ClinVar Miner

Submissions for variant NM_000051.4(ATM):c.1300C>T (p.Pro434Ser)

dbSNP: rs1064795171
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
GeneDx RCV000480809 SCV000570700 uncertain significance not provided 2023-11-15 criteria provided, single submitter clinical testing Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Identified in a blood sample from a patient with chronic lymphocytic leukemia (PMID: 11756185); This variant is associated with the following publications: (PMID: 12400598, 11756185)
Ambry Genetics RCV000570473 SCV000668142 uncertain significance Hereditary cancer-predisposing syndrome 2017-07-25 criteria provided, single submitter clinical testing The p.P434S variant (also known as c.1300C>T), located in coding exon 9 of the ATM gene, results from a C to T substitution at nucleotide position 1300. The proline at codon 434 is replaced by serine, an amino acid with similar properties. One study detected this alteration in 1/50 B-cell chronic lymphocytic leukemia tumors; the germline or somatic origin of this alteration was not determined, and the tumor harboring this alteration showed normal ATM protein expression (Stankovic T et al. Blood, 2002 Jan;99:300-9). This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear.
Labcorp Genetics (formerly Invitae), Labcorp RCV000794458 SCV000933868 uncertain significance Ataxia-telangiectasia syndrome 2023-02-24 criteria provided, single submitter clinical testing This sequence change replaces proline, which is neutral and non-polar, with serine, which is neutral and polar, at codon 434 of the ATM protein (p.Pro434Ser). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with ATM-related conditions. ClinVar contains an entry for this variant (Variation ID: 421484). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Not Available"; PolyPhen-2: "Benign"; Align-GVGD: "Not Available". The serine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.

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