Variant Annotation
Available parameters and response documentation is available here
GET /lookup/TP53:R175L?add-all-data=1
{ "chromosome": "chr17", "alt": "A", "ref": "C", "pos": 7578406, "variant_id": "10190170075784060001", "variant_type": "SNV", "cytobands": "17p13.1", "refseq_transcripts": [ { "items": [ { "name": "NM_000546.6", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "175 of 394", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": "ENST00000269305.9", "mane_plus": null, "uniprot_id": null }, { "name": "NR_176326.1", "strand": "-", "coding_impact": null, "function": [ "non-coding exon" ], "hgvs": null, "hgvs_p1": null, "hgvs_p3": null, "location": "exon 5 of 10 position 149 of 184", "coding_location": null, "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001126112.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "175 of 394", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001126113.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 12 position 149 of 184", "coding_location": "175 of 347", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001126114.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 12 position 149 of 184", "coding_location": "175 of 342", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001126115.2", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.128G>T", "hgvs_p1": "R43L", "hgvs_p3": "p.(Arg43Leu)", "location": "exon 1 of 7 position 157 of 192", "coding_location": "43 of 262", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001126116.2", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.128G>T", "hgvs_p1": "R43L", "hgvs_p3": "p.(Arg43Leu)", "location": "exon 1 of 8 position 157 of 192", "coding_location": "43 of 210", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001126117.2", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.128G>T", "hgvs_p1": "R43L", "hgvs_p3": "p.(Arg43Leu)", "location": "exon 1 of 8 position 157 of 192", "coding_location": "43 of 215", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001126118.2", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 4 of 10 position 149 of 184", "coding_location": "136 of 355", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001276695.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 5 of 12 position 149 of 184", "coding_location": "136 of 308", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001276696.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 5 of 12 position 149 of 184", "coding_location": "136 of 303", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001276697.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.47G>T", "hgvs_p1": "R16L", "hgvs_p3": "p.(Arg16Leu)", "location": "exon 1 of 7 position 157 of 192", "coding_location": "16 of 235", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001276698.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.47G>T", "hgvs_p1": "R16L", "hgvs_p3": "p.(Arg16Leu)", "location": "exon 1 of 8 position 157 of 192", "coding_location": "16 of 183", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001276699.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.47G>T", "hgvs_p1": "R16L", "hgvs_p3": "p.(Arg16Leu)", "location": "exon 1 of 8 position 157 of 192", "coding_location": "16 of 188", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001276760.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "136 of 355", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001276761.3", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "136 of 355", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407262.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 6 of 12 position 149 of 184", "coding_location": "175 of 394", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407263.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 6 of 12 position 149 of 184", "coding_location": "136 of 355", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407264.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "175 of 394", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407265.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "136 of 355", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407266.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "175 of 394", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407267.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 5 of 11 position 149 of 184", "coding_location": "136 of 355", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407268.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 12 position 149 of 184", "coding_location": "175 of 342", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407269.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.407G>T", "hgvs_p1": "R136L", "hgvs_p3": "p.