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Variant: NM_000038.6(APC):c.1458T>C (p.Tyr486=)

CA005169

42238 (ClinVar)

Gene: APC
Condition: familial adenomatous polyposis 1
Inheritance Mode: Autosomal dominant inheritance
UUID: ceaf12ac-7838-446c-ae16-b4059d1b3f42
Approved on: 2023-02-19
Published on: 2023-03-14

HGVS expressions

NM_000038.6:c.1458T>C
NM_000038.6(APC):c.1458T>C (p.Tyr486=)
NC_000005.10:g.112827157T>C
CM000667.2:g.112827157T>C
NC_000005.9:g.112162854T>C
CM000667.1:g.112162854T>C
NC_000005.8:g.112190753T>C
NG_008481.4:g.139637T>C
ENST00000257430.9:c.1458T>C
ENST00000257430.8:c.1458T>C
ENST00000502371.2:n.96+5166T>C
ENST00000504915.2:n.147T>C
ENST00000507379.5:c.1404T>C
ENST00000508376.6:c.1458T>C
ENST00000508624.5:c.*780T>C
ENST00000512211.6:c.1458T>C
NM_000038.5:c.1458T>C
NM_001127510.2:c.1458T>C
NM_001127511.2:c.1404T>C
NM_001354895.1:c.1458T>C
NM_001354896.1:c.1512T>C
NM_001354897.1:c.1488T>C
NM_001354898.1:c.1383T>C
NM_001354899.1:c.1374T>C
NM_001354900.1:c.1335T>C
NM_001354901.1:c.1281T>C
NM_001354902.1:c.1185T>C
NM_001354903.1:c.1155T>C
NM_001354904.1:c.1080T>C
NM_001354905.1:c.978T>C
NM_001354906.1:c.609T>C
NM_001127510.3:c.1458T>C
NM_001127511.3:c.1404T>C
NM_001354895.2:c.1458T>C
NM_001354896.2:c.1512T>C
NM_001354897.2:c.1488T>C
NM_001354898.2:c.1383T>C
NM_001354899.2:c.1374T>C
NM_001354900.2:c.1335T>C
NM_001354901.2:c.1281T>C
NM_001354902.2:c.1185T>C
NM_001354903.2:c.1155T>C
NM_001354904.2:c.1080T>C
NM_001354905.2:c.978T>C
NM_001354906.2:c.609T>C
More

Benign

Met criteria codes 3
BP7 BP4 BA1
Not Met criteria codes 2
PS3 PM2

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
InSiGHT Hereditary Colorectal Cancer/Polyposis VCEP
The c.1458T>C (p.Tyr486=) variant in APC is a synonymous (silent) variant that is not predicted to impact splicing (BP4, BP7). The highest population minor allele frequency (non-cancer) in gnomAD v2.1.1 is 69.75% in Latino/Admixed American population, which is higher than the ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis Variant Curation Expert Panel (HCCP VCEP) threshold (≥ 0.1%) for BA1, and therefore meets this criterion (BA1). In summary, this variant meets the criteria to be classified as Benign for FAP based on the ACMG/AMP criteria applied, as specified by the HCCP VCEP: BA1, BP4, BP7 (VCEP specifications Version 1.0, date of approval: 12/12/2022).
Met criteria codes
BP7
The c.1458T>C (p.Tyr486=)) variant (NM_000038.6)) is a synonymous (silent) variant that is not predicted by SpliceAI and VarSeak to impact splicing (BP4, BP7).
BP4
The results from 2 in silico splicing predictors (SpliceAI and varSEAK) support that this variant does not affect splicing (BP4).
BA1
The highest population minor allele frequency (non-cancer) in gnomAD v2.1.1 is 69.75% in Latino/Admixed American population, which is higher than the ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis threshold (≥ 0.1%) for BA1, and therefore meets this criterion (BA1).
Not Met criteria codes
PS3
Bioinformatics prediction suggested that this variant was likely a disease-causing polymorphism and may have induced the exon skipping of APC (PMID: 30272267). Using mini-gene system transfected into HeLa cells, the PCR product from the mutant mini-gene was smaller than that from the wild-type, which suggested that the mini-gene system encoding mutant induced the skipping of exon 12 in APC. However, this result does not meet the requirement to apply PS3 or modified PS3.
PM2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Curation History
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