Benign: BS1 (strong) is met because the gnomAD v2.1 genome allele frequency is 0.0126578. Benign: BS2 (strong) is met because gnomAD reports 27 v2.1 and 86 v4.1 homozygotes. Benign: BP4 (supporting) is met because SpliceAI maximum delta is 0.002.
POLD1 encodes the catalytic subunit of DNA polymerase delta, an enzyme that carries both DNA synthesis and proofreading (3' to 5' exonuclease) activities and is essential for accurate DNA replication and repair. Germline mutations in its exonuclease domain cause polyposis and predispose people to colorectal, endometrial, and possibly brain cancers. In cancer, POLD1 defects impair replication fidelity, leading to the accumulation of many mutations (an ultra-mutated phenotype) that may make tumors more responsive to immunotherapy, though somatic POLD1 mutations are rare.
POLD1 encodes the catalytic DNA polymerase delta subunit whose proofreading activity maintains replication fidelity, and germline exonuclease-domain disruption is associated with polyposis and cancer predisposition.
Benign: BS1 (strong) is met because the gnomAD v2.1 genome allele frequency is 0.0126578. Benign: BS2 (strong) is met because gnomAD reports 27 v2.1 and 86 v4.1 homozygotes. Benign: BP4 (supporting) is met because SpliceAI maximum delta is 0.002.
African/African American 3270 / 74,430 |
4.4% 86 hom |
Remaining individuals 154 / 61,350 |
0.25% |
Admixed American 120 / 56,980 |
0.21% |
Middle Eastern 10 / 5,898 |
0.17% |
South Asian 10 / 87,578 |
0.011% |
European (non-Finnish) 100 / 1,166,382 |
0.0086% |
African/African American 1107 / 24,652 |
4.5% 27 hom |
Remaining individuals 13 / 6,602 |
0.2% |
Admixed American 43 / 32,392 |
0.13% |
European (non-Finnish) 15 / 119,846 |
0.013% |
South Asian 2 / 26,830 |
0.0075% |