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Print report
Variant interpretation report

RAC1 c.85C>T, p.Pro29Ser

NM_006908.5:c.85C>T NP_008839.2:p.(Pro29Ser) Missense · exon 2 View identifiers
Classification
Uncertain significance

Variant description:

The RAC1 NM_006908.5:c.85C>T (NP_008839.2:p.(Pro29Ser)) missense variant has previously been reported in somatic cancers (COSMIC; COSV61821563, n = 178 times), and lies in a statistically significant hotspot (cancerhotspots.org). Experimental evidence: Independent biochemical, cellular, and in vivo assays consistently show RAC1 p.Pro29Ser activation, including significantly increased GDP-to-GTP exchange and enhanced tumor growth or drug resistance. Based on available guidelines, this variant is considered to be a Variant of Uncertain Significance (VUS).

Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.

Uncertain.The recorded classification is uncertain significance.

In plain language

Gene-level background from the recorded interpretation.

About RAC1

RAC1 encodes a small GTPase that helps regulate cell growth, cell shape and movement, adhesion, differentiation, and signaling pathways involved in inflammation and the cell cycle. Changes that increase RAC1 activity are associated with cancer development and progression, especially melanoma, and can contribute to metastasis and resistance to treatment. An alternatively spliced, continuously active form called RAC1B has also been identified in colon and lung cancer.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is Generic ACMG/AMP 2015 with ClinGen SVI recommendations. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 2 Benign evidence criteria: 0
Pathogenic criteria applied · 2
PS3Strong
PS3 · strong

Met, strong: independent biochemical, cellular, and in vivo assays consistently show RAC1 p.Pro29Ser activation, including significantly increased GDP-to-GTP exchange and enhanced tumor growth or drug resistance.

PM2Supporting
PM2 · supporting

Met at supporting strength: the variant is absent from all reported gnomAD datasets, giving observed frequency 0 versus the <=0.0001 PM2 threshold.

Benign criteria applied · 0

No benign criterion marked as applied in the recorded assessment.

Recorded classification: Uncertain significance

VUS: PS3 (strong) plus PM2 (supporting) do not meet a generic ACMG/AMP 2015 pathogenic, likely pathogenic, benign, or likely benign combination.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

No screenshot for this evidence
REVEL score
0.585 recorded score

Recorded REVEL score: 0.585. Refer to the recorded PP3/BP4 rationale for interpretation.

No listed criterion applied
No screenshot for this evidence
ClinVar submissions
Not recorded

A ClinVar laboratory submission summary was not recorded.

Context only ClinVar ↗
Functional evidence
Statement recorded

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Gain-of-function; curated oncogenicity label: Oncogenic.

COSMIC
Cancer Hotspots
Somatic evidence
178 recorded samples

This variant has previously been reported in somatic cancers (COSMIC; COSV61821563, n = 178 times).

Cancer Hotspots

This variant lies in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under Generic ACMG/AMP 2015 with ClinGen SVI recommendations, with the data and sources behind each one.

28 criteria with recorded statuses: 2 met · 15 not met · 7 not assessed · 4 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

For RAC1 p.Pro29Ser, the codon/residue evidence supports recurrent somatic oncogenic activity but does not establish PS1 or PM5 under the germline ACMG/AMP definitions.

PM1 is not met because the generic no-benign-variation domain requirement is not established and the supplied somatic hotspot cannot be used through a VCEP-specific route when no RAC1 VCEP exists.

PP2 and BP1 remain not assessed because the required gene-level missense and truncating disease-mechanism evidence is unavailable.

Variant-specific biochemical, cellular and in vivo studies consistently support RAC1 p.Pro29Ser gain of function and support PS3 at strong strength; BS3 is not met.

No criterion in this group is met under generic ACMG/AMP rules. The literature supports recurrent somatic RAC1 P29S in melanoma, but does not establish germline PS4, PP4, BP5, PP5, or BP6 evidence for this case.

Met · 2

PS3 StrongACMG_2015Met, strong: independent biochemical, cellular, and in vivo assays consistently show RAC1 p.Pro29Ser activation, including significantly increased GDP-to-GTP exchange and enhanced tumor growth or drug resistance. Details ▾Hide ▴
Reasoning

PS3 is met at strong strength. Four variant-specific publications directly evaluated RAC1 p.Pro29Ser (NM_006908.5:c.85C>T) using complementary, controlled functional systems. Recombinant-protein assays showed significantly increased spontaneous GDP-to-GTP exchange and increased PAK1 effector binding while retaining GTP hydrolysis (PMID:23284172). Independent biochemical assays found approximately 4.5- to 9-fold greater PAK1-PBD binding, increased MLK3 binding and enhanced ERK phosphorylation; cell-based assays showed increased membrane ruffling, proliferation and migration (PMID:22842228). Additional isogenic melanoma models demonstrated higher active RAC1, reduced inhibitor sensitivity and reduced apoptosis, with reduced RAF-inhibitor effects on tumor growth in vivo (PMID:25056119). These concordant biochemical, cellular and in vivo results directly support a damaging gain-of-function effect for the variant. The evidence satisfies the ACMG/AMP definition of a well-established functional study supportive of a damaging effect; no stronger calibration rule or validated clinical-laboratory assay threshold was supplied in the governing rules, so the original PS3 strong designation is retained.

