The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]


Variant: NM_004360.5(CDH1):c.731A>G (p.Asp244Gly)

CA16620242

420005 (ClinVar)

Gene: CDH1
Condition: CDH1-related diffuse gastric and lobular breast cancer
Inheritance Mode: Autosomal dominant inheritance
UUID: 83e69ab0-c479-45dc-9b25-e40a7ad48793

HGVS expressions

NM_004360.5:c.731A>G
NM_004360.5(CDH1):c.731A>G (p.Asp244Gly)
NC_000016.10:g.68810240A>G
CM000678.2:g.68810240A>G
NC_000016.9:g.68844143A>G
CM000678.1:g.68844143A>G
NC_000016.8:g.67401644A>G
NG_008021.1:g.77949A>G
ENST00000261769.10:c.731A>G
ENST00000261769.9:c.731A>G
ENST00000422392.6:c.731A>G
ENST00000561751.1:n.454+1392A>G
ENST00000562836.5:n.802A>G
ENST00000566510.5:c.575A>G
ENST00000566612.5:c.731A>G
ENST00000611625.4:c.731A>G
ENST00000612417.4:c.731A>G
ENST00000621016.4:c.731A>G
NM_004360.3:c.731A>G
NM_001317184.1:c.731A>G
NM_001317185.1:c.-885A>G
NM_001317186.1:c.-1089A>G
NM_004360.4:c.731A>G
NM_001317184.2:c.731A>G
NM_001317185.2:c.-885A>G
NM_001317186.2:c.-1089A>G

Likely Benign

Met criteria codes 2
BS2 PM2_Supporting
Not Met criteria codes 24
PS2 PS4 PS3 PS1 BP7 BP5 BP3 BP2 BP4 BP1 PP4 PP1 PP3 PP2 BA1 PVS1 PM6 PM4 PM3 PM1 PM5 BS4 BS3 BS1

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen CDH1 Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 3.1

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
CDH1 VCEP
The c.731A>G (p.Asp244Gly) variant results in a non-conservative amino acid substitution in the Cadherin-1 domain. This variant has a frequency of 6.57x10-6 (1 in 152,170 alleles) in gnomAD (PM2_supporting) and has been reported in one family meeting IGCLC criteria for HDGC (PMID: 10319582). However, this variant has been observed in more than 30 families without DGC, LBC or SRC tumours and whose families do not suggest HDGC (BS2; unpublished). Functional studies of the p.Asp244Gly variant suggest that this variant may affect the subcellular localization of E-cadherin and regulation of cell adhesion (PMID: 27582386, 28301459). In summary, this variant is classified as likely benign based on ACMG/AMP criteria applied as specified by the CDH1 Variant Curation Expert Panel: BS2, PM2_supporting.
Met criteria codes
BS2
The c.731A>G variant has been observed in 37 individuals without DGC, LBC or SRC tumours and whose families do not suggest HDGC (Ambry, GeneDx, Invitae).
PM2_Supporting
This variant has a frequency of 6.57x10-6 (1 in 152,170 alleles) in gnomAD v3.1.1.
Not Met criteria codes
PS2
The c.731A>G variant has not been reported as assumed or confirmed de novo.
PS4
The c.731A>G (p.Asp244Gly) variant has been reported in one family meeting IGCLC criteria for HDGC (PMID: 10319582). However, less than 30% of reported individuals meet HDGC criteria. Therefore, PS4_P not met.
PS3
PS3 is not applicable for missense variants in CDH1. Functional studies of the p.Asp244Gly variant suggest that this variant may affect the subcellular localization of E-cadherin and regulation of cell adhesion (PMID: 27582386, 28301459).
PS1
PS1 is not applicable for CDH1.
BP7
BP7 is not applicable for missense variants.
BP5
The c.731A>G variant has not been reported in a case with an alternate molecular basis for disease.
BP3
BP3 is not applicable for CDH1.
BP2
The c.731A>G variant has not been reported in cis or trans with a pathogenic variant.
BP4
BP4 is not applicable for missense variants in CDH1.
BP1
BP1 is not applicable for CDH1.
PP4
PP4 is not applicable for CDH1.
PP1
Segregation analysis of the c.731A>G variant in HDGC families has not been reported.
PP3
PP3 is not applicable for missense variants in CDH1.
PP2
PP2 is not applicable for CDH1.
BA1
This variant has a frequency of 6.57x10-6 (1 in 152,170 alleles) in gnomAD v3.1.1.
PVS1
BP7 is not applicable for missense variants.
PM6
The c.731A>G variant has not been reported as assumed or confirmed de novo.
PM4
PM4 is not applicable for missense variants.
PM3
PM3 is not applicable for CDH1.
PM1
PM1 is not applicable for CDH1.
PM5
PM5 is not applicable for missense variants in CDH1.
BS4
Segregation analysis of the c.731A>G variant in HDGC families has not been reported.
BS3
BS3 is not applicable for missense variants in CDH1. Functional studies of the p.Asp244Gly variant suggest that this variant may affect the subcellular localization of E-cadherin and regulation of cell adhesion (PMID: 27582386, 28301459).
BS1
This variant has a frequency of 6.57x10-6 (1 in 152,170 alleles) in gnomAD v3.1.1.
Approved on: 2023-08-17
Published on: 2023-08-17
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