rs9397456

Variant names:

• chr6-151926017-A-G
• rs9397456
• NM_000125.4:c.761-18156A>G

Your query was ambiguous. Multiple possible variants found:

• chr6-151926017-A-G
• chr6-151926017-A-T

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_000125.4(ESR1):​c.761-18156A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.789 in 152,064 control chromosomes in the GnomAD database, including 47,924 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.79 (47924 hom., cov: 32)
• Consequence: ESR1 NM_000125.4 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.999
• Publications: 16 publications found

Genes affected

ESR1 (HGNC:3467): (estrogen receptor 1) This gene encodes an estrogen receptor and ligand-activated transcription factor. The canonical protein contains an N-terminal ligand-independent transactivation domain, a central DNA binding domain, a hinge domain, and a C-terminal ligand-dependent transactivation domain. The protein localizes to the nucleus where it may form either a homodimer or a heterodimer with estrogen receptor 2. The protein encoded by this gene regulates the transcription of many estrogen-inducible genes that play a role in growth, metabolism, sexual development, gestation, and other reproductive functions and is expressed in many non-reproductive tissues. The receptor encoded by this gene plays a key role in breast cancer, endometrial cancer, and osteoporosis. This gene is reported to have dozens of transcript variants due to the use of alternate promoters and alternative splicing, however, the full-length nature of many of these variants remain uncertain. [provided by RefSeq, Jul 2020]

ESR1 Gene-Disease associations (from GenCC):

• estrogen resistance syndrome

  Inheritance: AR Classification: SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-1.01).
• BA1: GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.89 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
ESR1	NM_000125.4	c.761-18156A>G		intron_variant	Intron 3 of 7	ENST00000206249.8	NP_000116.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
ESR1	ENST00000206249.8	c.761-18156A>G		intron_variant	Intron 3 of 7	1	NM_000125.4	ENSP00000206249.3

Frequencies

GnomAD3 genomes AF: 0.789 AC: 119872 AN: 151946 Hom.: 47892 Cov.: 32

Gnomad AFR AF: 0.897

Gnomad AMI AF: 0.852

Gnomad AMR AF: 0.745

Gnomad ASJ AF: 0.798

Gnomad EAS AF: 0.499

Gnomad SAS AF: 0.590

Gnomad FIN AF: 0.725

Gnomad MID AF: 0.794

Gnomad NFE AF: 0.777

Gnomad OTH AF: 0.793

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.789 AC: 119958 AN: 152064 Hom.: 47924 Cov.: 32 AF XY: 0.780 AC XY: 58000 AN XY: 74338

African (AFR) AF: 0.897 AC: 37253 AN: 41522

American (AMR) AF: 0.744 AC: 11376 AN: 15286

Ashkenazi Jewish (ASJ) AF: 0.798 AC: 2770 AN: 3470

East Asian (EAS) AF: 0.498 AC: 2567 AN: 5154

South Asian (SAS) AF: 0.591 AC: 2848 AN: 4818

European-Finnish (FIN) AF: 0.725 AC: 7632 AN: 10532

Middle Eastern (MID) AF: 0.810 AC: 238 AN: 294

European-Non Finnish (NFE) AF: 0.777 AC: 52832 AN: 67964

Other (OTH) AF: 0.789 AC: 1667 AN: 2114

Alfa AF: 0.797 Hom.: 5955

Bravo AF: 0.796

Asia WGS AF: 0.583 AC: 2026 AN: 3472

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-1.0
CADD	Benign	0.55
DANN	Benign	0.44
PhyloP100		-1.0
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs9397456; hg19: chr6-152247152;