSL:1
c.11C>Ap.Ser4Tyr
missense
Exon 1 of 26ENSP00000415559.1Q504U8
EGFR
ENST00000344576.7
TSL:1
c.11C>Ap.Ser4Tyr
missense
Exon 1 of 16ENSP00000345973.2P00533-3

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000636
AC:
1
AN:
157216
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000394
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000148
AC:
2
AN:
1354588
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
671606
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
27868
American (AMR)
AF:
0.0000281
AC:
1
AN:
35626
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22846
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30276
South Asian (SAS)
AF:
0.00
AC:
0
AN:
77546
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46290
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5022
European-Non Finnish (NFE)
AF:
9.48e-7
AC:
1
AN:
1054572
Other (OTH)
AF:
0.00
AC:
0
AN:
54542
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
EGFR-related lung cancer (1)
-
-
1
Hereditary cancer-predisposing syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
14
DANN
Uncertain
0.99
DEOGEN2
Benign
0.24
T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.88
FATHMM_MKL
Benign
0.029
N
LIST_S2
Benign
0.66
T
M_CAP
Pathogenic
0.98
D
MetaRNN
Benign
0.27
T
MetaSVM
Benign
-0.69
T
MutationAssessor
Benign
1.2
L
PhyloP100
-0.14
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-0.28
N
REVEL
Benign
0.13
Sift
Uncertain
0.020
D
Sift4G
Benign
0.25
T
Polyphen
0.0
B
Vest4
0.15
MutPred
0.31
Loss of disorder (P = 0.001)
MVP
0.76
MPC
1.6
ClinPred
0.056
T
GERP RS
-0.19
PromoterAI
0.0044
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.041
gMVP
0.53
Mutation Taster
=83/17
polymorphism

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: rs771210838; hg19: chr7-55086981; API