(Arg136Leu)", "location": "exon 5 of 12 position 149 of 184", "coding_location": "136 of 303", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, "mane_plus": null, "uniprot_id": null }, { "name": "NM_001407270.1", "strand": "-", "coding_impact": "missense", "function": [ "coding" ], "hgvs": "c.524G>T", "hgvs_p1": "R175L", "hgvs_p3": "p.(Arg175Leu)", "location": "exon 5 of 12 position 149 of 184", "coding_location": "175 of 342", "canonical": false, "gene_symbol": "TP53", "splice_distance": "-36", "ensembl_support_level": null, "ensembl_appris": null, "mane_select": null, 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"version": "07-Jul-2025", "review_status": "reviewed by expert panel", "review_stars": 3, "variation_id": 182963, "num_submitters": 5, "pub_med_references": [ 11370630, 12826609, 14559903, 16707427, 16861262, 21761402, 22006311, 25927356, 29979965, 30224644, 34906512, 8164043, 8825920 ], "clinical_significance": [ "Likely Pathogenic" ], "last_evaluation": "20250517", "origin": null, "accessions": [ { "variation_id": 182963, "accession_id": "RCV002288703", "diseases": [ { "pub_med": [ 17392385, 20065170, 12692171, 15604628, 23788249, 24493721, 25394175, 25356965, 26389258, 26324357 ], "normalized_disease": [ "Li-Fraumeni Syndrome" ], "symbols": { "orphanet": "524", "omim": "151623", "medgen": "C1835398", "gene": "553989" }, "names": [ "Li-Fraumeni Syndrome" ] } ], "review_status": "criteria provided, multiple submitters, no conflicts", "allele_id": 181010, "review_description": "Likely pathogenic", "title": "NM_000546.6(TP53):c.524G>T (p.Arg175Leu) AND Li-Fraumeni syndrome 1", "date_created": 20221015, "review_date": 20250120, "review_stars": 2, "clinical_significance": [ "Likely pathogenic" ], "submission_description": [], "variant_id": 10190170075784060001, "submissions": [ { "submitter_date": 20250318, "submission_description": [], "review_description": "Likely pathogenic", "submitter_name": "Department of Pathology and Laboratory Medicine, Sinai Health System", "review_date": 20250120, "origin": "germline", "date_updated": 20250428, "method": "clinical testing", "clinical_significance": [ "Likely pathogenic" ], "review_status": "criteria provided, single submitter", "diseases": [ { "symbols": { "omim": "151623" } } ], "accession_id": "SCV005918332" }, { "submitter_date": 20221006, "submission_description": [], "review_description": "Likely pathogenic", "submitter_name": "Genome-Nilou Lab", "review_date": 20220618, "origin": "germline", "date_updated": 20221015, "method": "clinical testing", "clinical_significance": [ "Likely pathogenic" ], "review_status": "criteria provided, single submitter", "diseases": [ { "symbols": { "omim": "151623" } } ], "accession_id": "SCV002583047" } ] }, { "variation_id": 182963, "accession_id": "RCV000810785", "diseases": [ { "pub_med": [ 17392385, 24493721, 26389210, 26389258 ], "normalized_disease": [ "Li-Fraumeni Syndrome" ], "normalized_cancer": [ "Sarcoma family syndrome of Li and Fraumeni" ], "symbols": { "omim": "151623", "medgen": "C0085390", "mondo": "MONDO:0018875" }, "names": [ "Li-Fraumeni Syndrome", "Sarcoma Family Syndrome Li Fraumeni" ] } ], "review_status": "reviewed by expert panel", "allele_id": 181010, "review_description": "Likely pathogenic", "title": "NM_000546.6(TP53):c.524G>T (p.Arg175Leu) AND Li-Fraumeni syndrome", "date_created": 20190814, "review_date": 20240906, "review_stars": 3, "clinical_significance": [ "Likely pathogenic" ], "submission_description": [], "variant_id": 10190170075784060001, "submissions": [ { "submitter_date": 20240906, "submission_description": [ "The NM_000546.6: c.524G>T variant in TP53 is a missense variant predicted to cause substitution of arginine by leucine at amino acid 175 (p.Arg175Leu). This variant is absent from gnomAD v4.1.0 (PM2_Supporting). This variant has been reported in 4 unrelated probands meeting Revised Chompret criteria. Based on this evidence, this variant scores 2 total points meeting the TP53 VCEP phenotype scoring criteria of 2-3.5 points. (PS4_Moderate; PMID: 16707427; Internal lab contributors: Invitae, Ambry). In vitro assays performed in yeast and/or human cell lines showed partially functional transactivation, and retained growth suppression activity indicating that this variant does not impact protein function (BS3_Supporting; PMIDs: 12826609, 29979965, 30224644).Computational predictor scores (BayesDel = 0.57303; Align GVGD = Class C65) are above recommended thresholds (BayesDel > 0.16 and an Align GVGD Class of 65), evidence that correlates with impact to TP53 via protein change (PP3_Moderate). At least one individual with this variant was found to have a variant allele fraction of ≤35%, which is a significant predictor of variant pathogenicity (PP4_Moderate, PMID: 34906512, Internal lab contributor: Invitae). This variant resides within a codon (NM_00546.4: 175, 245, 248, 249, 273, 282) of TP53 that is defined as a mutational hotspot by the ClinGen TP53 VCEP (PM1; PMID: 8023157). Another missense variant(c.524G>A, p.Arg175His) (ClinVar Variation ID: 