rs878854183

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_001048174.2(MUTYH):​c.1072C>T​(p.Gln358*) variant causes a stop gained change. The variant allele was found at a frequency of 0.000000684 in 1,461,696 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

MUTYH
NM_001048174.2 stop_gained

Scores

3
3
1

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 3.66

Publications

0 publications found
Variant links:
Genes affected
MUTYH (HGNC:7527): (mutY DNA glycosylase) This gene encodes a DNA glycosylase involved in oxidative DNA damage repair. The enzyme excises adenine bases from the DNA backbone at sites where adenine is inappropriately paired with guanine, cytosine, or 8-oxo-7,8-dihydroguanine, a major oxidatively damaged DNA lesion. The protein is localized to the nucleus and mitochondria. This gene product is thought to play a role in signaling apoptosis by the introduction of single-strand breaks following oxidative damage. Mutations in this gene result in heritable predisposition to colorectal cancer, termed MUTYH-associated polyposis (MAP). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2017]
MUTYH Gene-Disease associations (from GenCC):
  • familial adenomatous polyposis 2
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, ClinGen, G2P
  • colorectal cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
  • familial ovarian cancer
    Inheritance: AD, AR Classification: NO_KNOWN Submitted by: ClinGen
  • hereditary breast carcinoma
    Inheritance: AD, AR Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 12 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 1-45331691-G-A is Pathogenic according to our data. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr1-45331691-G-A is described in CliVar as Pathogenic. Clinvar id is 2453360.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MUTYHNM_001048174.2 linkc.1072C>T p.Gln358* stop_gained Exon 12 of 16 ENST00000456914.7 NP_001041639.1 Q9UIF7-6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MUTYHENST00000456914.7 linkc.1072C>T p.Gln358* stop_gained Exon 12 of 16 1 NM_001048174.2 ENSP00000407590.2 Q9UIF7-6
ENSG00000288208ENST00000671898.1 linkn.1660C>T non_coding_transcript_exon_variant Exon 16 of 21 ENSP00000499896.1 A0A5F9ZGZ0

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461696
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
727146
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53230
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1112006
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
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

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
Cov.:
33

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Hereditary cancer-predisposing syndrome Pathogenic:1
Jan 26, 2023
Ambry Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.Q386* pathogenic mutation (also known as c.1156C>T), located in coding exon 12 of the MUTYH gene, results from a C to T substitution at nucleotide position 1156. This changes the amino acid from a glutamine to a stop codon within coding exon 12. This variant is considered to be rare based on population cohorts in the Genome Aggregation Database (gnomAD). This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.38
D
BayesDel_noAF
Pathogenic
0.31
CADD
Pathogenic
36
DANN
Uncertain
0.99
Eigen
Pathogenic
0.70
Eigen_PC
Uncertain
0.48
FATHMM_MKL
Uncertain
0.87
D
PhyloP100
3.7
Vest4
0.91
GERP RS
4.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=5/195
disease causing (fs/PTC)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs878854183; hg19: chr1-45797363; COSMIC: COSV106459012; API