Rule
Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product.
Evidence considered
  • PMID:23284172, RAC1P29S recombinant-protein assays showed significantly increased inherent GDP-to-GTP nucleotide exchange, increased PAK1 binding, and retained GTP hydrolysis; COS-7 and NIH 3T3 cell assays showed increased membrane ruffling.
  • PMID:22842228, RAC1P29S showed approximately 4.5- to 9-fold greater PAK1-PBD binding than RAC1WT, increased MLK3 binding and ERK phosphorylation, and increased proliferation and migration in normal melanocytes.
  • PMID:25056119, direct melanoma models showed higher active RAC1, reduced RAF/MEK inhibitor sensitivity and apoptosis, and reduced RAF-inhibitor effects on tumor growth in vivo.
  • PMID:25465943, independent biochemical and melanocyte experiments reported increased GDP-to-GTP exchange, increased PAK1 and MLK3 binding, and increased membrane ruffling, proliferation and migration.
  • The studies used wild-type comparators and complementary biochemical, cellular, isogenic melanoma and xenograft models; the variant was directly tested rather than inferred from a nearby variant or a predictor.
Sources
PM2 SupportingACMG_2015Met at supporting strength: the variant is absent from all reported gnomAD datasets, giving observed frequency 0 versus the <=0.0001 PM2 threshold. Details ▾Hide ▴
Reasoning

PM2 is met at supporting strength. RAC1 NM_006908.5:c.85C>T (p.Pro29Ser) is absent from gnomAD v2.1, gnomAD v4.1, gnomAD v2.1 non-cancer, and gnomAD v3.1 non-cancer. The default all-comers sources apply because no governing VCEP specifies an alternative source, and the variant's observed frequency is therefore 0 in each reported population dataset; this is <=0.0001, the supplied generic SVI supporting threshold. The variant is a single-nucleotide substitution, so the indel calling caveat does not apply.

Rule
Absent from controls (or at extremely low frequency if recessive) in Exome Sequencing Project, 1000 Genomes or Exome Aggregation Consortium.
Evidence considered
  • gnomAD v2.1 reports NM_006908.5:c.85C>T as absent, with no observed alleles.
  • gnomAD v4.1 reports NM_006908.5:c.85C>T as absent, with no observed alleles.
  • The recorded gnomAD v2.1 non-cancer and gnomAD v3.1 non-cancer subsets also report the variant as absent; no non-cancer source key is present in source_registry, so the registry-backed references are the all-comers gnomAD v2.1 and v4.1 keys.
  • The generic PM2 supporting calibration supplied for this case is <=0.0001 (ClinGen SVI recommendation, cited in the case as PMID:25741868); an observed frequency of 0 satisfies it.
Sources

Not met · 15 · evaluated, threshold not reached

PS1 ACMG_2015Not met: RAC1 p.Pro29Ser is recurrently oncogenic in somatic melanoma, but no previously established pathogenic germline variant is documented. Details ▾Hide ▴
Reasoning

The variant is RAC1 p.Pro29Ser (c.85C>T), and the literature documents this exact amino-acid change repeatedly as a recurrent somatic melanoma gain-of-function mutation. However, the generic PS1 rule requires a previously established pathogenic variant, and these sources establish somatic oncogenic activity rather than a pathogenic germline variant for the case's disease context; ClinVar contains no exact record. Therefore PS1 is not met.

Rule
Same amino acid change as a previously established pathogenic variant regardless of nucleotide change. ... Caveat: Beware of changes that impact splicing rather than at the amino acid/protein level.
Evidence considered
  • PMID:22842228 reports RAC1P29S/p.Pro29Ser from c.85C>T as a recurrent somatic melanoma mutation and characterizes it as gain-of-function.
  • PMID:23284172 directly studies RAC1P29S and reports spontaneous activation, but in a cancer-functional context rather than establishing a germline pathogenic allele.
  • PMID:25056119 explicitly identifies RAC1 c.85C>T encoding P29S as a recurrent somatic melanoma hotspot.
  • ClinVar exact-variant search returned no record.
Sources
PS2 ACMG_2015Not met: no de novo germline occurrence with confirmed parentage exists, and RAC1 P29S was somatic in every matched tumour-normal sample and absent from 2,577 germline exomes. Details ▾Hide ▴
Reasoning

PS2 is not met. The criterion requires a de novo occurrence of the variant in a patient with the disease, with both maternity and paternity confirmed, and no family history. No such observation exists for RAC1 NM_006908.5:c.85C>T (p.Pro29Ser): the variant is absent from ClinVar, and none of the five reviewed publications reports a germline proband, trio testing, parental confirmation of maternity or paternity, or a family history. The literature instead characterises c.85C>T as a UV-signature somatic missense hotspot of melanoma. In the exome-sequencing cohort of PMID:22842228 the mutation was somatic in every case for which matched normal DNA was available, and it was absent from dbSNP, 1000 Genomes, 2,577 germline exomes and 2,596 individuals from 57 populations; PMID:25056119 independently states that P29S has not been detected as a germline mutation in 1000 Genomes or among over 2,500 germline exomes. With no affected proband, no parental testing and affirmative evidence that this variant arises somatically rather than being transmitted or arising de novo in the germline, the evidentiary predicate of PS2 is unmet.