12374), in the same codon has been classified as pathogenic for Li-Fraumeni syndrome by the ClinGen TP53 VCEP’s specifications. (PM5). In summary, this variant meets the criteria to be classified as Likely Pathogenic for Li Fraumeni syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen TP53 VCEP: PS4_Moderate, PM2_Supporting, BS3_Supporting, PP3_Moderate, PP4, PM1, PM5 (Bayesian Points: 9; VCEP specifications version 2.0; 9/6/2024)" ], "review_description": "Likely Pathogenic", "submitter_name": "ClinGen TP53 Variant Curation Expert Panel, ClinGen", "review_date": 20240906, "origin": "germline", "date_updated": 20240916, "method": "curation", "clinical_significance": [ "Likely Pathogenic" ], "review_status": "reviewed by expert panel", "diseases": [ { "symbols": { "mondo": "MONDO:0018875" } } ], "accession_id": "SCV005201130" }, { "submitter_date": 20250207, "submission_description": [ "Advanced modeling of experimental studies (such as gene expression, population dynamics, functional pathways, and cell-cycle effects in cell culture) performed at Invitae indicates that this missense variant is expected to disrupt TP53 protein function. For these reasons, this variant has been classified as Pathogenic. This variant disrupts the p.Arg175 amino acid residue in TP53. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 8164043, 8825920, 11370630, 21761402, 22006311, 25927356). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on TP53 function (PMID: 12826609, 16707427, 16861262). ClinVar contains an entry for this variant (Variation ID: 182963). This missense change has been observed in individuals with Li-Fraumeni syndrome (PMID: 16707427; Invitae). This variant is not present in population databases (gnomAD no frequency). This sequence change replaces arginine, which is basic and polar, with leucine, which is neutral and non-polar, at codon 175 of the TP53 protein (p.Arg175Leu)." ], "review_description": "Pathogenic", "submitter_name": "Labcorp Genetics (formerly Invitae), Labcorp", "review_date": 20220816, "origin": "germline", "date_updated": 20250225, "method": "clinical testing", "clinical_significance": [ "Pathogenic" ], "review_status": "criteria provided, single submitter", "diseases": [ { "symbols": { "medgen": "C0085390" } } ], "accession_id": "SCV000951018" } ] }, { "variation_id": 182963, "accession_id": "RCV000161065", "diseases": [ { "pub_med": [ 25394175 ], "normalized_disease": [ "Hereditary Neoplastic Syndrome" ], "normalized_cancer": [ "Tumor predisposition", "Hereditary Cancer Syndrome" ], "symbols": { "medgen": "C0027672", "mesh": "D009386", "mondo": "MONDO:0015356" }, "names": [ "Hereditary Cancer-Predisposing Syndrome", "Hereditary Neoplastic Syndrome", "Tumor Predisposition", "Hereditary Neoplastic Syndrome", "Hereditary Neoplastic Syndrome" ], "keyword": "Hereditary cancer syndrome" } ], "review_status": "criteria provided, multiple submitters, no conflicts", "allele_id": 181010, "review_description": "Pathogenic/Likely pathogenic", "title": "NM_000546.6(TP53):c.524G>T (p.Arg175Leu) AND Hereditary cancer-predisposing syndrome", "date_created": 20150224, "review_date": 20220618, "review_stars": 2, "clinical_significance": [ "Pathogenic", "Likely pathogenic" ], "submission_description": [], "variant_id": 10190170075784060001, "submissions": [ { "submitter_date": 20221006, "submission_description": [], "review_description": "Likely pathogenic", "submitter_name": "Genome-Nilou Lab", "review_date": 20220618, "origin": "germline", "date_updated": 20221015, "method": "clinical testing", "clinical_significance": [ "Likely pathogenic" ], "review_status": "criteria provided, single submitter", "diseases": [ { "names": [ "Hereditary Cancer-Predisposing Syndrome" ] } ], "accession_id": "SCV002582385" }, { "submitter_date": 20240424, "submission_description": [ "The p.R175L pathogenic mutation (also known as c.524G>T), located in coding exon 4 of the TP53 gene, results from a G to T substitution at nucleotide position 524. The arginine at codon 175 is replaced by leucine, an amino acid with dissimilar properties. This alteration has been identified in pediatric patients with adrenal cortical carcinoma and in families meeting Chompret criteria for Li-Fraumeni syndrome (West AN et al. Cancer Res. 2006 May; 66(10):5056-62; Ambry internal data). This alteration is located in the DNA binding domain and has shown a partial loss of transactivation activity, and temperature sensitivity in yeast and mammalian cell in vitro assays (Kato S et al. Proc Natl Acad Sci USA. 2003 Jul 8;100(14):8424-9; Shiraishi K et al. J. Biol. Chem. 2004 Jan; 279(1):348-55; Dearth LR et al. Carcinogenesis 2007 Feb; 28(2):289-98). More extensive evaluation of this variant showed that it was able to suppress cell growth similar to wild type p53, yet was deficient in apoptotic activity (West AN et al. Cancer Res. 2006 May; 66(10):5056-62). Structural modeling by this same group determined that the leucine substitution may destabilize the native structure, yet not necessarily disrupt the overall conformation of the DNA binding domain. Studies conducted in human cell lines are equivocal about this variant's ability to suppress cell growth (Kotler E et al. Mol.Cell. 2018 Jul;71:178-190.e8; Giacomelli AO et al. Nat. Genet. 2018 Oct;50:1381-1387). Another alteration at this same position, p.R175H, is a well-characterized mutation hotspot known to be associated with classic Li-Fraumeni syndrome (McIntyre et al. J Clin Oncol. 1994. 12(5):925-930; Melhem-Bertrandt et al. Cancer. 2012. 118(4):908-13; Choong et al. Clin Genet. 2012. 82(6):564-8; Varley et al. J Med Genet. 1995. 32:942-945). This variant was not reported in population-based cohorts in the Genome Aggregation Database (gnomAD). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation." ], "review_description": "Pathogenic", "submitter_name": "Ambry Genetics", "review_date": 20200917, "origin": "germline", "date_updated": 20240501, "method": "clinical testing", "clinical_significance": [ "Pathogenic" ], "review_status": "criteria provided, single submitter", "diseases": [ { "symbols": { "medgen": "C0027672" } } ], "accession_id": "SCV000275440" } ] } ], "main_data": "likely pathogenic **3**", "names": [ "NM_000546.6(TP53):c.524G>T (p.Arg175Leu)", "NM_000546.6(TP53):c.524G>T" ], "variant_type": "SNV" } ], "icgc_somatic": [ { "version": "release 28", "affected_donors": 2, "mutation_id": "MU29769007", "project_code": [ { "key": "LICA-FR", "value": 1 }, { "key": "SARC-US", "value": 1 } ], "project_count": 2, "tested_donors": 492, "total_donors": 19729, "pub_med_references": null, "oncotree_code": [ { "key": "LIVER", "value": 1 }, { "key": "SARCNOS", "value": 1 } ], "cancer_name": [ { "key": "Liver Cancer", "value": 1 }, { "key": "Sarcoma", "value": 1 } ], "cancer_type": [ { "key": "Liver Cancer, NOS", "value": 1 }, { "key": "Soft Tissue Sarcoma", "value": 1 } ], "tissue_type": [ { "key": "Liver", "value": 1 }, { "key": "Soft Tissue", "value": 1 } ] } ], "iarc_tp53_germline": [ { "version": "release 20", "sex": [ { "key": "Male", "value": 3 }, { "key": "Female", "value": 2 } ], "age_freq": null, "country": [ { "key": "Usa", "value": 5 } ], "hotspot": true, "effect": "missense", "pub_med_references": null, "total_samples": 5, "oncotree_code": [ { "key": "UTERUS", "value": 1 } ], "cancer_name": [ { "key": "Adrenal cortical carcinoma (C74.0)", "value": 1 }, { "key": "Cancer, NOS", "value": 1 }, { "key": "Lipoma, NOS", "value": 1 } ], "cancer_type": [ { "key": "Adrenal cortical carcinoma (C74.0)", "value": 1 }, { "key": "Uterine Cancer, NOS", "value": 1 } ], "tissue_type": [ { "key": "Adrenal cortical carcinoma (C74.0)", "value": 1 }, { "key": "CONNECTIVE, SUBCUTANEOUS AND OTHER SOFT TISSUES", "value": 1 }, { "key": "Uterus", "value": 1 } ], "patient": null, "inheritance": [ { "key": "P", "value": 3 } ], "germline_carrier": [ { "key": "Confirmed", "value": 4 } ], "age_at_diagnosis": [ { "key": "30-40", "value": 2 }, { "key": "1-5", "value": 1 } ], "os_status": [ { "key": "Living", "value": 5 } ], "unaffected": true } ], "iarc_tp53_somatic": [ { "version": "release 20", "sex": [ { "key": "Female", "value": 8 }, { "key": "Male", "value": 7 } ], "age_freq": [ { "key": "50-60", "value": 6 }, { "key": "60-70", "value": 5 }, { "key": "20-30", "value": 1 }, { "key": "40-50", "value": 1 }, { "key": "70-80", "value": 1 } ], "country": [ { "key": "Korea", "value": 4 }, { "key": "Uk", "value": 4 }, { "key": "China", "value": 3 }, { "key": "Japan", "value": 3 }, { "key": "Chinese Taipei (Taiwan)", "value": 2 }, { "key": "Italy", "value": 2 }, { "key": "Singapore", "value": 2 }, { "key": "Usa", "value": 2 }, { "key": "France", "value": 1 }, { "key": "Germany", "value": 1 }, { "key": "Greece", "value": 1 }, { "key": "Norway", "value": 1 }, { "key": "Spain", "value": 1 } ], "hotspot": true, "effect": "missense", "pub_med_references": [ 7513540, 1310070, 1945416, 1394133, 8044781, 8058340, 7562251, 7585578, 7585578, 9614374, 9662254, 9516924, 9450841, 9935172, 11559534, 11559534, 10835493, 11375957, 11275993, 12118324, 12118324, 12483005, 9331090, 14687797, 15188009, 16721749, 17932356, 22460905, 20557307, 19366810 ], "total_samples": 30, "oncotree_code": [ { "key": "ADNOS", "value": 7 }, { "key": "SCCNOS", "value": 6 }, { "key": "HCC", "value": 3 }, { "key": "BOWEL", "value": 2 }, { "key": "BLADDER", "value": 1 }, { "key": "BREAST", "value": 1 }, { "key": "GINETES", "value": 1 }, { "key": "STOMACH", "value": 1 } ], "cancer_name": [ { "key": "Adenocarcinoma, NOS", "value": 7 }, { "key": "Squamous cell carcinoma, NOS", "value": 6 }, { "key": "Cancer, NOS", "value": 3 }, { "key": "Carcinoma, NOS", "value": 3 }, { "key": "Hepatocellular carcinoma, NOS (C22.0)", "value": 3 }, { "key": "Bronchiolo-alveolar adenocarcinoma (C34._)", "value": 2 }, { "key": "Dysplasia, moderate", "value": 1 }, { "key": "Hyperplasia, NOS", "value": 1 }, { "key": "Large cell carcinoma, NOS", "value": 1 }, { "key": "Medullary carcinoma, NOS", "value": 1 }, { "key": "Non-small cell carcinoma (C34._)", "value": 1 }, { "key": "Small cell carcinoma, NOS", "value": 1 } ], "cancer_type": [ { "key": "Cancer of Unknown Primary", "value": 13 }, { "key": "Hepatobiliary Cancer", "value": 3 }, { "key": "Bowel Cancer, NOS", "value": 2 }, { "key": "Bronchiolo-alveolar adenocarcinoma (C34._)", "value": 2 }, { "key": "Bladder/Urinary Tract Cancer, NOS", "value": 1 }, { "key": "Breast Cancer, NOS", "value": 1 }, { "key": "Esophageal/Stomach Cancer, NOS", "value": 1 }, { "key": "Esophagogastric Cancer", "value": 1 }, { "key": "Large cell carcinoma, NOS", "value": 1 }, { "key": "Medullary carcinoma, NOS", "value": 1 }, { "key": "Non-small cell carcinoma (C34._)", "value": 1 }, { "key": "Small cell carcinoma, NOS", "value": 1 } ], "tissue_type": [ { "key": "Other", "value": 13 }, { "key": "Liver", "value": 3 }, { "key": "Bowel", "value": 2 }, { "key": "Bronchiolo-alveolar adenocarcinoma (C34._)", "value": 2 }, { "key": "Esophagus/Stomach", "value": 2 }, { "key": "Bladder/Urinary Tract", "value": 1 }, { "key": "Breast", "value": 1 }, { "key": "COLORECTUM, NOS", "value": 1 }, { "key": "FLOOR OF MOUTH", "value": 1 }, { "key": "Large cell carcinoma, NOS", "value": 1 }, { "key": "Medullary carcinoma, NOS", "value": 1 }, { "key": "Non-small cell carcinoma (C34._)", "value": 1 }, { "key": "Small cell carcinoma, NOS", "value": 1 } ], "structural_motif": "L2/L3", "stage": [ { "key": "I", "value": 4 }, { "key": "C-Dukes'", "value": 1 }, { "key": "D-Dukes'", "value": 1 } ], "grade": [ { "key": "grade 3", "value": 2 }, { "key": "Moderately dif.", "value": 1 }, { "key": "Well dif.", "value": 1 }, { "key": "grade 1", "value": 1 } ], "infectious_agent": [ { "key": "HBV+", "value": 1 }, { "key": "HBV+/HCV+", "value": 1 }, { "key": "HBV+/HCV-", "value": 1 }, { "key": "HPV-", "value": 1 } ], "sample_source": [ { "key": "surgery", "value": 19 }, { "key": "biopsy", "value": 4 }, { "key": "cell-line", "value": 4 }, { "key": "urine", "value": 1 } ], "race": [ { "key": "European (non-Finnish)", "value": 2 }, { "key": "Latino", "value": 2 } ], "mut_rate": 0.125 } ], "publication_counts": null, "uniprot_variants": [ { "version": "07-Jul-2025", "items": [ { "annotation_id": "VAR_005930", "protein_id": "E7EQX7", "proteinname": "Cellular tumor antigen p53", "somaticstatus": "False", "frequency": null, "gene": "TP53", "clinicalsignificances": [ "Pathogenic", "Disease" ], "transcripts": [ "ENST00000413465" ], "association": [ { "disease": "Hereditary cancer-predisposing syndrome", "disease_description": null, "disease_symbol": null, "disease_alt_symbol": null, "evidences": { "pub_med_references": [ 25394175 ], "cosmic_study": null } }, { "disease": "Li-Fraumeni syndrome ", "disease_description": "Li-Fraumeni syndrome (LFS) is a cancer predisposition syndrome associated with high risks for a broad spectrum of cancers including early-onset cancers.", "disease_symbol": null, "disease_alt_symbol": null, "evidences": { "pub_med_references": [ 17392385, 20301488, 24493721, 26389210, 26389258 ], "cosmic_study": null } }, { "disease": "Li-Fraumeni syndrome ", "disease_description": "An autosomal dominant familial cancer syndrome that in its classic form is defined by the existence of a proband affected by a sarcoma before 45 years with a first degree relative affected by any tumor before 45 years and another first degree relative with any tumor before 45 years or a sarcoma at any age. Other clinical definitions for LFS have been proposed and called Li-Fraumeni like syndrome (LFL). In these families affected relatives develop a diverse set of malignancies at unusually early ages. Four types of cancers account for 80% of tumors occurring in TP53 germline mutation carriers: breast cancers, soft tissue and bone sarcomas, brain tumors (astrocytomas) and adrenocortical carcinomas. Less frequent tumors include choroid plexus carcinoma or papilloma before the age of 15, rhabdomyosarcoma before the age of 5, leukemia, Wilms tumor, malignant phyllodes tumor, colorectal and gastric cancers.", "disease_symbol": null, "disease_alt_symbol": null, "evidences": { "pub_med_references": [ 10484981, 1565144, 1737852, 1933902, 1978757, 2259385, 36108750, 7887414, 8825920, 9452042 ], "cosmic_study": null } }, { "disease": "Li-Fraumeni syndrome 1 ", "disease_description": "Li-Fraumeni syndrome (LFS) is a cancer predisposition syndrome associated with high risks for a broad spectrum of cancers including early-onset cancers.", "disease_symbol": null, "disease_alt_symbol": null, "evidences": { "pub_med_references": [ 12692171, 15604628, 17392385, 20065170, 20301471, 20301488, 23788249, 24493721, 25356965, 25394175, 26140447, 26324357, 26389258, 27854360, 34012068, 35802134 ], "cosmic_study": null } }, { "disease": "Myomatous Neoplasms", "disease_description": "From tissue: Retroperitoneum", "disease_symbol": null, "disease_alt_symbol": null, "evidences": null } ], "siftscore": null, "siftprediction": null, "polyphenscore": null, "polyphenprediction": null, "evidences": null, "xrefs": { "cosmicmutationid": [ "COSV52731306" ], "clinvaraccession": [] }, "variant_type": "Disease", "disease": "Hereditary cancer-predisposing syndrome", "disease_symbol": null, "disease_alt_symbol": null, "bed_comments": null, "pub_med_references": null } ] } ], "nih_gdc": [ { "version": "07-Jun-2025", "sex": [ { "key": "Male", "value": 1 } ], "age_freq": [ { "key": "50-60", "value": 1 } ], "os_status": [ { "key": "Living", "value": 1 } ], "race": [ { "key": "White", "value": 1 } ], "tumor_status": [ { "key": "Disease Free", "value": 1 } ], "tumor_tissue_site": null, "path_t_stage": null, "path_n_stage": null, "path_m_stage": null, "clin_t_stage": null, "clin_n_stage": null, "clin_m_stage": null, "ajcc_pathologic_tumor_stage": null, "total_samples": 1, "study_name": null, "prior_dx": [ { "key": "No", "value": 1 } ], "drug": null, "measure_of_response": null, "therapy_type": null, "route_of_administration": null, "therapy_ongoing": null, "clinical_significance": [ { "key": "Likely Pathogenic", "value": 1 }, { "key": "Uncertain Significance", "value": 1 } ], "pub_med_references": [ "25157968", "26900293", "21264207", "25105660", "16489069", "17606709", "18511570", "23161690", "24929325", "21305319", "21761402", "16401470", "8649785", "9047394", "11101847", "15977174", "18391940", "19881536", "20128691", "20689556", "21343334", "22233476", "22698404", "23792586", "24573247", "28163917", "12619118" ], "oncotree_code": [ { "key": "LMS", "value": 1 } ], "cancer_name": [ { "key": "Leiomyosarcoma (LMS)", "value": 1 } ], "cancer_type": [ { "key": "Soft Tissue Sarcoma", "value": 1 } ], "tissue_type": [ { "key": "Soft Tissue", "value": 1 } ] } ], "saphetor_known_pathogenicity": [ { "version": "12-Jun-2025", "items": [ { "annotations": { "NCBI ClinVar2": [ { "functions": [ "coding" ], "coding_impact": "missense", "acmg_confirmed": true, "acmg_class": "Likely Pathogenic", "acmg_reannotated": "Pathogenic", "codon": 175, "gene_symbol": "TP53", "hgvs": "R175L", "transcript": "NM_000546.6", "submission_count": 6, "review_stars": 3, "accession_count": 3, "publication_count": 10, "clinical_significance": [ "likely pathogenic" ], "disease_name": [ "Cancer Predisposition", "Hereditary Cancer-Predisposing Syndrome", "Hereditary Neoplastic Syndrome", "Li-Fraumeni Syndrome", "Sarcoma Family Syndrome Li Fraumeni" ] } ], "UNIPROT UniProt Variants": [ { "functions": [ "coding" ], "coding_impact": "missense", "acmg_confirmed": true, "acmg_class": "Pathogenic", "acmg_reannotated": "Pathogenic", "codon": 175, "gene_symbol": "TP53", "hgvs": "R175L", "transcript": "NM_000546.6", "possible_functional_studies": [ 7887414 ], "disease_name": [ "Hereditary cancer-predisposing syndrome", "Li-Fraumeni syndrome", "Li-Fraumeni syndrome", "Li-Fraumeni syndrome 1" ], "annotation_id": "VAR_005930" } ] } } ] } ], "alpha_missense": [ { "version": "03-Jul-2024", "main_data": "Likely Pathogenic", "alpha_missense_score": 0.9906918546098209 } ], "cbio_portal": [ { "version": "06-Jun-2023", "total_samples": 61, "sample_id": null, "sample_type": [ { "key": "Primary", "value": 29 }, { "key": "Metastasis", "value": 8 } ], "study_name": null, "mutation_status": [ { "key": "Somatic", "value": 25 } ], "validation_status": [ { "key": "Valid", "value": 3 } ], "center": [ { "key": "Mskcc", "value": 23 }, { "key": "Discover.Nci.Nih.Gov", "value": 2 }, { "key": "Genome.Wustl.Edu", "value": 2 }, { "key": "Broad.Mit.Edu", "value": 1 }, { "key": "Inserm.Fr", "value": 1 }, { "key": "Jhu", "value": 1 } ], "t_ref_count": 15516, "t_alt_count": 6239, "n_ref_count": 15997, "n_alt_count": 13, "n_depth": 42, "t_depth": 182, "canonical": true, "hotspot": false, "ensp": "ENSP00000269305", "ccds": "CCDS11118.1", "cdsposition": "524", "cdnaposition": "714", "biotype": "Protein_Coding", "uniparc": "UPI000002ED67", "pick": 1.0, "sex": [ { "key": "Female", "value": 36 }, { "key": "Male", "value": 21 } ], "age_freq": [ { "key": "60-70", "value": 8 }, { "key": "50-60", "value": 7 }, { "key": "30-40", "value": 3 }, { "key": "70-80", "value": 3 }, { "key": "40-50", "value": 1 }, { "key": "5-10", "value": 1 } ], "os_months": [ { "key": "109", "value": 3 }, { "key": "9", "value": 2 }, { "key": "7", "value": 2 }, { "key": "15", "value": 2 }, { "key": "16", "value": 2 }, { "key": "21", "value": 1 }, { "key": "67", "value": 1 }, { "key": "63", "value": 1 }, { "key": "47", "value": 1 }, { "key": "34", "value": 1 }, { "key": "29", "value": 1 }, { "key": "24", "value": 1 }, { "key": "23", "value": 1 }, { "key": "0", "value": 1 }, { "key": "19", "value": 1 }, { "key": "14", "value": 1 }, { "key": "13", "value": 1 }, { "key": "12", "value": 