POLE c.63-11C>A, p.?

NM_006231.4:c.63-11C>A
Variant of Uncertain Significance (VUS)
The variant NM_006231.4:c.63-11C>A in POLE is classified as VUS based on one Moderate criterion (PM2) and one Supporting criterion (BP4); there is insufficient evidence to support a benign or pathogenic classification.
ACMG/AMP Criteria Applied
PM2 BP4

Genetic Information

Gene & Transcript Details
Gene
POLE
Transcript
NM_006231.4 MANE Select
Total Exons
49
Strand
Reverse (−)
Reference Sequence
NC_000012.11
Alternative Transcripts
IDStatusDetails
NM_006231.2 Alternative 49 exons | Reverse
NM_006231.3 RefSeq Select 49 exons | Reverse
Variant Details
HGVS Notation
NM_006231.4:c.63-11C>A
Protein Change
?
Location
Exon 1 (Exon 1 of 49)
1
5'Exon Structure (49 total)3'
Functional Consequence
Loss of Function
Related Variants
Variant interpretation based on transcript NM_006231.4

Genome Browser

UCSC Genome Browser hg19/GRCh37
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HGVS InputNM_006231:c.63-11C>A
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Clinical Data

Population Frequency
Global Frequency
0.0 in 100,000
Extremely Rare
Global: 0.0%
0%
0.05%
0.1%
1%
5%
10%+
ACMG Criteria Applied
PM2
This variant is not present in gnomAD (PM2 criteria applies).
ClinVar 2025-11-14T11:51:02.973375
Classification
Unknown
Publications (0)
No publication details.
Clinical Statement
COSMIC
COSMIC ID
Unknown
Recurrence
0 occurrences
PM1 Criteria
Not Applied
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Functional Impact

Functional Domain
Hotspot Status
Not a hotspot
Domain Summary

This variant is not located in a mutational hotspot or critical domain (0 mutations).

Related Variants in This Domain
Functional Studies & Therapeutic Relevance
Functional Summary
The POLE 63-11C>A variant has not been functionally characterized.
Database Previews
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JAX-CKB
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Computational Analysis

Pathogenicity Predictions
Predictor Consensus
Mixed/VUS
PP3 Applied
No
Additional Predictors
Benign:
CADD: 0.15
SpliceAI Scores Window: ±500bp
Effect TypeScorePosition
-Acceptor Loss
0.01
-11 bp
-Donor Loss
0.02
-117 bp
+Acceptor Gain
0.03
-34 bp
+Donor Gain
0.0
-346 bp
High impact (≥0.5)
Medium impact (0.2-0.49)
Low impact (<0.2)