Rule
De novo (both maternity and paternity confirmed) in a patient with the disease and no family history. ... Confirmation of paternity only is insufficient. Egg donation, surrogate motherhood, errors in embryo transfer, etc. can contribute to non-maternity.
Evidence considered
  • ClinVar search for RAC1 c.85C>T returned no records, so no submitted de novo observation, family history, or parental confirmation is available from that source.
  • Evans et al. (PMID:22842228): matched tumour-normal analysis found RAC1P29S somatic in all cases with available normal DNA, and the variant was absent from dbSNP, 1000 Genomes, 2,577 Yale germline exomes and 2,596 individuals from 57 populations.
  • Hodis et al. (PMID:25056119) Discussion: RAC1 P29S is a somatic mutation caused by presumptive UVB-induced C>T damage and has not been detected as a germline mutation in 1000 Genomes or among over 2,500 germline exomes sequenced at Yale.
  • No reviewed publication describes an affected proband, parental testing, or a pedigree for this variant; all five papers concern somatic melanoma cohorts, cell lines, or function.
Still missing
  • No germline trio data (proband plus both parents) exist for this variant in any reviewed source; a documented de novo germline occurrence in an affected patient with confirmed maternity and paternity would be required to revisit PS2.
Sources
PS4 ACMG_2015Not met: melanoma cohorts report RAC1 P29S in 7/147 tumors and 20/217 sun-exposed tumors, but these somatic frequencies do not establish germline PS4 case-control enrichment. Details ▾Hide ▴
Reasoning

Rule basis is acmg_2015: "The prevalence of the variant in affected individuals is significantly increased compared to the prevalence in controls." Note 1: "Relative risk (RR) or odds ratio (OR), as obtained from case-control studies, is >5.0 and the confidence interval around the estimate of RR or OR does not include 1.0." PMID:22842228 reports RAC1 P29S in 7/147 melanomas and 20/217 sun-exposed melanomas, with absence from 2,577 germline exomes and 2,596 individuals from 57 populations; PMID:25056119 reports approximately 4%-9% of melanomas and absence as a germline variant in cited population datasets. Using the expanded cohort and reported population comparison, the case frequency is 20/217 = 9.22% versus 0/2,596 controls; the uncorrected OR is infinite because no controls carried the variant, and the Haldane-Anscombe corrected OR is 539.0 (95% CI 32.5-8,945.8). These are somatic melanoma observations compared with population germline datasets, not a germline case-control study for the patient's disease, and no affected-patient phenotype cohort or matched unaffected control counts suitable for the ACMG PS4 comparison are established. Therefore the criterion is not met; the available cancer-frequency observations cannot be used as germline PS4 evidence.

Rule
The prevalence of the variant in affected individuals is significantly increased compared to the prevalence in controls. ... Relative risk (RR) or odds ratio (OR), as obtained from case-control studies, is >5.0 and the confidence interval around the estimate of RR or OR does not include 1.0.
Evidence considered
  • PMID:22842228, Results: RAC1P29S was found in 7 of 147 melanomas and 20 of 217 sun-exposed melanomas; it was absent from dbSNP, 1000 Genomes, 2,577 germline exomes, and 2,596 individuals from 57 populations.
  • PMID:25056119, Introduction and Results: RAC1 c.85C>T/p.P29S occurs in approximately 4%-9% of cutaneous melanomas; the paper states it was not detected as a germline variant in the cited population datasets.
  • PMID:25465943, abstract and discussion: RAC1P29S affects approximately 4%-7% of sun-exposed melanomas, with no affected/unaffected germline case-control comparison.
Still missing
  • No germline case-control cohort with affected-patient and matched unaffected-control counts for this variant and the relevant disease was identified.
Sources
PM1 ACMG_2015Not met: P29 lies in RAC1 switch I, but generic PM1 lacks established no-benign-variation evidence and the somatic hotspot route is unavailable without a VCEP rule. Details ▾Hide ▴
Reasoning

RAC1 p.Pro29Ser lies in the switch I region, described in PMID:22842228 as a critical functional region, and is a recurrent somatic melanoma hotspot in PMID:25056119 and Cancer Hotspots. Under the governing instructions, a somatic cancer hotspot cannot count for PM1 unless a VCEP names that source or hotspot route; RAC1 has no VCEP. The generic domain route also requires a critical and well-established functional domain without benign variation, and the available evidence does not establish the complete switch I domain as meeting the no-benign-variation requirement. Therefore PM1 is not met.

Rule
Located in a mutational hot spot and/or critical and well-established functional domain (e.g. active site of an enzyme) without benign variation.
Evidence considered
  • PMID:22842228 describes RAC1P29S as affecting the switch I region and provides functional gain-of-function experiments.
  • PMID:25056119 describes RAC1 P29S as a recurrent somatic melanoma hotspot occurring in approximately 4% to 9% of melanomas.
  • Cancer Hotspots reports a statistically significant RAC1 P29 hotspot, but this somatic hotspot cannot be used as a PM1 route under the governing instruction because RAC1 has no VCEP naming that source or route.
  • The target variant is absent from gnomAD v2.1 and v4.1, but absence of the single target variant does not establish that the entire switch I domain lacks benign variation.
Sources
PM5 ACMG_2015Not met: no different missense change at RAC1 Pro29 is documented as pathogenic in the supplied ClinVar or literature evidence. Details ▾Hide ▴
Reasoning

No different missense substitution at RAC1 residue Pro29 is documented in the supplied evidence as determined pathogenic. The available papers concern the same p.Pro29Ser substitution, while the exact variant is absent from ClinVar and the PM5 candidate artifact contains no confirmed same-residue pathogenic comparator. Therefore PM5 is not met.