1 }, { "key": "11", "value": 1 }, { "key": "10", "value": 1 } ], "os_status": [ { "key": "Deceased", "value": 24 }, { "key": "Living", "value": 16 } ], "race": [ { "key": "European (non-Finnish)", "value": 18 }, { "key": "African", "value": 1 } ], "tumor_status": [ { "key": "Disease Free", "value": 3 } ], "dfs_months": [ { "key": "109", "value": 3 } ], "path_t_stage": null, "pfs_status": [ { "key": "Yes", "value": 2 }, { "key": "No", "value": 1 } ], "radiation_therapy": [ { "key": "No", "value": 1 } ], "path_n_stage": null, "path_m_stage": null, "new_tumor_event_after_initial_treatment": [ { "key": "NO", "value": 1 }, { "key": "No", "value": 1 } ], "ajcc_pathologic_tumor_stage": null, "dss_status": [ { "key": "0.0", "value": 1 }, { "key": "0:Alive Or Dead Tumor Free", "value": 1 } ], "prior_dx": [ { "key": "No", "value": 1 } ], "somatic_status_freq": [ { "key": "Yes", "value": 33 } ], "grade": null, "pub_med_references": [ 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 26900293, 25157968, 21264207, 21305319, 25105660, 16489069, 17606709, 18511570, 23161690, 24929325, 21761402, 16401470, 8649785, 9047394, 11101847, 15977174, 18391940, 19881536, 20128691, 20689556, 21343334, 22233476, 22698404, 23792586, 24573247, 28163917, 12619118, 25105660, 21264207, 24929325, 25404506 ], "oncotree_code": [ { "key": "LUAD", "value": 12 }, { "key": "PAAD", "value": 7 }, { "key": "LIVER", "value": 5 }, { "key": "NSCLC", "value": 5 }, { "key": "BLCA", "value": 4 }, { "key": "GBM", "value": 4 }, { "key": "LUSC", "value": 4 }, { "key": "URMM", "value": 3 }, { "key": "COAD", "value": 3 }, { "key": "LMS", "value": 3 }, { "key": "IHCH", "value": 2 }, { "key": "VMM", "value": 1 }, { "key": "THAP", "value": 1 }, { "key": "SCLC", "value": 1 }, { "key": "RMS", "value": 1 }, { "key": "HCC", "value": 1 }, { "key": "BRAIN", "value": 1 }, { "key": "BOWEL", "value": 1 } ], "cancer_name": [ { "key": "Non-Small Cell Lung Cancer", "value": 19 }, { "key": "Pancreatic Cancer", "value": 7 }, { "key": "Glioma", "value": 5 }, { "key": "Liver Hepatocellular Carcinoma", "value": 5 }, { "key": "Bladder Cancer", "value": 4 }, { "key": "Melanoma", "value": 4 }, { "key": "Colorectal Cancer", "value": 3 }, { "key": "Soft Tissue Sarcoma", "value": 3 }, { "key": "Hepatobiliary Cancer", "value": 2 }, { "key": "Colorectal Carcinoma", "value": 1 }, { "key": "Intrahepatic Cholangiocarcinoma", "value": 1 }, { "key": "Non Small Cell Lung Cancer", "value": 1 }, { "key": "Non-Small Cell Lung", "value": 1 }, { "key": "Sarcoma", "value": 1 }, { "key": "Small Cell Lung Cancer", "value": 1 }, { "key": "Thyroid Cancer", "value": 1 } ], "cancer_type": [ { "key": "Non-Small Cell Lung Cancer", "value": 21 }, { "key": "Pancreatic Cancer", "value": 7 }, { "key": "Liver Cancer, NOS", "value": 5 }, { "key": "Bladder Cancer", "value": 4 }, { "key": "Glioma", "value": 4 }, { "key": "Melanoma", "value": 4 }, { "key": "Soft Tissue Sarcoma", "value": 4 }, { "key": "Colorectal Cancer", "value": 3 }, { "key": "Hepatobiliary Cancer", "value": 3 }, { "key": "Bowel Cancer, NOS", "value": 1 }, { "key": "CNS/Brain Cancer, NOS", "value": 1 }, { "key": "Small Cell Lung Cancer", "value": 1 }, { "key": "Thyroid Cancer", "value": 1 } ], "tissue_type": [ { "key": "Lung", "value": 22 }, { "key": "Bladder/Urinary Tract", "value": 7 }, { "key": "Pancreas", "value": 7 }, { "key": "Liver", "value": 6 }, { "key": "CNS/Brain", "value": 5 }, { "key": "Bowel", "value": 4 }, { "key": "Soft Tissue", "value": 4 }, { "key": "Biliary Tract", "value": 2 }, { "key": "Thyroid", "value": 1 }, { "key": "Vulva/Vagina", "value": 1 } ] } ], "cancer_hotspots": [ { "version": "10-Sep-2021", "total_samples": 8, "t_ref_count": 1014, "t_alt_count": 302, "n_ref_count": null, "n_alt_count": null, "n_depth": 0, "t_depth": 1316, "somatic": [ { "key": "1,0", "value": 8 } ], "canonical": true, "ensp": "ENSP00000269305", "ccds": "CCDS11118.1", "cdsposition": "524/1182", "cdnaposition": "714/2579", "biotype": "protein_coding", "feature": "ENST00000269305", "uniparc": "Upi000002Ed67", "pick": 1.0, "pub_med_references": [ 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506, 25105660, 21264207, 24929325, 25404506 ], "oncotree_code": [ { "key": "BLCA", "value": 1 }, { "key": "CHOL", "value": 1 }, { "key": "LGGNOS", "value": 1 }, { "key": "LUAD", "value": 1 }, { "key": "LUSC", "value": 1 }, { "key": "THAP", "value": 1 }, { "key": "URMM", "value": 1 } ], "cancer_name": [ { "key": "Anaplastic Thyroid Cancer", "value": 1 }, { "key": "Bladder Urothelial Carcinoma", "value": 1 }, { "key": "Cholangiocarcinoma", "value": 1 }, { "key": "Low-Grade Glioma, NOS", "value": 1 }, { "key": "Lung Adenocarcinoma", "value": 1 }, { "key": "Lung Squamous Cell Carcinoma", "value": 1 }, { "key": "Mucosal Melanoma of the Urethra", "value": 1 } ], "cancer_type": [ { "key": "Non-Small Cell Lung Cancer", "value": 2 }, { "key": "Bladder Cancer", "value": 1 }, { "key": "Glioma", "value": 1 }, { "key": "Hepatobiliary Cancer", "value": 1 }, { "key": "Melanoma", "value": 1 }, { "key": "Thyroid Cancer", "value": 1 } ], "tissue_type": [ { "key": "Bladder/Urinary Tract", "value": 2 }, { "key": "Lung", "value": 2 }, { "key": "Biliary Tract", "value": 1 }, { "key": "CNS/Brain", "value": 1 }, { "key": "Thyroid", "value": 1 } ] } ], "phastcons100way": [ { "version": "14-Apr-2021", "conservation_score": [ "1.000" ] } ], "phylop100way": [ { "version": "13-Apr-2021", "conservation_score": [ "6.044" ] } ], "variant_pubmed_automap": null, "nih_clingen_variants": [ { "version": "07-Jul-2025", "approval_date": "2024-09-06", "disease": "Li-Fraumeni syndrome", "evidence_met": [ "PM1", "PM5", "PP4", "PM2_Supporting", "BS3_Supporting", "PS4_Moderate", "PP3_Moderate" ], "evidence_not_met": [ "BS1", "PP1", "BS2", "BA1", "BP4", "PS3", "PS2", "PS1" ], "expert_panel": "TP53 VCEP", "guideline": null, "mode_of_inheritance": "Autosomal dominant inheritance", "mondo_id": "MONDO:0018875", "pathogenicity": "Likely Pathogenic", "pub_med_references": null, "published_date": "2024-09-06", "repo_link": "https://erepo.genome.network/evrepo/ui/classification/CA000252/MONDO:0018875/009", "retracted": "false", "summary": "The NM_000546.6: c.524G>T variant in TP53 is a missense variant predicted to cause substitution of arginine by leucine at amino acid 175 (p.Arg175Leu). This variant is absent from gnomAD v4.1.0 (PM2_Supporting). This variant has been reported in 4 unrelated probands meeting Revised Chompret criteria. Based on this evidence, this variant scores 2 total points meeting the TP53 VCEP phenotype scoring criteria of 2-3.5 points. (PS4_Moderate; PMID: 16707427; Internal lab contributors: Invitae, Ambry). In vitro assays performed in yeast and/or human cell lines showed partially functional transactivation, and retained growth suppression activity indicating that this variant does not impact protein function (BS3_Supporting; PMIDs: 12826609, 29979965, 30224644).Computational predictor scores (BayesDel = 0.57303; Align GVGD = Class C65) are above recommended thresholds (BayesDel > 0.16 and an Align GVGD Class of 65), evidence that correlates with impact to TP53 via protein change (PP3_Moderate). At least one individual with this variant was found to have a variant allele fraction of ≤35%, which is a significant predictor of variant pathogenicity (PP4_Moderate, PMID: 34906512, Internal lab contributor: Invitae). This variant resides within a codon (NM_00546.4: 175, 245, 248, 249, 273, 282) of TP53 that is defined as a mutational hotspot by the ClinGen TP53 VCEP (PM1; PMID: 8023157). Another missense variant(c.524G>A, p.Arg175His) (ClinVar Variation ID: 12374), in the same codon has been classified as pathogenic for Li-Fraumeni syndrome by the ClinGen TP53 VCEP’s specifications. (PM5). In summary, this variant meets the criteria to be classified as Likely Pathogenic for Li Fraumeni syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen TP53 VCEP: PS4_Moderate, PM2_Supporting, BS3_Supporting, PP3_Moderate, PP4, PM1, PM5 (Bayesian Points: 9; VCEP specifications version 2.0; 9/6/2024)" } ], "knc_splice_vault": [ { "version": "10-Jun-2025", "items": [ [ { "event_rank": 1, "exon_no": 5, "tx_id": "NM_001276761", "gtex_sample_count": 18600, "skipped_exons_id": null, "splicing_event_class": "normal splicing", "ss_type": "donor", "cryptic_distance": null, "skipped_exons_count": null, "gtex_max_uniq_map_reads": 548, "intropolis_sample_count": 11905, "splice_junction_coordinates": "chr17:7578371-7578291", "missplicing_inframe": true }, { "event_rank": 2, "exon_no": 5, "tx_id": "NM_001276761", "gtex_sample_count": 61, "skipped_exons_id": null, "splicing_event_class": "cryptic donor", "ss_type": "donor", "cryptic_distance": -46, "skipped_exons_count": null, 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"splicing_event_class": "exon skipping", "ss_type": "donor", "cryptic_distance": null, "skipped_exons_count": 1, "gtex_max_uniq_map_reads": 1, "intropolis_sample_count": 0, "splice_junction_coordinates": "chr17:7579312-7578291", "missplicing_inframe": false } ], [ { "event_rank": 1, "exon_no": 1, "tx_id": "NM_001276698", "gtex_sample_count": 18600, "skipped_exons_id": null, "splicing_event_class": "normal splicing", "ss_type": "donor", "cryptic_distance": null, "skipped_exons_count": null, "gtex_max_uniq_map_reads": 548, "intropolis_sample_count": 11905, "splice_junction_coordinates": "chr17:7578371-7578291", "missplicing_inframe": true }, { "event_rank": 2, "exon_no": 1, "tx_id": "NM_001276698", "gtex_sample_count": 61, "skipped_exons_id": null, "splicing_event_class": "cryptic donor", "ss_type": "donor", "cryptic_distance": -46, "skipped_exons_count": null, "gtex_max_uniq_map_reads": 6, "intropolis_sample_count": 29, "splice_junction_coordinates": "chr17:7578417-7578291", 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