VCEP Guidelines

Applied ACMG/AMP Criteria (VCEP Specific)
PVS1
PVS1 (Not Applied) Strength Modified
According to standard ACMG guidelines, PVS1 applies to null variants in a gene where loss of function is a known mechanism of disease (Very Strong). The evidence for this variant shows it is an intronic change at position c.63-11, not affecting canonical ±1/2 splice sites. Therefore, this criterion is not applied because the variant does not meet the null variant definition.
PS1
PS1 (Not Applied) Strength Modified
According to standard ACMG guidelines, PS1 applies when the variant leads to the same amino acid change as a known pathogenic variant (Strong). The evidence for this variant shows it is intronic and does not alter an amino acid. Therefore, this criterion is not applied.
PS2
PS2 (Not Applied) Strength Modified
According to standard ACMG guidelines, PS2 applies to confirmed de novo variants in a patient with the disease and no family history (Strong). The evidence for this variant shows no information on de novo status or parental testing. Therefore, this criterion is not applied.
PS3
PS3 (Not Applied) Strength Modified
According to standard ACMG guidelines, PS3 applies when well-established functional studies support a damaging effect (Strong). The evidence for this variant shows no functional characterization has been performed. Therefore, this criterion is not applied.
PS4
PS4 (Not Applied) Strength Modified
According to standard ACMG guidelines, PS4 applies when prevalence in affected individuals is significantly increased compared with controls (Strong). The evidence for this variant shows no case–control data. Therefore, this criterion is not applied.
PM1
PM1 (Not Applied) Strength Modified
According to standard ACMG guidelines, PM1 applies to variants located in a mutational hot spot or well-established functional domain without benign variation (Moderate). The evidence for this variant shows no hotspot or domain involvement. Therefore, this criterion is not applied.
PM2
PM2 (Moderate)
According to standard ACMG guidelines, the rule for PM2 is: "Absent from controls (or at extremely low frequency if recessive)" (Moderate). The evidence for this variant shows it is absent from population databases including gnomAD. Therefore, this criterion is applied at Moderate strength because the variant is not found in controls.
PM3
PM3 (Not Applied) Strength Modified
According to standard ACMG guidelines, PM3 applies when detected in trans with a pathogenic variant in recessive disorders (Moderate). The evidence for this variant shows no information on zygosity or trans configuration. Therefore, this criterion is not applied.
PM4
PM4 (Not Applied) Strength Modified
According to standard ACMG guidelines, PM4 applies to protein length changes due to in-frame indels or stop-loss variants (Moderate). The evidence for this variant shows no change in protein length. Therefore, this criterion is not applied.
PM5
PM5 (Not Applied) Strength Modified
According to standard ACMG guidelines, PM5 applies to novel missense changes at an amino acid residue where a different pathogenic missense change has been seen (Moderate). The evidence for this variant shows it is intronic and not missense. Therefore, this criterion is not applied.
PM6
PM6 (Not Applied) Strength Modified
According to standard ACMG guidelines, PM6 applies to assumed de novo variants without confirmation of paternity/maternity (Moderate). The evidence for this variant shows no de novo data. Therefore, this criterion is not applied.
PP1
PP1 (Not Applied) Strength Modified
According to standard ACMG guidelines, PP1 applies to co-segregation with disease in multiple affected family members (Supporting). The evidence for this variant shows no segregation data. Therefore, this criterion is not applied.
PP2
PP2 (Not Applied) Strength Modified
According to standard ACMG guidelines, PP2 applies to a missense variant in a gene with low benign missense variation rate and where missense is a common disease mechanism (Supporting). The evidence for this variant shows it is intronic. Therefore, this criterion is not applied.
PP3
PP3 (Not Applied) Strength Modified
According to standard ACMG guidelines, PP3 applies when multiple lines of computational evidence support a deleterious effect (Supporting). The evidence for this variant shows in silico tools (SpliceAI, CADD) predict no impact. Therefore, this criterion is not applied.
PP4
PP4 (Not Applied) Strength Modified
According to standard ACMG guidelines, PP4 applies to a patient's phenotype highly specific for a disease with a single genetic etiology (Supporting). The evidence for this variant shows no phenotype data. Therefore, this criterion is not applied.
PP5
PP5 (Not Applied) Strength Modified
According to standard ACMG guidelines, PP5 applies when a reputable source reports the variant as pathogenic without accessible evidence (Supporting). The evidence for this variant shows no such report. Therefore, this criterion is not applied.
BA1
BA1 (Not Applied) Strength Modified
According to standard ACMG guidelines, BA1 applies when allele frequency is too high for the disorder (Stand-alone). The evidence for this variant shows MAF=0%. Therefore, this criterion is not applied.
BS1
BS1 (Not Applied) Strength Modified
According to standard ACMG guidelines, BS1 applies when allele frequency is greater than expected for the disorder (Strong). The evidence for this variant shows it is absent from population databases. Therefore, this criterion is not applied.
BS2
BS2 (Not Applied) Strength Modified
According to standard ACMG guidelines, BS2 applies when observed in healthy adult individuals for fully penetrant disorders (Strong). The evidence for this variant shows no healthy individual data. Therefore, this criterion is not applied.
BS3
BS3 (Not Applied) Strength Modified
According to standard ACMG guidelines, BS3 applies when well-established functional studies show no damaging effect (Strong). The evidence for this variant shows no functional studies. Therefore, this criterion is not applied.
BS4
BS4 (Not Applied) Strength Modified
According to standard ACMG guidelines, BS4 applies when there is lack of segregation in affected family members (Strong). The evidence for this variant shows no segregation data. Therefore, this criterion is not applied.
BP1
BP1 (Not Applied) Strength Modified
According to standard ACMG guidelines, BP1 applies to a missense variant in a gene where only loss of function causes disease (Supporting). The evidence for this variant shows it is intronic. Therefore, this criterion is not applied.
BP2
BP2 (Not Applied) Strength Modified
According to standard ACMG guidelines, BP2 applies when observed in trans with a pathogenic variant for dominant disorders or in cis with a pathogenic variant (Supporting). The evidence for this variant shows no such data. Therefore, this criterion is not applied.
BP3
BP3 (Not Applied) Strength Modified
According to standard ACMG guidelines, BP3 applies to in-frame indels in repetitive regions without known function (Supporting). The evidence for this variant shows no indel. Therefore, this criterion is not applied.
BP4
BP4 (Supporting)
According to standard ACMG guidelines, the rule for BP4 is: "Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary, splicing impact, etc.)" (Supporting). The evidence for this variant shows SpliceAI score 0.03 and low CADD score, indicating no deleterious effect. Therefore, this criterion is applied at Supporting strength because computational data predict no impact.
BP5
BP5 (Not Applied) Strength Modified
According to standard ACMG guidelines, BP5 applies when the variant is found in a case with an alternate molecular basis for disease (Supporting). The evidence for this variant shows no such cases. Therefore, this criterion is not applied.
BP6
BP6 (Not Applied) Strength Modified
According to standard ACMG guidelines, BP6 applies when a reputable source reports the variant as benign without accessible evidence (Supporting). The evidence for this variant shows no such report. Therefore, this criterion is not applied.
BP7
BP7 (Not Applied) Strength Modified
According to standard ACMG guidelines, BP7 applies to a synonymous variant with no predicted impact on splicing (Supporting). The evidence for this variant shows it is intronic. Therefore, this criterion is not applied.