PVS1 very strong: TP53 p.Gln192Ter creates a premature stop upstream of p.Lys351, meeting the VCEP nonsense-mediated-decay rule. PM2 supporting: the variant is absent from gnomAD v2.1 and v4.1, satisfying the TP53 VCEP rarity threshold.
TP53 encodes the p53 tumor suppressor protein, a transcription factor that responds to cellular stress such as DNA damage by switching on genes that trigger cell cycle arrest, DNA repair, senescence, or programmed cell death. In healthy cells, p53 is kept at low levels by constant degradation, but stress signals stabilize and activate it to protect against damaged cells surviving and dividing. Inherited mutations in TP53 cause Li-Fraumeni syndrome, a condition marked by a high risk of developing multiple cancers at a young age. TP53 is the most commonly mutated gene across human cancers, and loss of its normal function promotes tumor growth, spread, drug resistance, and genomic instability.
This truncating TP53 variant is relevant to Li-Fraumeni syndrome, an autosomal-dominant cancer-predisposition condition caused by loss of p53 tumor-suppressor function.
PVS1 very strong: TP53 p.Gln192Ter creates a premature stop upstream of p.Lys351, meeting the VCEP nonsense-mediated-decay rule. PM2 supporting: the variant is absent from gnomAD v2.1 and v4.1, satisfying the TP53 VCEP rarity threshold.