ClinVar Miner

Submissions for variant NM_001048174.2(MUTYH):c.437G>A (p.Trp146Ter)

gnomAD frequency: 0.00001  dbSNP: rs1306473047
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Quest Diagnostics Nichols Institute San Juan Capistrano RCV000985861 SCV001134479 pathogenic not provided 2019-04-01 criteria provided, single submitter clinical testing The variant creates a premature nonsense codon, and is therefore predicted to result in the loss of a functional protein. Found in at least one symptomatic patient, and not found in general population data. Occurs in multiple cases with a recessive pathogenic variant in the same gene.
Labcorp Genetics (formerly Invitae), Labcorp RCV001218539 SCV001390425 pathogenic Familial adenomatous polyposis 2 2021-07-24 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. Loss-of-function variants in MUTYH are known to be pathogenic (PMID: 18534194, 20663686). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may create or strengthen a splice site, but this prediction has not been confirmed by published transcriptional studies. This variant has been observed in individuals affected with clinical features of MUTYH-associated polyposis. In these individuals, a second pathogenic variant in the MUTYH gene was also reported (PMID: 16890597, 18091433). This variant is also known as W160X in the literature. This variant is not present in population databases (ExAC no frequency). This sequence change creates a premature translational stop signal (p.Trp174*) in the MUTYH gene. It is expected to result in an absent or disrupted protein product.
Ambry Genetics RCV002346192 SCV002646729 pathogenic Hereditary cancer-predisposing syndrome 2015-11-11 criteria provided, single submitter clinical testing The p.W174* pathogenic mutation (also known as c.521G>A), located in coding exon 7 of the MUTYH gene, results from a G to A substitution at nucleotide position 521. This changes the amino acid from a tryptophan to a stop codon within coding exon 7. This mutation (designated as W160X) has been reported in conjunction with a second truncating MUTYH mutation in a male diagnosed with 100 adenomatous polyps at age 35 (Di Gregorio C et al, Gastroenterology 2006 Aug; 131(2):439-44). In addition to the clinical data presented in the literature, since premature stop codons are typically deleterious in nature, this alteration is interpreted as a disease-causing mutation (ACMG Recommendations for Standards for Interpretation and Reporting of Sequence Variations. Revision 2007. Genet Med. 2008;10:294).

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