Genetic Information

Gene & Transcript Details

Gene
TP53
Transcript
NM_000546.5 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_000546.5:c.993+284C>T
Protein Change
?
Location
Exon 9 (Exon 9 of )
9
5'Exon Structure3'
Functional Consequence
Loss of Function
Alternate Identifiers

Clinical & Population Data

Population Frequency

gnomAD
Global Frequency
0.00185 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
Uncertain Significance (VUS)
2 publications
Clinical Statement

"This variant has been reported in ClinVar as Likely benign (1 clinical laboratories) and as Uncertain significance (2 clinical laboratories)."

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 993+284C>T 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) 0.16 88 bp
- Donor Loss (DL) 0.14 -28 bp
+ Acceptor Gain (AG) 0.0 -28 bp
+ Donor Gain (DG) 0.0 281 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 for PVS1: 'PVS1 applies to canonical splice variants (±1,2 positions) or null variants leading to NMD in TP53.' The variant is located at +284 intronic position, outside the canonical splice site. Therefore, this criterion is not applied.

PS1

PS1 (Not Applied)

According to VCEP guidelines for PS1: 'Applies to variants with same amino acid change as established pathogenic variant.' This variant is non-coding and does not result in an amino acid change. Therefore, PS1 is not applied.

PS2

PS2 (Not Applied)

According to VCEP guidelines for PS2: 'Requires confirmed de novo occurrence with parental testing.' No de novo data are available for this variant. Therefore, PS2 is not applied.

PS3

PS3 (Not Applied)

According to VCEP guidelines for PS3: 'Requires non-functional or loss-of-function evidence from validated TP53 assays.' No functional studies have been performed. Therefore, PS3 is not applied.

PS4

PS4 (Not Applied)

According to VCEP guidelines for PS4: 'Requires case-control or proband point totals for LFS cancers.' No such case data are available. Therefore, PS4 is not applied.

PM1

PM1 (Not Applied)

According to VCEP guidelines for PM1: 'Applies to hotspot missense codons in DNA-binding domain.' This variant is intronic and not a missense change at a hotspot codon. Therefore, PM1 is not applied.

PM2

PM2 (Not Applied)

According to VCEP guidelines for PM2_Supporting: 'Variant allele frequency must be <0.00003 overall and <0.00004 in any ancestry group.' Although the overall MAF is 0.0000185 (<0.00003), the African/African-American subpopulation frequency is 0.0000502 (>0.00004). Therefore, PM2 is not applied.

PM3

PM3 (Not Applied)

According to standard ACMG guidelines for PM3: 'Applies to variants observed in trans with a pathogenic variant in a recessive disorder.' TP53-related conditions are dominant and no trans data exist. Therefore, PM3 is not applied.

PM4

PM4 (Not Applied)

According to standard ACMG guidelines for PM4: 'Applies to protein length changes such as in-frame indels.' This variant is intronic with no protein length change. Therefore, PM4 is not applied.

PM5

PM5 (Not Applied)

According to VCEP guidelines for PM5: 'Applies to missense changes at residues with other pathogenic missense variants.' This variant is intronic. Therefore, PM5 is not applied.

PM6

PM6 (Not Applied)

According to VCEP guidelines for PM6: 'Applies to assumed de novo without confirmation.' No de novo information is available. Therefore, PM6 is not applied.

PP1

PP1 (Not Applied)

According to VCEP guidelines for PP1: 'Requires segregation data in multiple meioses.' No segregation data are available. Therefore, PP1 is not applied.

PP2

PP2 (Not Applied)

According to standard ACMG guidelines for PP2: 'Applies to missense variants in genes with low rate of benign missense.' This variant is intronic. Therefore, PP2 is not applied.

PP3

PP3 (Not Applied)

According to standard ACMG guidelines for PP3: 'Requires multiple lines of computational evidence supporting a deleterious effect.' SpliceAI score is 0.16 (below typical splicing impact threshold) and no other in silico tool predicts deleteriousness. Therefore, PP3 is not applied.

PP4

PP4 (Not Applied)

According to VCEP guidelines for PP4: 'Requires specific TP53-related phenotype observations.' No phenotype data are provided. Therefore, PP4 is not applied.

PP5

PP5 (Not Applied)

According to standard ACMG guidelines for PP5: 'Applies to assertions from reputable sources without supporting evidence.' ClinVar submissions are conflicting (Likely benign and VUS). Therefore, PP5 is not applied.

BA1

BA1 (Not Applied)

According to VCEP guidelines for BA1: 'Requires filtering allele frequency ≥0.001 in any gnomAD ancestry group.' The highest subpopulation MAF is 0.0000502, below the BA1 threshold. Therefore, BA1 is not applied.

BS1

BS1 (Not Applied)

According to VCEP guidelines for BS1: 'Requires FAF ≥0.0003 but <0.001 in a gnomAD ancestry group.' The highest subpopulation MAF is 0.0000502, below 0.0003. Therefore, BS1 is not applied.

BS2

BS2 (Not Applied)

According to VCEP guidelines for BS2: 'Requires ≥2 unrelated older unaffected individuals.' No such data are available. Therefore, BS2 is not applied.

BS3

BS3 (Not Applied)

According to VCEP guidelines for BS3: 'Requires functional assays demonstrating no loss of function in TP53.' No functional assay data are available. Therefore, BS3 is not applied.

BS4

BS4 (Not Applied)

According to VCEP guidelines for BS4: 'Requires 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 for BP1: 'Applies to missense variant in a gene where only truncating variants cause disease.' This variant is intronic. Therefore, BP1 is not applied.

BP2

BP2 (Not Applied)

According to standard ACMG guidelines for BP2: 'Applies to observed in trans with pathogenic for dominant disorder.' Not applicable for this TP53 variant. Therefore, BP2 is not applied.

BP3

BP3 (Not Applied)

According to standard ACMG guidelines for BP3: 'Applies to in-frame indels in repetitive regions.' This variant is intronic, not an indel. Therefore, BP3 is not applied.

BP4

BP4 (Supporting)

According to standard ACMG guidelines for BP4: 'Multiple lines of computational evidence suggest no impact on gene or gene product.' SpliceAI predicts no splicing impact (max score 0.16) and other tools show no deleterious effect. Therefore, BP4 is applied at Supporting strength.

BP5

BP5 (Not Applied)

According to standard ACMG guidelines for BP5: 'Applies when variant found in cis with a pathogenic variant.' No cis observations exist. Therefore, BP5 is not applied.

BP6

BP6 (Not Applied)

According to standard ACMG guidelines for BP6: 'Applies to assertions from reputable sources without evidence.' ClinVar submissions are conflicting. Therefore, BP6 is not applied.

BP7

BP7 (Not Applied)

According to VCEP guidelines for BP7: 'Applies to intronic variants outside ±1,2 with SpliceAI ≤0.1.' SpliceAI = 0.16, above the BP7 cutoff. Therefore, BP7 is not applied.