ClinVar Miner

Submissions for variant NM_144997.7(FLCN):c.734C>A (p.Thr245Lys)

gnomAD frequency: 0.00001  dbSNP: rs371401039
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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 RCV001026310 SCV001188665 likely benign Hereditary cancer-predisposing syndrome 2023-03-27 criteria provided, single submitter clinical testing This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity.
Labcorp Genetics (formerly Invitae), Labcorp RCV001247341 SCV001420755 uncertain significance Birt-Hogg-Dube syndrome 2024-12-05 criteria provided, single submitter clinical testing This sequence change replaces threonine, which is neutral and polar, with lysine, which is basic and polar, at codon 245 of the FLCN protein (p.Thr245Lys). This variant is present in population databases (rs371401039, gnomAD 0.002%). This variant has not been reported in the literature in individuals affected with FLCN-related conditions. ClinVar contains an entry for this variant (Variation ID: 826983). 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 FLCN 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.
St. Jude Molecular Pathology, St. Jude Children's Research Hospital RCV001247341 SCV001737473 uncertain significance Birt-Hogg-Dube syndrome 2021-05-20 criteria provided, single submitter clinical testing The FLCN c.734C>A (p.Thr245Lys) missense change has a maximum frequency of 0.0015% in gnomAD v2.1.1 (PM2_supporting; https://gnomad.broadinstitute.org/variant/17-17125860-G-T?dataset=gnomad_r2_1). Seven of seven in silico tools predict a deleterious effect of this variant on protein function (PP3), but to our knowledge these predictions have not been confirmed by functional assays. To our knowledge, this variant has not been reported in individuals with Birt-Hogg-Dubé syndrome. In summary, this variant meets criteria to be classified as of uncertain significance based on the ACMG/AMP criteria: PM2_supporting, PP3.
GeneDx RCV001759715 SCV002005421 uncertain significance not provided 2022-02-14 criteria provided, single submitter clinical testing Not observed at a 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 pathogenic or benign to our knowledge
Fulgent Genetics, Fulgent Genetics RCV005004488 SCV002778340 uncertain significance Familial spontaneous pneumothorax; Nonpapillary renal cell carcinoma; Colorectal cancer; Birt-Hogg-Dube syndrome 1 2024-05-17 criteria provided, single submitter clinical testing
Baylor Genetics RCV004570066 SCV005058696 uncertain significance Birt-Hogg-Dube syndrome 1 2024-01-01 criteria provided, single submitter clinical testing

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