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NM_007194.4(CHEK2):c.349A>G (p.Arg117Gly) AND CHEK2-related cancer predisposition

Germline classification:
Likely pathogenic (3 submissions)
Last evaluated:
Mar 25, 2022
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:
RCV004556728.2

Allele description [Variation Report for NM_007194.4(CHEK2):c.349A>G (p.Arg117Gly)]

NM_007194.4(CHEK2):c.349A>G (p.Arg117Gly)

Gene:
CHEK2:checkpoint kinase 2 [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
22q12.1
Genomic location:
Preferred name:
NM_007194.4(CHEK2):c.349A>G (p.Arg117Gly)
Other names:
p.R117G:AGG>GGG
HGVS:
  • NC_000022.11:g.28725338T>C
  • NG_008150.2:g.21529A>G
  • NM_001005735.2:c.478A>G
  • NM_001257387.2:c.-429A>G
  • NM_001349956.2:c.349A>G
  • NM_007194.4:c.349A>GMANE SELECT
  • NM_145862.2:c.349A>G
  • NP_001005735.1:p.Arg160Gly
  • NP_001336885.1:p.Arg117Gly
  • NP_009125.1:p.Arg117Gly
  • NP_665861.1:p.Arg117Gly
  • LRG_302t1:c.349A>G
  • LRG_302:g.21529A>G
  • LRG_302p1:p.Arg117Gly
  • NC_000022.10:g.29121326T>C
  • NG_008150.1:g.21497A>G
  • NM_007194.3:c.349A>G
  • O96017:p.Arg117Gly
  • p.(Arg117Gly)
  • p.R117G
Protein change:
R117G
Links:
UniProtKB: O96017#VAR_022461; dbSNP: rs28909982
NCBI 1000 Genomes Browser:
rs28909982
Molecular consequence:
  • NM_001257387.2:c.-429A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001005735.2:c.478A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001349956.2:c.349A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_007194.4:c.349A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_145862.2:c.349A>G - missense variant - [Sequence Ontology: SO:0001583]
Observations:
1

Condition(s)

Name:
CHEK2-related cancer predisposition
Synonyms:
CHEK2-Related Cancer Susceptibility
Identifiers:
MONDO: MONDO:0700271; MedGen: CN377760

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV001749392GenomeConnect - Invitae Patient Insights Network
no classification provided
not providedunknownphenotyping only

SCV002318957DASA
criteria provided, single submitter

(ACMG Guidelines, 2015)
Likely pathogenic
(Mar 25, 2022)
germlineclinical testing

PubMed (8)
[See all records that cite these PMIDs]

SCV004801674Illumina Laboratory Services, Illumina
criteria provided, single submitter

(ICSLVariantClassificationCriteria RUGD 01 April 2020)
Likely pathogenic
(May 15, 2018)
unknownclinical testing

Citation Link

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedunknownunknownnot providednot providednot providednot providednot providedclinical testing, phenotyping only
not providedgermlineyes1not providednot providednot providednot providedclinical testing

Citations

PubMed

CHEK2 mutations affecting kinase activity together with mutations in TP53 indicate a functional pathway associated with resistance to epirubicin in primary breast cancer.

Chrisanthar R, Knappskog S, Løkkevik E, Anker G, Østenstad B, Lundgren S, Berge EO, Risberg T, Mjaaland I, Maehle L, Engebretsen LF, Lillehaug JR, Lønning PE.

PLoS One. 2008 Aug 26;3(8):e3062. doi: 10.1371/journal.pone.0003062.

PubMed [citation]
PMID:
18725978
PMCID:
PMC2518116

Rare germ line CHEK2 variants identified in breast cancer families encode proteins that show impaired activation.

Sodha N, Mantoni TS, Tavtigian SV, Eeles R, Garrett MD.

Cancer Res. 2006 Sep 15;66(18):8966-70.

PubMed [citation]
PMID:
16982735
See all PubMed Citations (8)

Details of each submission

From GenomeConnect - Invitae Patient Insights Network, SCV001749392.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedphenotyping onlynot provided

Description

Variant interpreted as Likely pathogenic and reported on 03-13-2018 by Invitae. GenomeConnect-Invitae Patient Insights Network assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. Registry team members make no attempt to reinterpret the clinical significance of the variant. Phenotypic details are available under supporting information.

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

From DASA, SCV002318957.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not provided1not providednot providedclinical testing PubMed (8)

Description

Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product (PMID: 18725978; 16982735; 22419737) - PS3_moderate. The c.349A>G;p.(Arg117Gly) missense change has been observed in affected individual(s) and ClinVar contains an entry for this variant (ClinVar ID: 128071; PMID: 12454775; PMID: 12610780; PMID: 21244692; PMID: 28503720) -PS4. The variant is present at low allele frequencies population databases (rs28909982 – gnomAD 0.001132%; ABraOM 0.001281 frequency - http://abraom.ib.usp.br.) - PM2_supporting. In summary, the currently available evidence indicates that the variant is likely pathogenic

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineyesnot providednot providednot provided1not providednot providednot provided

From Illumina Laboratory Services, Illumina, SCV004801674.1

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

Description

The CHEK2 c.349A>G p.(Arg117Gly), also referred to c.478A>G (Arg160Gly), missense variant has been identified in individuals with a phenotype consistent with CHEK2-related cancer susceptibility. In two individuals, other pathogenic BRCA2 and CHEK2 variants were also identified (Sodha et al. 2002; Schutte et al. 2003; Le Calvez-Kelm et al. 2011; Southey et al. 2016; Susswein et al. 2016). In a large case-control study, Southey et al. (2016) showed that the p.(Arg117Gly) variant was significantly associated with breast cancer in European women (odds ratio of 2.26). In this study, odd ratios were not statistically significant for prostate cancer or ovarian cancer. The variant segregated with breast cancer in one family whereas in two families incomplete segregation was observed whereby two affected individuals did not carry the variant (Schutte et al. 2003). The highest frequency of this allele in the Genome Aggregation Database is 0.000186 in the European (non-Finnish) population (version 2.1.1). Functional studies in cells lines demonstrated reduced protein expression and stability, and impaired phosphorylation and kinase activity of the variant protein when compared to wildtype protein. However, the variant protein dimerized efficiently to wildtype CHEK2 (Sodha et al. 2006; Wu et al. 2006; Chrisanthar et al. 2008). Multiple lines of computational evidence suggest the variant may impact the gene or gene product. Based on the available evidence, the c.349A>G p.(Arg117Gly) variant is classified as likely pathogenic for CHEK2-related breast cancer susceptibility.

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

Last Updated: Nov 3, 2024