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NM_005228.5(EGFR):c.2369C>T (p.Thr790Met) AND Lung cancer

Germline classification:
Pathogenic (1 submission)
Review status:
1 star out of maximum of 4 stars
criteria provided, single submitter
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:
RCV001823098.12

Allele description [Variation Report for NM_005228.5(EGFR):c.2369C>T (p.Thr790Met)]

NM_005228.5(EGFR):c.2369C>T (p.Thr790Met)

Genes:
EGFR-AS1:EGFR antisense RNA 1 [Gene - HGNC]
EGFR:epidermal growth factor receptor [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
7p11.2
Genomic location:
Preferred name:
NM_005228.5(EGFR):c.2369C>T (p.Thr790Met)
HGVS:
  • NC_000007.14:g.55181378C>T
  • NG_007726.3:g.167347C>T
  • NM_001346897.2:c.2234C>T
  • NM_001346898.2:c.2369C>T
  • NM_001346899.2:c.2234C>T
  • NM_001346900.2:c.2210C>T
  • NM_001346941.2:c.1568C>T
  • NM_005228.5:c.2369C>TMANE SELECT
  • NP_001333826.1:p.Thr745Met
  • NP_001333827.1:p.Thr790Met
  • NP_001333828.1:p.Thr745Met
  • NP_001333829.1:p.Thr737Met
  • NP_001333870.1:p.Thr523Met
  • NP_005219.2:p.Thr790Met
  • LRG_304t1:c.2369C>T
  • LRG_304:g.167347C>T
  • NC_000007.13:g.55249071C>T
  • NM_005228.3:c.2369C>T
  • NM_005228.4:c.2369C>T
  • NM_005228.4:c.[2369C>T]
  • NR_047551.1:n.1193G>A
  • P00533:p.Thr790Met
Protein change:
T523M; THR790MET
Links:
PharmGKB: 981475450; PharmGKB: 981475450PA131301952; PharmGKB: 981475450PA134687924; PharmGKB Clinical Annotation: 981475450; UniProtKB: P00533#VAR_026098; OMIM: 131550.0006; dbSNP: rs121434569
NCBI 1000 Genomes Browser:
rs121434569
Molecular consequence:
  • NM_001346897.2:c.2234C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001346898.2:c.2369C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001346899.2:c.2234C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001346900.2:c.2210C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001346941.2:c.1568C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_005228.5:c.2369C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NR_047551.1:n.1193G>A - non-coding transcript variant - [Sequence Ontology: SO:0001619]

Condition(s)

Name:
Lung cancer
Synonyms:
Lung cancer, somatic; Malignant tumor of lung
Identifiers:
MONDO: MONDO:0008903; MedGen: C0242379; OMIM: 211980

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV002073070Neuberg Centre For Genomic Medicine, NCGM
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenicgermlineclinical testing

PubMed (1)
[See all records that cite this PMID]

Summary from all submissions

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

Citations

PubMed

Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.

Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, Grody WW, Hegde M, Lyon E, Spector E, Voelkerding K, Rehm HL; ACMG Laboratory Quality Assurance Committee..

Genet Med. 2015 May;17(5):405-24. doi: 10.1038/gim.2015.30. Epub 2015 Mar 5.

PubMed [citation]
PMID:
25741868
PMCID:
PMC4544753

Details of each submission

From Neuberg Centre For Genomic Medicine, NCGM, SCV002073070.1

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

Description

The missense variant p.T790M in EGFR (NM_005228.5) has been reported in multiple patients with adenocarcinoma of lung. In majority of the cases the mutation has been detected by somatic testing. Germline mutation T790M has been reported in a subset of patients both with and without disease implying incomplete penetrance (Helena Yu A et al, 2014; Gazdar A et al, 2014; Oxnard GR et al, 2012; Tibaldi C et al, 2011). The variant has been classified by the expert review panel in Clin Var as Pathogenic with respect to drug response. It is present in 10 alleles in heterozygote state (0.003%) in the gnomAD database. There is a moderate physicochemical difference between threonine and methionine. The p.T790M missense variant is predicted to be damaging by both SIFT and PolyPhen2. The nucleotide c.2369 in EGFR is predicted conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Pathogenic.

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

Last Updated: Nov 3, 2024