Rule
Novel missense change at an amino acid residue where a different missense change determined to be pathogenic has been seen before. ... Caveat: Beware of changes that impact splicing rather than at the amino acid/protein level.
Evidence considered
  • ClinVar exact-variant search returned no record and therefore no pathogenic same-residue comparator.
  • The PM5 candidate collection reports zero same-residue candidates and no confirmed expert-panel or non-expert pathogenic comparator.
  • The reviewed publications describe RAC1 p.Pro29Ser itself, not a different pathogenic missense substitution at Pro29.
Sources
PM6 ACMG_2015Not met: no assumed de novo occurrence is reported, and the variant has never been detected in germline, including across more than 2,500 germline exomes. Details ▾Hide ▴
Reasoning

PM6 is not met. PM6 covers an assumed de novo occurrence for which maternity and paternity have not been confirmed, so it still presumes a reported de novo event in a patient. No assumed or unconfirmed de novo occurrence of RAC1 NM_006908.5:c.85C>T (p.Pro29Ser) is described in any of the five reviewed publications or in ClinVar, where the variant is absent. The variant is instead documented as a recurrent somatic, UV-signature melanoma hotspot: somatic in all matched tumour-normal cases and undetected across more than 2,500 germline exomes in PMID:22842228, and explicitly described in PMID:25056119 as not detected as a germline mutation. There is therefore no de novo assertion, confirmed or assumed, to which PM6 could attach.

Rule
Assumed de novo, but without confirmation of paternity and maternity.
Evidence considered
  • ClinVar contains no record for RAC1 c.85C>T, so no submitter has reported a de novo occurrence, confirmed or assumed.
  • Evans et al. (PMID:22842228): RAC1P29S was somatic in all cases with matched normal DNA and was absent from 2,577 germline exomes and 2,596 individuals from 57 populations.
  • Hodis et al. (PMID:25056119): the variant is a UVB-signature somatic mutation and has not been detected as a germline mutation in 1000 Genomes or among over 2,500 germline exomes.
Still missing
  • No report of a de novo (even unconfirmed) occurrence in a patient exists; a clinical report describing de novo status without parental confirmation would be needed to evaluate PM6.
Sources
PP3 ACMG_2015Not met: missense REVEL 0.585 is below the generic PP3 supporting threshold of 0.644. Details ▾Hide ▴
Reasoning

The variant is a missense substitution, NM_006908.5:c.85C>T (p.Pro29Ser), so the governing generic rule selects the REVEL path only; SpliceAI and BayesDel are not used for PP3 in this situation. REVEL is 0.585, below the published generic PP3 supporting threshold of >=0.644 (ClinGen SVI calibration, Pejaver et al. 2022, PMID:36413997), so multiple computational evidence supporting a deleterious effect are not established and PP3 is not met.

Rule
Multiple lines of computational evidence support a deleterious effect on the gene or gene product (conservation, evolutionary, splicing impact, etc.).
Evidence considered
  • Variant consequence is missense: NM_006908.5:c.85C>T, NP_008839.2:p.(Pro29Ser).
  • The applicable generic missense predictor is REVEL only; the available REVEL score is 0.585.
  • REVEL 0.585 is below the generic PP3 supporting threshold of >=0.644 from the ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997). SpliceAI is not counted on the missense path, and BayesDel has no established generic ACMG-strength calibration.
Sources
revel
PP4 ACMG_2015Not met: no patient phenotype or family history is supplied that is highly specific for a disease with a single genetic etiology. Details ▾Hide ▴
Reasoning

Rule basis is acmg_2015: "Patient’s phenotype or family history is highly specific for a disease with a single genetic etiology." The supplied case evidence contains no patient phenotype, family history, or disease-specific clinical description for a germline RAC1-associated disorder. The melanoma papers describe somatic RAC1 P29S in tumors and functional oncogenic effects, not a highly specific patient phenotype attributable to a single germline etiology. PP4 is therefore not met.

Rule
Patient’s phenotype or family history is highly specific for a disease with a single genetic etiology.
Evidence considered
  • The available RAC1 P29S publications concern recurrent somatic melanoma mutations and do not provide a patient-specific, highly specific germline phenotype or family history.
Still missing
  • Patient phenotype, family history, and a defined germline disease context are unavailable.
Sources
PP5 ACMG_2015Not met: ClinVar has no exact-variant expert-panel Pathogenic or Likely pathogenic classification, and OncoKB's somatic Oncogenic label is not sufficient for PP5. Details ▾Hide ▴
Reasoning

Rule basis is acmg_2015: "Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratory to perform an independent evaluation." ClinVar has no exact result for NM_006908.5:c.85C>T and no expert-panel classification. OncoKB labels the somatic variant Oncogenic, but this is not an exact-variant ClinVar expert-panel Pathogenic/Likely pathogenic classification and its underlying literature is independently available. PP5 is not met.

Rule
Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratory to perform an independent evaluation.
Evidence considered
  • ClinVar exact-variant search for NM_006908.5:c.85C>T returned no result, with no variation ID, classification, review status, or expert-panel assertion.
  • OncoKB reports a variant-specific somatic Oncogenic label and cites literature, but it is not an exact-variant ClinVar expert-panel Pathogenic/Likely pathogenic classification.
Sources
BA1 ACMG_2015Not met: the variant is absent from gnomAD v2.1 and v4.1, so its filtering allele frequency is below the >=0.05 BA1 threshold. Details ▾Hide ▴
Reasoning

BA1 is not met. RAC1 NM_006908.5:c.85C>T (p.Pro29Ser) is absent from gnomAD v2.1 and gnomAD v4.1, so no filtering allele frequency or grpmax FAF is available and the generic BA1 threshold of >=0.05 is not reached. The variant is a single-nucleotide substitution, so the indel calling caveat does not apply. Although the variant is a recurrent somatic RAC1 melanoma mutation, that observation does not establish a benign population-frequency criterion.

Rule
Allele frequency is above 5% in Exome Sequencing Project, 1000 Genomes or Exome Aggregation Consortium.
Evidence considered
  • gnomAD v2.1 reports NM_006908.5:c.85C>T as absent; no allele count, allele frequency, or grpmax FAF is available.
  • gnomAD v4.1 reports NM_006908.5:c.85C>T as absent; no allele count, allele frequency, or grpmax FAF is available.
  • The generic stand-alone BA1 calibration supplied for this case is >=0.05 (ACMG/AMP 2015, PMID:25741868); an absent variant cannot meet it.
Sources
BS1 ACMG_2015Not met: the variant is absent from gnomAD v2.1 and v4.1, with no filtering allele frequency reaching the generic >=0.01 BS1 threshold. Details ▾Hide ▴
Reasoning

BS1 is not met on the available population data. The variant is absent from gnomAD v2.1 and gnomAD v4.1, so the required filtering allele frequency (grpmax FAF) is unavailable and is not >=0.01, the generic SVI default. No ancestry-specific elevated frequency is present from which to infer a founder or reduced-penetrance exception, and no maximum-credible-allele-frequency calculation is needed for an absent variant.

Rule
Allele frequency is greater than expected for the disorder.
Evidence considered
  • gnomAD v2.1 reports NM_006908.5:c.85C>T as absent; therefore no grpmax FAF is available for BS1.
  • gnomAD v4.1 reports NM_006908.5:c.85C>T as absent; therefore no grpmax FAF is available for BS1.
  • The generic BS1 default supplied for this case is >=0.01, with per-gene maximum-credible-frequency analysis preferred (Whiffin et al. 2017, PMID:28518168); the absent variant has no elevated frequency requiring that exception analysis.
Sources
BS3 ACMG_2015Not met: no well-established benign functional or splicing result was identified, while multiple controlled assays consistently showed RAC1 p.Pro29Ser activation and oncogenic effects. Details ▾Hide ▴
Reasoning

BS3 is not met. The reviewed variant-specific studies do not show no damaging effect on RAC1 function or splicing; instead, they consistently demonstrate activation and oncogenic functional effects for RAC1 p.Pro29Ser. No well-established benign functional or splicing assay result was identified among the reviewed sources, and the available evidence is directionally incompatible with BS3.

Rule
Well-established in vitro or in vivo functional studies show no damaging effect on protein function or splicing.
Evidence considered
  • The reviewed variant-specific studies evaluated RAC1 p.Pro29Ser with wild-type comparators but reported increased activation, effector binding, membrane ruffling, proliferation, migration, drug resistance or tumor growth rather than a neutral effect.
  • No reviewed source provided a validated benign protein-function assay or a splice assay showing absence of damaging effect for NM_006908.5:c.85C>T.
Still missing
  • No variant-specific functional study demonstrating no damaging effect on RAC1 protein function or splicing was identified.
Sources
BP4 ACMG_2015Not met: missense REVEL 0.585 is above the generic BP4 supporting threshold of 0.29. Details ▾Hide ▴
Reasoning

The variant is a missense substitution, NM_006908.5:c.85C>T (p.Pro29Ser), so the governing generic rule selects the REVEL path only; the low SpliceAI score cannot substitute for a gray-zone REVEL result, and BayesDel is not usable without generic ACMG-strength calibration. REVEL is 0.585, above the published generic BP4 supporting threshold of <=0.29 (ClinGen SVI calibration, Pejaver et al. 2022, PMID:36413997), so computational evidence suggesting no impact is not established and BP4 is not met.

Rule
Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary, splicing impact, etc)
Evidence considered
  • Variant consequence is missense: NM_006908.5:c.85C>T, NP_008839.2:p.(Pro29Ser).
  • The applicable generic missense predictor is REVEL only; the available REVEL score is 0.585.
  • REVEL 0.585 is above the generic BP4 supporting threshold of <=0.29 from the ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997). The SpliceAI max delta score of 0.006 is not counted for a missense variant, and BayesDel has no established generic ACMG-strength calibration.
Sources
revel
BP5 ACMG_2015Not met: the evidence documents somatic melanoma observations but no clinical case showing this variant alongside an alternate molecular basis for the evaluated disease. Details ▾Hide ▴
Reasoning

Rule basis is acmg_2015: "Variant found in a case with an alternate molecular basis for disease." The evidence shows RAC1 P29S as a recurrent somatic melanoma mutation and reports other tumor alterations in some studies, but it does not document this variant in a clinical case with an alternate molecular basis for the disease being evaluated. No BP5-qualifying case evidence is available.

Rule
Variant found in a case with an alternate molecular basis for disease.
Evidence considered
  • PMID:22842228 reports RAC1 P29S in melanoma tumors and matched tumor-normal somatic testing, but not a BP5 clinical case with an alternate molecular basis for the evaluated disease.
  • PMID:25056119 reports RAC1 P29S melanoma cell lines and clinical melanoma treatment outcomes, but not an alternate molecular basis in a qualifying disease case.
Sources
BP6 ACMG_2015Not met: ClinVar has no exact-variant expert-panel Benign or Likely benign classification, and no qualifying independent benign assertion is present. Details ▾Hide ▴
Reasoning

Rule basis is acmg_2015: "Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation." ClinVar has no exact result for NM_006908.5:c.85C>T and no expert-panel Benign/Likely benign classification. No reputable independent benign assertion meeting the required exact-variant expert-panel rule is present. BP6 is not met.

