Description
The POLD1 c.1561C>T; p.Arg521Trp variant (rs1341055535), to our knowledge, is not reported in the medical literature but is reported in ClinVar (Variation ID: 469205). This variant is found in the general population with an overall allele frequency of 0.002% (5/281942 alleles) in the Genome Aggregation Database. The arginine at codon 521 is highly conserved, but computational analyses are uncertain whether this variant is neutral or deleterious (REVEL: 0.471). This variant is located in the exonuclease domain (Palles 2013), and gene-disease association has been established for variants within the exonuclease domain (Seifert 2019). A different variant at this codon, p.Arg521Gln, is reported in a family with colorectal cancer, and in a cohort of individuals with lipodystrophy (Dron 2020, Mur 2020). Due to limited information, the clinical significance of the p.Arg521Trp variant is uncertain at this time. References: Dron JS et al. Six years' experience with LipidSeq: clinical and research learnings from a hybrid, targeted sequencing panel for dyslipidemias. BMC Med Genomics. 2020 Feb 10;13(1):23. PMID: 32041611. Mur P et al. Role of POLE and POLD1 in familial cancer. Genet Med. 2020 Dec;22(12):2089-2100. PMID: 32792570. Palles C et al. Germline mutations affecting the proofreading domains of POLE and POLD1 predispose to colorectal adenomas and carcinomas. Nat Genet. 2013 Feb;45(2):136-44. PMID: 23263490. Seifert BA et al. Determining the clinical validity of hereditary colorectal cancer and polyposis susceptibility genes using the Clinical Genome Resource Clinical Validity Framework. Genet Med. 2019 Jul;21(7):1507-1516. PMID: 30523343.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | unknown | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |