Our verdict is Benign. The variant received -9 ACMG points: 2P and 11B. PM2BP4_ModerateBP6_Very_StrongBP7
The NM_144997.7(FLCN):c.357C>T(p.Ser119Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,866 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
FLCN (HGNC:27310): (folliculin) This gene is located within the Smith-Magenis syndrome region on chromosome 17. Mutations in this gene are associated with Birt-Hogg-Dube syndrome, which is characterized by fibrofolliculomas, renal tumors, lung cysts, and pneumothorax. Alternative splicing of this gene results in two transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]
FLCN Gene-Disease associations (from GenCC):
Birt-Hogg-Dube syndrome
Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Orphanet, ClinGen
Birt-Hogg-Dube syndrome 1
Inheritance: AD Classification: DEFINITIVE Submitted by: G2P, Ambry Genetics
familial spontaneous pneumothorax
Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, Ambry Genetics
renal carcinoma
Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
colorectal cancer
Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
Our verdict: Benign. The variant received -9 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.35).
BP6
Variant 17-17226215-G-A is Benign according to our data. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17226215-G-A is described in CliVar as Likely_benign. Clinvar id is 241923.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=3.17 with no splicing effect.
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -