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Variant: NM_000051.3(ATM):c.8546G>C (p.Arg2849Pro)

CA382518439

490737 (ClinVar)

Gene: ATM
Condition: hereditary breast cancer
Inheritance Mode: Autosomal dominant inheritance
UUID: ac4b4286-3493-4bcb-9cea-f24086ea7f27
Approved on: 2022-03-16
Published on: 2022-07-12

HGVS expressions

NM_000051.3:c.8546G>C
NM_000051.3(ATM):c.8546G>C (p.Arg2849Pro)
NC_000011.10:g.108345870G>C
CM000673.2:g.108345870G>C
NC_000011.9:g.108216597G>C
CM000673.1:g.108216597G>C
NC_000011.8:g.107721807G>C
NG_009830.1:g.128039G>C
NG_054724.1:g.128963C>G
ENST00000278616.9:c.8546G>C
ENST00000638786.2:n.1244G>C
ENST00000682286.1:n.3303G>C
ENST00000682302.1:n.2964G>C
ENST00000683174.1:n.10030G>C
ENST00000683524.1:n.3770G>C
ENST00000684152.1:n.3962G>C
ENST00000684180.1:n.1020G>C
ENST00000684447.1:n.5039G>C
ENST00000527805.6:c.*3610G>C
ENST00000675595.1:c.*3681G>C
ENST00000675843.1:c.8546G>C
ENST00000278616.8:c.8546G>C
ENST00000452508.6:c.8546G>C
ENST00000524755.5:n.227-10578C>G
ENST00000524792.5:n.4761G>C
ENST00000525729.5:c.641-36799C>G
ENST00000526725.1:n.272-5506C>G
ENST00000527531.5:c.*1196+9045C>G
ENST00000615746.4:c.*1196+9045C>G
NM_001330368.1:c.641-36799C>G
NM_001351110.1:c.695-10578C>G
NM_001351834.1:c.8546G>C
NR_147053.2:n.2301+9045C>G
NM_001330368.2:c.641-36799C>G
NM_001351110.2:c.695-10578C>G
NM_001351834.2:c.8546G>C
NM_000051.4:c.8546G>C
NR_147053.3:n.2299+9045C>G
NM_000051.4(ATM):c.8546G>C (p.Arg2849Pro)
More

Likely Pathogenic

Met criteria codes 4
PM2_Supporting PS3_Moderate PP3 PM3
Not Met criteria codes 3
BS1 BP4 BA1

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for ATM Version 1.1

PDF
Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Hereditary Breast, Ovarian and Pancreatic Cancer VCEP
The ATM c.8546G>C (p.Arg2849Pro) variant has been observed in a compound heterozygous state (presumed) in an individual with biallelic disease and in heterozygosity in an individual with biallelic disease with a second variant unidentified (PM3, PMID: 23667852, PMID: 9887333). This variant is non-functional in multiple different protein assays (PS3_Moderate, PMID: 11805335). In silico protein predictors (ALIGN GVGD: Class C65; REVEL: 0.919; SIFT: damaging; PolyPhen2: probably damaging) predict that this alteration is deleterious (PP3). This variant is absent in gnomAD v2.1.1 (PM2_Supporting). In summary, this variant meets criteria to be classified as likely pathogenic based on the ACMG/AMP criteria applied as specified by the HBOP Variant Curation Expert Panel.
Met criteria codes
PM2_Supporting
This variant is absent in gnomAD v2.1.1 (PM2_Supporting).
PS3_Moderate
This variant is non-functional in multiple different protein assays. Transfection of ATM cDNA carrying this variant into AT1ABR (ATM-null) cells failed to elicit ATM kinase activity (measured by p53 substrate in vitro phosphorylation and p53 Ser-15 in vivo phosphorylation) and failed to correct radiosensitivity (PMID: 11805335) (PS3_Moderate).
PP3
In silico protein predictors (ALIGN GVGD: Class C65; REVEL: 0.919; SIFT: damaging; PolyPhen2: probably damaging) predict that this alteration is deleterious (PP3). In silico splicing predictors (SpliceAI: AL 0.00/DL 0.01/AG 0.00/DG 0.00; MaxEntScan: 0.00% (wild type = 3.39, variant = 3.39)) find that this variant is unlikely to affect splicing.
PM3
This variant has been observed in a compound heterozygous state (presumed) in an individual with biallelic disease and in heterozygosity in an individual with biallelic disease with a second variant unidentified (PM3, PMID: 23667852, PMID: 9887333).
Not Met criteria codes
BS1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BP4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BA1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Curation History
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