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NM_020975.6(RET):c.2522C>T (p.Pro841Leu) AND Multiple endocrine neoplasia, type 2

Germline classification:
Uncertain significance (2 submissions)
Last evaluated:
Jan 27, 2024
Review status:
2 stars out of maximum of 4 stars
criteria provided, multiple submitters, no conflicts
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000691895.18

Allele description

NM_020975.6(RET):c.2522C>T (p.Pro841Leu)

Gene:
RET:ret proto-oncogene [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
10q11.21
Genomic location:
Preferred name:
NM_020975.6(RET):c.2522C>T (p.Pro841Leu)
HGVS:
  • NC_000010.11:g.43119660C>T
  • NG_007489.1:g.47592C>T
  • NM_000323.2:c.2522C>T
  • NM_001355216.2:c.1760C>T
  • NM_001406743.1:c.2522C>T
  • NM_001406744.1:c.2522C>T
  • NM_001406759.1:c.2522C>T
  • NM_001406760.1:c.2522C>T
  • NM_001406761.1:c.2393C>T
  • NM_001406762.1:c.2393C>T
  • NM_001406763.1:c.2387C>T
  • NM_001406764.1:c.2393C>T
  • NM_001406765.1:c.2387C>T
  • NM_001406766.1:c.2234C>T
  • NM_001406767.1:c.2234C>T
  • NM_001406768.1:c.2258C>T
  • NM_001406769.1:c.2126C>T
  • NM_001406770.1:c.2234C>T
  • NM_001406771.1:c.2084C>T
  • NM_001406772.1:c.2126C>T
  • NM_001406773.1:c.2084C>T
  • NM_001406774.1:c.1997C>T
  • NM_001406775.1:c.1796C>T
  • NM_001406776.1:c.1796C>T
  • NM_001406777.1:c.1796C>T
  • NM_001406778.1:c.1796C>T
  • NM_001406779.1:c.1625C>T
  • NM_001406780.1:c.1625C>T
  • NM_001406781.1:c.1625C>T
  • NM_001406782.1:c.1625C>T
  • NM_001406783.1:c.1496C>T
  • NM_001406784.1:c.1532C>T
  • NM_001406785.1:c.1505C>T
  • NM_001406786.1:c.1496C>T
  • NM_001406787.1:c.1490C>T
  • NM_001406788.1:c.1337C>T
  • NM_001406789.1:c.1337C>T
  • NM_001406790.1:c.1337C>T
  • NM_001406791.1:c.1217C>T
  • NM_001406792.1:c.1073C>T
  • NM_001406793.1:c.1073C>T
  • NM_001406794.1:c.1073C>T
  • NM_020629.2:c.2522C>T
  • NM_020630.7:c.2522C>T
  • NM_020975.6:c.2522C>TMANE SELECT
  • NP_000314.1:p.Pro841Leu
  • NP_001342145.1:p.Pro587Leu
  • NP_001342145.1:p.Pro587Leu
  • NP_001393672.1:p.Pro841Leu
  • NP_001393673.1:p.Pro841Leu
  • NP_001393688.1:p.Pro841Leu
  • NP_001393689.1:p.Pro841Leu
  • NP_001393690.1:p.Pro798Leu
  • NP_001393691.1:p.Pro798Leu
  • NP_001393692.1:p.Pro796Leu
  • NP_001393693.1:p.Pro798Leu
  • NP_001393694.1:p.Pro796Leu
  • NP_001393695.1:p.Pro745Leu
  • NP_001393696.1:p.Pro745Leu
  • NP_001393697.1:p.Pro753Leu
  • NP_001393698.1:p.Pro709Leu
  • NP_001393699.1:p.Pro745Leu
  • NP_001393700.1:p.Pro695Leu
  • NP_001393701.1:p.Pro709Leu
  • NP_001393702.1:p.Pro695Leu
  • NP_001393703.1:p.Pro666Leu
  • NP_001393704.1:p.Pro599Leu
  • NP_001393705.1:p.Pro599Leu
  • NP_001393706.1:p.Pro599Leu
  • NP_001393707.1:p.Pro599Leu
  • NP_001393708.1:p.Pro542Leu
  • NP_001393709.1:p.Pro542Leu
  • NP_001393710.1:p.Pro542Leu
  • NP_001393711.1:p.Pro542Leu
  • NP_001393712.1:p.Pro499Leu
  • NP_001393713.1:p.Pro511Leu
  • NP_001393714.1:p.Pro502Leu
  • NP_001393715.1:p.Pro499Leu
  • NP_001393716.1:p.Pro497Leu
  • NP_001393717.1:p.Pro446Leu
  • NP_001393718.1:p.Pro446Leu
  • NP_001393719.1:p.Pro446Leu
  • NP_001393720.1:p.Pro406Leu
  • NP_001393721.1:p.Pro358Leu
  • NP_001393722.1:p.Pro358Leu
  • NP_001393723.1:p.Pro358Leu
  • NP_065680.1:p.Pro841Leu
  • NP_065681.1:p.Pro841Leu
  • NP_065681.1:p.Pro841Leu
  • NP_065681.1:p.Pro841Leu
  • NP_066124.1:p.Pro841Leu
  • NP_066124.1:p.Pro841Leu
  • LRG_518t1:c.2522C>T
  • LRG_518t2:c.2522C>T
  • LRG_518:g.47592C>T
  • LRG_518p1:p.Pro841Leu
  • LRG_518p2:p.Pro841Leu
  • NC_000010.10:g.43615108C>T
  • NM_001355216.1:c.1760C>T
  • NM_020630.4:c.2522C>T
  • NM_020630.6:c.2522C>T
  • NM_020975.4:c.2522C>T
Protein change:
P358L
Links:
dbSNP: rs149891333
NCBI 1000 Genomes Browser:
rs149891333
Molecular consequence:
  • NM_000323.2:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001355216.2:c.1760C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406743.1:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406744.1:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406759.1:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406760.1:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406761.1:c.2393C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406762.1:c.2393C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406763.1:c.2387C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406764.1:c.2393C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406765.1:c.2387C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406766.1:c.2234C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406767.1:c.2234C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406768.1:c.2258C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406769.1:c.2126C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406770.1:c.2234C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406771.1:c.2084C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406772.1:c.2126C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406773.1:c.2084C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406774.1:c.1997C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406775.1:c.1796C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406776.1:c.1796C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406777.1:c.1796C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406778.1:c.1796C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406779.1:c.1625C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406780.1:c.1625C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406781.1:c.1625C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406782.1:c.1625C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406783.1:c.1496C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406784.1:c.1532C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406785.1:c.1505C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406786.1:c.1496C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406787.1:c.1490C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406788.1:c.1337C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406789.1:c.1337C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406790.1:c.1337C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406791.1:c.1217C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406792.1:c.1073C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406793.1:c.1073C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001406794.1:c.1073C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_020629.2:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_020630.7:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_020975.6:c.2522C>T - missense variant - [Sequence Ontology: SO:0001583]

