ClinVar Miner

Submissions for variant NM_007194.4(CHEK2):c.1238T>G (p.Leu413Ter)

dbSNP: rs1248967885
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Total submissions: 6
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Ambry Genetics RCV000562978 SCV000665198 pathogenic Hereditary cancer-predisposing syndrome 2016-07-12 criteria provided, single submitter clinical testing The p.L413* pathogenic mutation (also known as c.1238T>G), located in coding exon 10 of the CHEK2 gene, results from a T to G substitution at nucleotide position 1238. This changes the amino acid from a leucine to a stop codon within coding exon 10. Although this exact mutation has not been reported in the literature, another alteration resulting in the same termination codon (c.1238T>A) has been reported in 4/7051 female cases of breast cancer and not in 11241 matched controls in a Japanese cohort (Momozawa Y et al. Nat Commun, 2018 10;9:4083). In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation.
GeneDx RCV000657757 SCV000779509 pathogenic not provided 2018-03-07 criteria provided, single submitter clinical testing This variant is denoted CHEK2 c.1238T>G at the cDNA level and p.Leu413Ter (L413X) at the protein level. The substitution creates a nonsense variant, which changes a Leucine to a premature stop codon (TTA>TGA), and is predicted to cause loss of normal protein function through either protein truncation or nonsense-mediated mRNA decay. Although this variant has not, to our knowledge, been reported in the literature, it is considered pathogenic.
Labcorp Genetics (formerly Invitae), Labcorp RCV001865736 SCV002173669 pathogenic Familial cancer of breast 2023-05-10 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. This sequence change creates a premature translational stop signal (p.Leu413*) in the CHEK2 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in CHEK2 are known to be pathogenic (PMID: 21876083, 24713400). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with breast cancer (PMID: 30287823). ClinVar contains an entry for this variant (Variation ID: 481071).
Genetics and Molecular Pathology, SA Pathology RCV001865736 SCV002761872 likely pathogenic Familial cancer of breast 2021-03-19 criteria provided, single submitter clinical testing
Myriad Genetics, Inc. RCV001865736 SCV004043411 pathogenic Familial cancer of breast 2023-06-28 criteria provided, single submitter clinical testing This variant is considered pathogenic. This variant creates a termination codon and is predicted to result in premature protein truncation.
German Consortium for Hereditary Breast and Ovarian Cancer, University Hospital Cologne RCV004764791 SCV005374636 pathogenic Hereditary breast ovarian cancer syndrome 2024-08-13 criteria provided, single submitter curation According to the ACMG SVI adaptation criteria we chose these criteria: PVS1 (very strong pathogenic): Truncating prior to c.1493; NMD expected, PM2 (supporting pathogenic): not in gnomAD V2, PM5 (supporting pathogenic): Truncating prior to c.1493; NMD expected

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