ClinVar Miner

Submissions for variant NM_000546.6(TP53):c.734G>C (p.Gly245Ala)

dbSNP: rs121912656
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
GeneDx RCV000255018 SCV000322166 likely pathogenic not provided 2019-04-30 criteria provided, single submitter clinical testing Not observed in large population cohorts (Lek et al., 2016); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 24395704, 8761369, 14712292, 15541116, 21343334, 23151455, 29979965, 20589832, 30577483, 30297788, 30224644)
Ambry Genetics RCV002379095 SCV002670647 pathogenic Hereditary cancer-predisposing syndrome 2021-10-06 criteria provided, single submitter clinical testing The p.G245A pathogenic mutation (also known as c.734G>C), located in coding exon 6 of the TP53 gene, results from a G to C substitution at nucleotide position 734. The glycine at codon 245 is replaced by alanine, an amino acid with similar properties. This variant is in the DNA binding domain of the TP53 protein and is reported to have non-functional transactivation in yeast based assays (Kato S et al. Proc. Natl. Acad. Sci. USA. 2003 Jul;100:8424-9; Shi XB et al. BJU Int., 2004 Nov;94:996-1002). Additional functional studies conducted in human lung tumor cell lines showed this variant to have impaired G1 cell cycle arrest and DNA binding when compared to wild type (Perez Ret al., J. Cell. Physiol. 2010 Nov; 225(2):394-405). Studies conducted in human cell lines indicate this alteration is deficient at growth suppression and has a dominant negative effect (Kotler E et al. Mol.Cell. 2018 Jul;71:178-190.e8; Giacomelli AO et al. Nat. Genet. 2018 Oct;50:1381-1387). Another alteration at the same codon, p.G245S (c.733G>A), has been reported in multiple individuals with clinical and family histories consistent with Li-Fraumeni syndrome (Toguchida J et al. N. Engl. J. Med. 1992 May;326:1301-8; Bougeard G et al. J Med Genet, 2001 Apr;38:253-7; Trkova M et al. Cancer Genet Cytogenet, 2003 Aug;145:60-4; Wong P et al. Gastroenterology. 2006 Jan;130:73-9; Ruijs MW et al. J Med Genet, 2010 Jun;47:421-8; Giacomazzi J et al. Cancer. 2013 Dec;119:4341-9). This variant is considered to be rare based on population cohorts in the Genome Aggregation Database (gnomAD). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation.
Labcorp Genetics (formerly Invitae), Labcorp RCV003509522 SCV004249910 uncertain significance Li-Fraumeni syndrome 2024-12-12 criteria provided, single submitter clinical testing This sequence change replaces glycine, which is neutral and non-polar, with alanine, which is neutral and non-polar, at codon 245 of the TP53 protein (p.Gly245Ala). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with TP53-related conditions. ClinVar contains an entry for this variant (Variation ID: 265357). Invitae Evidence Modeling incorporating data from in vitro experimental studies (PMID: 12826609, 29979965, 30224644) indicates that this missense variant is expected to disrupt TP53 function with a positive predictive value of 97.5%. 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.
Baylor Genetics RCV004567808 SCV005054325 likely pathogenic Adrenocortical carcinoma, hereditary 2024-03-15 criteria provided, single submitter clinical testing
Key Laboratory of Carcinogenesis and Cancer Invasion, Central South University RCV003995742 SCV004046837 likely pathogenic Adrenal cortex carcinoma no assertion criteria provided clinical testing

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