Rule
Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation.
Evidence considered
  • ClinVar exact-variant search for NM_006908.5:c.85C>T returned no result, with no variation ID, classification, review status, or expert-panel assertion.
Sources

Not assessed · 7 · no assessment recorded

PM3 ACMG_2015Not assessed: no affected-proband observation or parent/offspring phase testing establishes this variant in trans with a pathogenic allele. Details ▾Hide ▴
Reasoning

The available evidence does not report an affected proband with a second pathogenic RAC1 allele, nor parent or offspring testing establishing phase. The available variant-specific publications describe somatic melanoma observations and functional studies, not recessive disease cases or a pathogenic variant in trans. Therefore, the PM3 requirement cannot be assessed.

Rule
For recessive disorders, detected in trans with a pathogenic variant. ... This requires testing of parents (or offspring) to determine phase.
Evidence considered
  • No affected-proband segregation or phase data are reported for NM_006908.5:c.85C>T (NP_008839.2:p.(Pro29Ser)).
  • The available variant-specific literature concerns somatic melanoma cohorts and functional assays rather than recessive affected-proband observations with a second pathogenic allele.
Still missing
  • Affected-proband data for a relevant recessive RAC1 disorder
  • A pathogenic or likely pathogenic allele identified in the same proband
  • Parent or offspring testing establishing the variants are in trans
PP1 ACMG_2015Not assessed: no pedigree or affected relatives were ascertained, so co-segregation in multiple affected family members cannot be examined. Details ▾Hide ▴
Reasoning

PP1 cannot be assessed. The criterion requires co-segregation of the variant with disease in multiple affected members of a family. No pedigree, no affected relative, and no genotyped family member is described for this variant in ClinVar or in any of the five reviewed publications. All reviewed sources are somatic melanoma case series, cell-line panels, or functional/biochemical studies; none reports family recruitment, affected versus unaffected relative genotyping, or LOD-type segregation analysis. There is consequently no segregation count either way, and PP1 is left unassessed rather than not met.

Rule
Co-segregation with disease in multiple affected family members in a gene definitively known to cause the disease. ... May be used as stronger evidence with increasing segregation data.
Evidence considered
  • All five reviewed publications (PMID:22842228, PMID:23284172, PMID:25056119, PMID:2546593, PMID:25465943) were searched for pedigree, family, segregation, and affected-relative terms; none contains a family study of this variant.
  • ClinVar has no record for RAC1 c.85C>T, so no submitter-reported family segregation data are available.
Still missing
  • A multi-generation family with multiple affected members, genotyped for RAC1 c.85C>T, is required before PP1 can be scored; no such family is available.
Sources
PP2 ACMGNot assessed: target-variant absence is available, but no gene-level benign-missense rate and missense-disease-mechanism evidence are supplied. Details ▾Hide ▴
Reasoning

The supplied evidence establishes that RAC1 p.Pro29Ser is absent from gnomAD, but PP2 requires gene-level evidence that RAC1 has a low rate of benign missense variation and that missense variants are a common disease mechanism. No gene-level benign-missense rate or disease-mechanism dataset sufficient for both requirements is supplied.

Rule
Missense variant in a gene that has a low rate of benign missense variation and where missense variants are a common mechanism of disease.
Evidence considered
  • The target RAC1 c.85C>T variant is absent from gnomAD v2.1 and v4.1; this is not a gene-level benign-missense rate.
  • No supplied source establishes that RAC1 has both a low rate of benign missense variation and a common missense disease mechanism for the relevant clinical context.
Still missing
  • Gene-level evidence quantifying RAC1 benign missense variation.
  • Gene-level evidence establishing missense variants as a common mechanism of the relevant disease.
  • A governing threshold or dataset sufficient to judge both PP2 requirements.
Sources
BS2 ACMG_2015Not assessed: no healthy-adult carrier, homozygote, or hemizygote observation is documented for this variant. Details ▾Hide ▴
Reasoning

BS2 cannot be assessed. The case bundle contains no observation of this variant in a healthy adult individual, no homozygote or hemizygote count, and no disease-specific inheritance, age-of-onset, penetrance, or healthy-control phenotype information. Population absence in gnomAD is not evidence that a healthy adult carried the variant.

Rule
Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age.
Still missing
  • A documented healthy adult individual carrying the variant is required, with inheritance model and expected age-related penetrance established.
BS4 ACMG_2015Not assessed: no family with affected members was ascertained, so lack of segregation among affected relatives cannot be demonstrated. Details ▾Hide ▴
Reasoning

BS4 cannot be assessed. The criterion requires lack of segregation of the variant among affected members of a family, which presupposes an ascertained family with multiple affected individuals and genotyping of both affected and unaffected members. No family is described for this variant: ClinVar has no record, and none of the five reviewed publications reports a pedigree, affected relative genotypes, or a non-segregation analysis. The observation that c.85C>T is a recurrent somatic melanoma hotspot in unrelated tumours is a statement about tumour genomes, not about segregation within a family, so it neither supports nor refutes BS4. Because no informative family exists, lack of segregation cannot be demonstrated.

