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

  • See Evidence submitted by expert panel for details.

Variant: NM_005343.3(HRAS):c.350A>G (p.Lys117Arg)

CA256490

12605 (ClinVar)

Gene: LRRC56
Condition: Costello syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: 42e841f0-7121-4d9d-a2ae-ebc27adacd88

HGVS expressions

NM_005343.3:c.350A>G
NM_005343.3(HRAS):c.350A>G (p.Lys117Arg)
NM_001130442.1:c.350A>G
NM_005343.2:c.350A>G
NM_176795.3:c.350A>G
NM_001130442.2:c.350A>G
NM_001318054.1:c.31A>G
NM_176795.4:c.350A>G
NM_005343.4:c.350A>G
ENST00000311189.7:c.350A>G
ENST00000397594.5:c.350A>G
ENST00000397596.6:c.350A>G
ENST00000417302.5:c.350A>G
ENST00000451590.5:c.350A>G
ENST00000462734.1:n.43A>G
ENST00000478324.5:n.60A>G
ENST00000479482.1:n.271A>G
ENST00000493230.5:c.350A>G
NC_000011.10:g.533553T>C
CM000673.2:g.533553T>C
NC_000011.9:g.533553T>C
CM000673.1:g.533553T>C
NC_000011.8:g.523553T>C
NG_007666.1:g.6998A>G

Pathogenic

Met criteria codes 5
PM6_Strong PS3 PP3 PM1 PM2

Evidence Links 3

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
RASopathy VCEP
The c.350A>G (p.Lys117Arg) variant in HRAS has been reported in the literature in at least 2 unconfirmed de novo occurrences in patients with clinical features of a RASopathy (PM6_Strong; PMID 16443854, 16155195). In vitro functional studies provide some evidence that the p.Lys117Arg variant may impact protein function (PS3; PMID 17979197, 21850009). Furthermore, the variant is in a location that has been defined by the ClinGen RASopathy Expert Panel to be a mutational hotspot or domain of HRAS (PM1; PMID 29493581). This variant was absent from large population studies (PM2; ExAC, http://exac.broadinstitute.org). Computational prediction tools and conservation analysis suggest that the p.Lys117Arg variant may impact the protein (PP3). In summary, this variant meets criteria to be classified as pathogenic for RASopathies in an autosomal dominant manner. ACMG/AMP criteria applied: PM6_Strong, PS3, PM1, PM2, PP3.
Met criteria codes
PM6_Strong
The c.350A>G (p.Lys117Arg) variant in HRAS has been reported in the literature in at least 2 unconfirmed de novo occurrences in patients with clinical features of a RASopathy (PM6_Strong; PMID 16443854).

PS3
In vitro functional studies provide some evidence that the p.Lys117Arg variant may impact protein function (PS3; PMID 17979197, 21850009).

PP3
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM1
Furthermore, the variant is in a location that has been defined by the ClinGen RASopathy Expert Panel to be a mutational hotspot or domain of HRAS (PM1; PMID 29493581).

PM2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Approved on: 2017-04-03
Published on: 2018-12-10
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