Genetic Information

Gene & Transcript Details

Gene
TERT
Transcript
NM_198253.2 MANE Select
Total Exons
Reference Sequence
NC_000005.9
Alternative Transcripts
IDStatusDetails
NM_198253.3 MANE Select 4039 nt | 80–3478
NM_198253.1 Alternative 3644 nt | 56–2479
NM_198253.2 RefSeq Select 4018 nt | 59–3457

Variant Details

HGVS Notation
NM_198253.2:c.3184G>A
Protein Change
A1062T
Location
Exon 15 (Exon 15 of )
15
5'Exon Structure3'
Functional Consequence
Loss of Function
Alternate Identifiers

Clinical & Population Data

Population Frequency

gnomAD
Global Frequency
1.25 in 100,000
Extremely Rare
ACMG Criteria Applied BA1

ClinVar

Open
Classification
Uncertain Significance (VUS)
4 publications
Publications List
PMID: 19760749

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.

PMID: 25108601

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.

PMID: 18753630

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.

PMID: 21520173

Variant classified as Uncertain Risk Allele. TERT c.3184G>A (p.Ala1062Thr) has been associated with increased risk for acute myeloid leukemia. This variant has been observed in multiple ethnic backgrounds with highest frequencies in individuals of non-Finnish European ancestry (2.1%, Genome Aggregation Database (gnomAD); rs35719940) and is present in ClinVar (ID: 39121). Several small studies implicate this variant is associated with a number of different hematological and pulmonary conditions including pulmonary fibrosis (Tsakiri 2007, Alder 2008), AML (Calado 2009, Aref 2014), DL-BCL and CLL (Hills 2009) and cirrhosis (Calado 2011). Functional studies from all but one group (Calado 2011) suggest that that this variant does not have a significant impact on telomerase activity (Alder 2008, Gramatges 2013, Zaug 2013, Zhang 2014, Hoffman 2017). In summary, it is uncertain if this variant is a risk factor for TERT-related conditions.

Clinical Statement

"This variant has been reported in ClinVar as Likely benign (6 clinical laboratories) and as Uncertain significance (2 clinical laboratories) and as Benign (10 clinical laboratories) and as Likely Benign (1 clinical laboratories)."

COSMIC Somatic Evidence

Open
COSMIC ID
COSM5019566
Recurrence
7 occurrences
PM1 Criteria
Not Applied
COSMIC Database 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 TERT.

Functional Studies & Therapeutic Relevance

Functional Summary

Error in OpenAI Consolidation. OncoKB: TERTA1062TTERTA1062TSomaticNCBI Gene:7015|Show additional gene information Variant OverviewTERT is an enzyme that functions to maintain telomere length and genomic stability. The TERT promoter is frequently mutated in various cancer types.The TERT A1062T mutation has not specifically been reviewed by the OncoKB team, and therefore its biological significance is unknown. JAX-CKB: No results found

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
Mixed/VUS
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 43 bp
- Donor Loss (DL) 0.0 154 bp
+ Acceptor Gain (AG) 0.01 185 bp
+ Donor Gain (DG) 0.01 105 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:
BP4

BP4 (Unknown (Pre-LLM))

From pre-LLM assessment (LLM Failed)