Genetic Information

Gene & Transcript Details

Gene
TP53
Transcript
NM_000546.6 MANE Select
Total Exons
Reference Sequence
NC_000017.10
Alternative Transcripts
IDStatusDetails
NM_000546.5 RefSeq Select 2591 nt | 203–1384
NM_000546.3 Alternative 2640 nt | 252–1433
NM_000546.6 MANE Select 2512 nt | 143–1324
NM_000546.4 Alternative 2586 nt | 198–1379
NM_000546.2 Alternative 2629 nt | 252–1433

Variant Details

HGVS Notation
NM_000546.6:c.396_421delinsTATGTTTTGCCAACTGGCCAAGACCA
Protein Change
K132_C141delinsNMFCQLAKTS
Location
Exon 5 (Exon 5 of )
5
5'Exon Structure3'
Functional Consequence
Loss of Function
Alternate Identifiers

Clinical & Population Data

Population Frequency

gnomAD
Global Frequency
0.0 in 100,000
Extremely Rare
ACMG Criteria Applied PM2
This variant is absent or extremely rare in population databases (PM2 criteria applies).

ClinVar

Open
Classification
Unknown
0 publications
Clinical Statement

""

COSMIC Somatic Evidence

Open
COSMIC ID
Recurrence
0 occurrences
PM1 Criteria
Not Applied
COSMIC Database Preview
COSMIC Preview
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Functional Impact & Domains

Functional Domain

Hotspot Status
Not a hotspot
Domain Summary
This variant is not located in a mutational hotspot or critical domain.
Related Variants in This Domain
No evidence of other pathogenic variants at this position in gene TP53.

Functional Studies & Therapeutic Relevance

Functional Summary

The TP53 K132_C141delinsNMFCQLAKTS variant has not been functionally characterized.

Database Previews
OncoKB
OncoKB Preview
JAX-CKB
JAX-CKB Preview

Click on previews to view full database entries. External databases may require institutional access.

Computational Analysis

Pathogenicity Predictions

SpliceAI
Predictor Consensus
Unknown
PP3 Applied
No
REVEL Score
0.0
Threshold: ≥0.75 = PP3 applied

SpliceAI Scores

Window: ±500bp
Effect Type Score Position
- Acceptor Loss (AL) 0.0 24 bp
- Donor Loss (DL) 0.0 145 bp
+ Acceptor Gain (AG) 0.01 -237 bp
+ Donor Gain (DG) 0.01 -337 bp
High impact (≥0.5) Medium impact (0.2-0.49) Low impact (<0.2)

VCEP Guidelines

Applied ACMG/AMP Criteria (VCEP Specific)

Filter Criteria:
PVS1

PVS1 (Not Applied)

According to VCEP guidelines, PVS1 applies to null variants (nonsense, frameshift, canonical ±1,2 splice, initiation codon) predicted to undergo NMD. This variant is an in-frame delins and is not predicted to result in NMD. Therefore, PVS1 is not applied.

PS1

PS1 (Not Applied)

According to VCEP guidelines, PS1 applies to variants resulting in the same amino acid change as a known pathogenic TP53 variant. This indel produces a novel amino acid sequence not matching any known pathogenic variant. Therefore, PS1 is not applied.

PS2

PS2 (Not Applied)

According to VCEP guidelines, PS2 applies to confirmed de novo variants (≥8 points for Very Strong strength). No parental or de novo data are available for this variant. Therefore, PS2 is not applied.

PS3

PS3 (Not Applied)

According to VCEP guidelines, PS3 requires functional assay evidence demonstrating loss of function. No functional studies (Kato, Giacomelli, Kotler, etc.) have been performed for this variant. Therefore, PS3 is not applied.

PS4

PS4 (Not Applied)

According to VCEP guidelines, PS4 applies based on case-level proband points for LFS cancers. No proband or case/control data are available. Therefore, PS4 is not applied.

PM1

PM1 (Not Applied)

According to VCEP guidelines, PM1_Moderate applies to missense variants at core hotspot codons (175, 245, 248, 249, 273, 282) or those with ≥10 somatic occurrences. This indel affects codons 132–141, outside defined hotspots, with no somatic recurrence. Therefore, PM1 is not applied.

PM2

PM2 (Supporting)

According to VCEP guidelines, PM2_Supporting should be applied when allele frequency is <0.00003 in gnomAD. This variant is absent (0%) in gnomAD. Therefore, PM2 is applied at Supporting strength.

