ClinVar Miner

Submissions for variant NM_000057.4(BLM):c.413A>G (p.Lys138Arg)

dbSNP: rs1895615140
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Total submissions: 2
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV001068587 SCV001233709 uncertain significance Bloom syndrome 2020-02-26 criteria provided, single submitter clinical testing 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. Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Tolerated"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0". The arginine amino acid residue is found in multiple mammalian species, suggesting that this missense change does not adversely affect protein function. These predictions have not been confirmed by published functional studies and their clinical significance is uncertain. This sequence change replaces lysine with arginine at codon 138 of the BLM protein (p.Lys138Arg). The lysine residue is weakly conserved and there is a small physicochemical difference between lysine and arginine. This variant is not present in population databases (ExAC no frequency). This variant has not been reported in the literature in individuals with BLM-related conditions.
Ambry Genetics RCV004950248 SCV005544537 uncertain significance Hereditary cancer-predisposing syndrome 2024-09-02 criteria provided, single submitter clinical testing The p.K138R variant (also known as c.413A>G), located in coding exon 2 of the BLM gene, results from an A to G substitution at nucleotide position 413. The lysine at codon 138 is replaced by arginine, an amino acid with highly similar properties. This amino acid position is conserved. In addition, this alteration is predicted to be tolerated by in silico analysis. Based on the available evidence, the clinical significance of this variant remains unclear.

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