Condition(s)

Name:
Multiple endocrine neoplasia, type 2 (MEN2)
Identifiers:
MONDO: MONDO:0019003; MedGen: C4048306

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000819693Invitae
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Uncertain significance
(Jan 27, 2024)
germlineclinical testing

PubMed (4)
[See all records that cite these PMIDs]

SCV001775523St. Jude Molecular Pathology, St. Jude Children's Research Hospital
criteria provided, single submitter

(St. Jude Assertion Criteria 2020)
Uncertain significance
(Jul 29, 2021)
germlineclinical testing

Citation Link

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Hirschsprung's disease and variants in genes that regulate enteric neural crest cell proliferation, migration and differentiation.

Carter TC, Kay DM, Browne ML, Liu A, Romitti PA, Kuehn D, Conley MR, Caggana M, Druschel CM, Brody LC, Mills JL.

J Hum Genet. 2012 Aug;57(8):485-93. doi: 10.1038/jhg.2012.54. Epub 2012 May 31.

PubMed [citation]
PMID:
22648184
PMCID:
PMC3503526

Germline mutations and genotype-phenotype correlations in patients with apparently sporadic pheochromocytoma/paraganglioma in Korea.

Kim JH, Seong MW, Lee KE, Choi HJ, Ku EJ, Bae JH, Park SS, Choi SH, Kim SW, Shin C, Kim SY.

Clin Genet. 2014 Nov;86(5):482-6. doi: 10.1111/cge.12304. Epub 2013 Nov 15.

PubMed [citation]
PMID:
24134185
See all PubMed Citations (4)

Details of each submission

From Invitae, SCV000819693.7

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (4)

Description

This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 841 of the RET protein (p.Pro841Leu). This variant is present in population databases (rs149891333, gnomAD 0.06%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with clinical features of multiple endocrine neoplasia type 2 or Hirschsprung's disease (PMID: 22648184, 24134185, 26071011). ClinVar contains an entry for this variant (Variation ID: 24947). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. 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.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

From St. Jude Molecular Pathology, St. Jude Children's Research Hospital, SCV001775523.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testingnot provided

Description

The RET c.2522C>T (p.Pro841Leu) missense change has a maximum subpopulation frequency of 0.060% in gnomAD v2.1.1 (https://gnomad.broadinstitute.org/variant/10-43615108-C-T). This is higher than the reported incidence of multiple endocrine neoplasia type 2 (BS1). Six 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. This variant has been reported in individuals with clinical features of multiple endocrine neoplasia type 2 or Hirschsprung's disease (PS4_supporting; PMID: 22648184, 24134185, 26071011). In summary, this variant meets criteria to be classified as of uncertain significance based on the ACMG/AMP criteria: BS1, PS4_supporting, PP3.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Sep 16, 2024