rs863224840
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Variant summary
Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM1PM2PM4_Supporting
The NM_002354.3(EPCAM):c.598_600delTCT(p.Ser200del) variant causes a conservative inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000117 in 1,449,708 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: not found (cov: 33)
Exomes 𝑓: 0.000012 ( 0 hom. )
Consequence
EPCAM
NM_002354.3 conservative_inframe_deletion
NM_002354.3 conservative_inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 1.35
Genes affected
EPCAM (HGNC:11529): (epithelial cell adhesion molecule) This gene encodes a carcinoma-associated antigen and is a member of a family that includes at least two type I membrane proteins. This antigen is expressed on most normal epithelial cells and gastrointestinal carcinomas and functions as a homotypic calcium-independent cell adhesion molecule. The antigen is being used as a target for immunotherapy treatment of human carcinomas. Mutations in this gene result in congenital tufting enteropathy. [provided by RefSeq, Dec 2008]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 5 ACMG points.
PM1
In a topological_domain Extracellular (size 241) in uniprot entity EPCAM_HUMAN there are 12 pathogenic changes around while only 2 benign (86%) in NM_002354.3
PM2
Very rare variant in population databases, with high coverage;
PM4
Nonframeshift variant in NON repetitive region in NM_002354.3. Strenght limited to Supporting due to length of the change: 1aa.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
EPCAM | NM_002354.3 | c.598_600delTCT | p.Ser200del | conservative_inframe_deletion | 6/9 | ENST00000263735.9 | NP_002345.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
EPCAM | ENST00000263735.9 | c.598_600delTCT | p.Ser200del | conservative_inframe_deletion | 6/9 | 1 | NM_002354.3 | ENSP00000263735.4 | ||
EPCAM | ENST00000405271.5 | c.682_684delTCT | p.Ser228del | conservative_inframe_deletion | 7/10 | 5 | ENSP00000385476.1 | |||
EPCAM | ENST00000456133.5 | n.682_684delTCT | non_coding_transcript_exon_variant | 7/11 | 5 | ENSP00000410675.1 | ||||
EPCAM | ENST00000490733.1 | n.447_449delTCT | non_coding_transcript_exon_variant | 4/6 | 3 |
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD3 genomes
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GnomAD3 exomes AF: 0.0000239 AC: 6AN: 251194Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135796
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GnomAD4 exome AF: 0.0000117 AC: 17AN: 1449708Hom.: 0 AF XY: 0.00000831 AC XY: 6AN XY: 722084
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GnomAD4 genome Cov.: 33
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Lynch syndrome Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 01, 2016 | This sequence change deletes 3 nucleotides from exon 6 of the EPCAM mRNA (c.598_600delTCT). This leads to the deletion of 1 amino acid residue in the EPCAM protein (p.Ser200del), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (rs775898569, ExAC <0.01%) but has not been reported in the literature in individuals with an EPCAM-related disease. ClinVar contains an entry for this variant (Variation ID: 216872). In summary, this is a rare in-frame deletion with uncertain impact on protein function. It has been classified as a Variant of Uncertain Significance. - |
Hereditary nonpolyposis colorectal neoplasms Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Sep 17, 2021 | This variant, c.598_600del, results in the deletion of 1 amino acid(s) of the EPCAM protein (p.Ser200del), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (rs775898569, ExAC 0.006%). This variant has not been reported in the literature in individuals affected with EPCAM-related conditions. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at