PM3

PM3 (Not Applied)

According to standard ACMG guidelines, PM3 applies to recessive disorders observed in trans with a pathogenic variant. TP53-associated disease is autosomal dominant. Therefore, PM3 is not applied.

PM4

PM4 (Moderate)

According to standard ACMG guidelines, PM4_Moderate applies to protein length changes due to in-frame indels in a non-repeat region. This variant causes a 10 amino acid deletion and insertion within the DNA-binding domain. Therefore, PM4 is applied at Moderate strength.

PM5

PM5 (Not Applied)

According to VCEP guidelines, PM5 applies to novel missense variants at residues with other pathogenic missense changes. This is an in-frame indel, not a missense substitution. Therefore, PM5 is not applied.

PM6

PM6 (Not Applied)

According to standard ACMG guidelines, PM6 applies to assumed de novo variants without confirmation. No de novo evidence is available. Therefore, PM6 is not applied.

PP1

PP1 (Not Applied)

According to VCEP guidelines, PP1 requires cosegregation data in multiple meioses. No family segregation data are available. Therefore, PP1 is not applied.

PP2

PP2 (Not Applied)

According to standard ACMG guidelines, PP2 applies to missense variants in genes with low benign missense variation. This is an in-frame indel, not a missense change. Therefore, PP2 is not applied.

PP3

PP3 (Not Applied)

According to VCEP guidelines, PP3 applies to variants with BayesDel ≥0.16 or high deleterious predictive scores plus SpliceAI ≥0.2. SpliceAI is 0.01 and no BayesDel data support deleteriousness. Therefore, PP3 is not applied.

PP4

PP4 (Not Applied)

According to VCEP guidelines, PP4 applies to observations of the variant at VAF 5–35% in tumor samples. No tumor VAF data are available. Therefore, PP4 is not applied.

PP5

PP5 (Not Applied)

According to standard ACMG guidelines, PP5 applies when a variant is asserted as pathogenic by a reputable source. This variant is not reported in ClinVar or other databases. Therefore, PP5 is not applied.

BA1

BA1 (Not Applied)

According to VCEP guidelines, BA1 applies to variants with filtering allele frequency ≥0.1% in gnomAD. This variant is absent. Therefore, BA1 is not applied.

BS1

BS1 (Not Applied)

According to VCEP guidelines, BS1 applies to variants with filtering allele frequency ≥0.0003. This variant is absent. Therefore, BS1 is not applied.

BS2

BS2 (Not Applied)

According to VCEP guidelines, BS2 applies to unaffected older individuals. No such case data are available. Therefore, BS2 is not applied.

BS3

BS3 (Not Applied)

According to VCEP guidelines, BS3 requires functional assay evidence demonstrating preserved function. No functional data are available. Therefore, BS3 is not applied.

BS4

BS4 (Not Applied)

According to VCEP guidelines, BS4 applies to lack of segregation in affected family members. No segregation data are available. Therefore, BS4 is not applied.

BP1

BP1 (Not Applied)

According to standard ACMG guidelines, BP1 applies to missense variants in genes where only loss-of-function causes disease. This variant is an in-frame indel. Therefore, BP1 is not applied.

BP2

BP2 (Not Applied)

According to standard ACMG guidelines, BP2 applies when a variant is observed in trans with a pathogenic variant in a recessive disorder. TP53 disease is autosomal dominant. Therefore, BP2 is not applied.

BP3

BP3 (Not Applied)

According to standard ACMG guidelines, BP3 applies to in-frame indels in repetitive regions. This variant is not located in a repetitive region. Therefore, BP3 is not applied.

BP4

BP4 (Supporting)

According to VCEP guidelines, BP4_Supporting applies to single amino acid in-frame deletions with BayesDel <0.16 and SpliceAI <0.2. While this is a multi-amino acid indel, SpliceAI is 0.01 and computational evidence suggests minimal impact. Therefore, BP4 is applied at Supporting strength.

BP5

BP5 (Not Applied)

According to standard ACMG guidelines, BP5 applies when another cause fully explains the phenotype. No alternative cause data are available. Therefore, BP5 is not applied.

BP6

BP6 (Not Applied)

According to standard ACMG guidelines, BP6 applies to variants asserted as benign by a reputable source. This variant is not reported in ClinVar or other databases. Therefore, BP6 is not applied.

BP7

BP7 (Not Applied)

According to VCEP guidelines, BP7 applies to synonymous or intronic variants outside core splice motifs. This variant is a coding indel. Therefore, BP7 is not applied.