ClinVar Miner

Submissions for variant NM_002691.4(POLD1):c.2689_2696del (p.Lys897fs)

dbSNP: rs755492646
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Total submissions: 2
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Invitae RCV000526895 SCV000646588 uncertain significance Colorectal cancer, susceptibility to, 10 2023-12-27 criteria provided, single submitter clinical testing This sequence change creates a premature translational stop signal (p.Lys897Profs*54) in the POLD1 gene. Missense variants that disrupt the 3'-5' exonuclease (proof-reading) activity of the POLD1 protein are associated with PPAP (polymerase proofreading–associated polyposis) (PMID: 23263490, 23447401). However, loss-of-function variants that result in an absent or severely disrupted POLD1 protein, and missense variants outside the exonuclease domain, are unlikely to be associated with PPAP. This variant is present in population databases (rs755492646, gnomAD 0.007%). This variant has not been reported in the literature in individuals affected with POLD1-related conditions. ClinVar contains an entry for this variant (Variation ID: 469285). 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.
Ambry Genetics RCV000571570 SCV000671096 uncertain significance Hereditary cancer-predisposing syndrome 2017-01-20 criteria provided, single submitter clinical testing The c.2689_2696delAAGCAGGC variant, located in coding exon 20 of the POLD1 gene, results from a deletion of 8 nucleotides at nucleotide positions 2689 to 2696, causing a translational frameshift with a predicted alternate stop codon (p.K897Pfs*54). This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. However, loss of function of POLD1 has not been clearly established as a mechanism of disease. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear.

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