Rule
Lack of segregation in affected members of a family.
Evidence considered
  • No reviewed publication (PMID:22842228, PMID:23284172, PMID:25056119, PMID:2546593, PMID:25465943) reports family-based genotyping or a non-segregation analysis for RAC1 c.85C>T.
  • ClinVar has no record for this variant, so no affected-family discordance data are available there.
  • Recurrent somatic occurrence of c.85C>T across unrelated melanomas is tumour-genome data and does not constitute evidence of non-segregation in a family.
Still missing
  • An ascertained family with at least two affected members discordant for RAC1 c.85C>T is required to score BS4; no family data exist for this variant.
Sources
BP1 ACMG_2015Not assessed: no gene-level disease spectrum shows that RAC1-related disease is caused primarily by truncating variants. Details ▾Hide ▴
Reasoning

The supplied evidence does not establish that RAC1-related disease is caused primarily by truncating variants. The available RAC1 literature for p.Pro29Ser is predominantly somatic cancer literature and does not provide the required gene-level disease-variant spectrum for applying BP1.

Rule
Missense variant in a gene for which primarily truncating variants are known to cause disease.
Evidence considered
  • No supplied source demonstrates that truncating variants are the primary known cause of RAC1-related disease.
  • Somatic RAC1 P29S cancer reports do not establish the truncating-variant predominance required by BP1.
Still missing
  • A curated gene-level disease-variant spectrum showing whether truncating variants primarily cause RAC1-related disease.
BP2 ACMG_2015Not assessed: no clinical phase data show this variant in trans or cis with a pathogenic variant under the BP2 definition. Details ▾Hide ▴
Reasoning

The available evidence does not report this variant with a pathogenic variant in trans in an affected dominant-disorder proband, or in cis with a pathogenic variant in any inheritance pattern. No parent or offspring phase testing and no relevant clinical allelic observation are available. Therefore, BP2 cannot be assessed.

Rule
Observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder or observed in cis with a pathogenic variant in any inheritance pattern.
Evidence considered
  • No clinical phase data are reported showing NM_006908.5:c.85C>T (NP_008839.2:p.(Pro29Ser)) in trans or cis with a pathogenic variant.
  • The available variant-specific literature concerns somatic melanoma cohorts and functional assays, not clinical allelic observations for BP2.
Still missing
  • Clinical proband or family data involving this variant and another pathogenic variant
  • Phase testing showing trans or cis configuration
  • Evidence establishing a relevant fully penetrant dominant disorder, if the trans pathway is considered
Not applicable · 4· recorded as not applicable Show reasons ▾Hide reasons ▴
PVS1 N/ANot applicable: PVS1 requires a null variant (nonsense, frameshift, canonical splice, start-loss or stop-loss), and this is a missense variant. Details ▾Hide ▴
Reasoning

PVS1 (ClinGen SVI PVS1 recommendations, PMC6185798, pvs1_generic_framework) applies only to null variant classes — nonsense, frameshift, canonical ±1/2 splice-consensus, translation-initiation-codon loss, and stop-loss variants — each expected to trigger nonsense-mediated decay or otherwise abolish normal protein function. NM_006908.5:c.85C>T in RAC1 is a missense substitution predicted to produce NP_008839.2:p.(Pro29Ser). As a result, no null-variant mechanism (nonsense-mediated decay, truncation, or canonical splice disruption) is triggered by this variant class, so PVS1's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PVS1 for RAC1, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_null_variant_class
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
PM4 N/ANot applicable: PM4 requires a protein-length change, and this is a missense variant. Details ▾Hide ▴
Reasoning

PM4 (Richards et al. 2015, PMID:25741868) applies to protein length changes: in-frame insertions/deletions in a non-repetitive region, or stop-loss variants that extend the protein past the reference stop codon. NM_006908.5:c.85C>T in RAC1 is a missense substitution predicted to produce NP_008839.2:p.(Pro29Ser). As a result, no change in protein length occurs, so there is nothing for this criterion to evaluate, so PM4's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PM4 for RAC1, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_stop_loss_or_nonrepeat_indel
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
BP3 N/ANot applicable: BP3 requires an in-frame indel in a repeat region, and this is a missense variant. Details ▾Hide ▴
Reasoning

BP3 (Richards et al. 2015, PMID:25741868) applies to in-frame insertions/deletions located in a repetitive region without a known function. NM_006908.5:c.85C>T in RAC1 is a missense substitution predicted to produce NP_008839.2:p.(Pro29Ser). As a result, the variant does not alter protein length within a repeat region, so there is nothing for this criterion to evaluate, so BP3's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP3 for RAC1, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_repeat_region_indel
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
BP7 N/ANot applicable: BP7 requires a synonymous variant, and this is a missense variant. Details ▾Hide ▴
Reasoning

BP7 (Richards et al. 2015, PMID:25741868) is defined for a synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence and the nucleotide is not highly conserved. NM_006908.5:c.85C>T in RAC1 is a missense substitution predicted to produce NP_008839.2:p.(Pro29Ser). As a result, the encoded protein sequence is altered, so the criterion's silent-variant premise does not hold regardless of any splicing prediction, so BP7's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP7 for RAC1, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_synonymous
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules

Identifiers

Gene
RAC1
Transcript
NM_006908.5
Coding (HGVS c.)
NM_006908.5:c.85C>T
Protein (HGVS p.)
NP_008839.2:p.(Pro29Ser)
GRCh38
chr7:6387261 C>T
GRCh37
chr7:6426892 C>T
Location and type
Exon 2 · missense
COSMIC
COSV61821563

Gene diagram

Every interpreted variant in RAC1, mapped onto the exon structure of NM_006908.5. Select a row to find it on the plot.

RAC1NM_006908.5
Fetching transcript structure from UCSC…
gnomAD v4.1 Allele count data not recorded
gnomAD v2.1 Allele count data not recorded
gnomAD-Canada v1.0 Allele count data not recorded

Statements

gnomAD v4.1

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

Not available in gnomAD-Canada v1.0.

