ClinVar Miner

Submissions for variant NM_006231.4(POLE):c.4306C>T (p.Arg1436Trp)

gnomAD frequency: 0.00004  dbSNP: rs764904030
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Total submissions: 4
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV001559623 SCV000653282 uncertain significance not provided 2024-12-18 criteria provided, single submitter clinical testing This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 1436 of the POLE protein (p.Arg1436Trp). This variant is present in population databases (rs764904030, gnomAD 0.007%). This variant has not been reported in the literature in individuals affected with POLE-related conditions. ClinVar contains an entry for this variant (Variation ID: 473659). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt POLE protein function with a positive predictive value of 80%. 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.
GeneDx RCV001559623 SCV001781894 uncertain significance not provided 2024-12-10 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; Has not been previously published as a pathogenic or benign germline variant to our knowledge; This variant is associated with the following publications: (PMID: 29056344, 27149842)
Institute of Human Genetics, University of Leipzig Medical Center RCV000534433 SCV002526685 uncertain significance Colorectal cancer, susceptibility to, 12 2022-05-10 criteria provided, single submitter clinical testing _x000D_ Criteria applied: PP3
Ambry Genetics RCV004943998 SCV005481527 uncertain significance Hereditary cancer-predisposing syndrome 2024-12-04 criteria provided, single submitter clinical testing The p.R1436W variant (also known as c.4306C>T), located in coding exon 34 of the POLE gene, results from a C to T substitution at nucleotide position 4306. The arginine at codon 1436 is replaced by tryptophan, an amino acid with dissimilar properties. 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 available evidence, the clinical significance of this variant remains unclear.

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