SpliceAI and Pangolin

SpliceAI acceptor lossat -41 bp
0.006
SpliceAI acceptor gainat -47 bp
0.002
SpliceAI donor lossat -331 bp
0.001
SpliceAI donor gainat +26 bp
0.000
Pangolin splice lossmagnitude shown
-0.004
Pangolin splice gain
0.001

Other predictors

REVEL
0.585
BayesDel
0.000

How the predictions were used

PP3 ACMG_2015Not met: missense REVEL 0.585 is below the generic PP3 supporting threshold of 0.644. Details ▾Hide ▴
Reasoning

The variant is a missense substitution, NM_006908.5:c.85C>T (p.Pro29Ser), so the governing generic rule selects the REVEL path only; SpliceAI and BayesDel are not used for PP3 in this situation. REVEL is 0.585, below the published generic PP3 supporting threshold of >=0.644 (ClinGen SVI calibration, Pejaver et al. 2022, PMID:36413997), so multiple computational evidence supporting a deleterious effect are not established and PP3 is not met.

Rule
Multiple lines of computational evidence support a deleterious effect on the gene or gene product (conservation, evolutionary, splicing impact, etc.).
Evidence considered
  • Variant consequence is missense: NM_006908.5:c.85C>T, NP_008839.2:p.(Pro29Ser).
  • The applicable generic missense predictor is REVEL only; the available REVEL score is 0.585.
  • REVEL 0.585 is below the generic PP3 supporting threshold of >=0.644 from the ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997). SpliceAI is not counted on the missense path, and BayesDel has no established generic ACMG-strength calibration.
Sources
revel
BP4 ACMG_2015Not met: missense REVEL 0.585 is above the generic BP4 supporting threshold of 0.29. Details ▾Hide ▴
Reasoning

The variant is a missense substitution, NM_006908.5:c.85C>T (p.Pro29Ser), so the governing generic rule selects the REVEL path only; the low SpliceAI score cannot substitute for a gray-zone REVEL result, and BayesDel is not usable without generic ACMG-strength calibration. REVEL is 0.585, above the published generic BP4 supporting threshold of <=0.29 (ClinGen SVI calibration, Pejaver et al. 2022, PMID:36413997), so computational evidence suggesting no impact is not established and BP4 is not met.

Rule
Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary, splicing impact, etc)
Evidence considered
  • Variant consequence is missense: NM_006908.5:c.85C>T, NP_008839.2:p.(Pro29Ser).
  • The applicable generic missense predictor is REVEL only; the available REVEL score is 0.585.
  • REVEL 0.585 is above the generic BP4 supporting threshold of <=0.29 from the ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997). The SpliceAI max delta score of 0.006 is not counted for a missense variant, and BayesDel has no established generic ACMG-strength calibration.
Sources
revel
BP7 N/ANot applicable: BP7 requires a synonymous variant, and this is a missense variant. Details ▾Hide ▴
Reasoning

BP7 (Richards et al. 2015, PMID:25741868) is defined for a synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence and the nucleotide is not highly conserved. NM_006908.5:c.85C>T in RAC1 is a missense substitution predicted to produce NP_008839.2:p.(Pro29Ser). As a result, the encoded protein sequence is altered, so the criterion's silent-variant premise does not hold regardless of any splicing prediction, so BP7's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP7 for RAC1, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_synonymous
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.585. BayesDel score = 9.90479e-05.

5 paper records listed. 4 cited in the classification.

Cited in the classification

  • Exome sequencing identifies recurrent somatic RAC1 mutations in melanoma.
    The paper explicitly describes RAC1P29S, corresponding to RAC1 c.85C>T and NP_008839.2:p.(P29S), as a recurrent somatic C>T transition causing p.Pro29Ser. It was found in melanoma cohorts and characterized as a gain-of-function mutation affecting the switch I region of RAC1.
    → PS3 · strong Names this variant
    PMID 22842228 ↗
    Source detail
    In addition to known recurrent mutations in BRAF and NRAS, we found a previously unidentified recurrent mutation in RAC1 (ras-related C3 botulinum toxin substrate 1), a C>T transition (CCT>TCT) resulting in a p.Pro29Ser substitution (Supplementary Fig. 1b; designated here RAC1P29S), in 7 of the 147 tumors. These pulldown experiments showed that RAC1P29S is a gain-of-function mutation.

    Location Results, “Recurrent mutations” and “RAC1P29S mutations”; “Analyses of RAC1P29S effector binding activity”; “Functional analyses of RAC1P29S in normal and malignant cells”

    Context Exome sequencing of 147 melanomas; expanded melanoma cohort and cell-line testing; matched tumor-normal somatic testing; structural analysis; in vitro effector-binding assays; and expression studies in melanocytes and COS-7 cells.

  • RAC1P29S is a spontaneously activating cancer-associated GTPase.
    The paper explicitly studies RAC1 P29S. Recombinant-protein assays showed increased intrinsic GDP-to-GTP exchange and increased PAK1 binding, consistent with spontaneous activation; the paper concerns the same substitution rather than a different Pro29 missense comparator.
    → PS3 · strong Names this variant
    PMID 23284172 ↗
    Source detail
    We found that RAC1P29S is a spontaneously activating GTPase with significantly increased inherent GDP→GTP nucleotide exchange compared with that of RAC1WT.

    Location Results, “RAC1P29S Displays a Fast-Cycling Phenotype”; Discussion

    Context In vitro recombinant RAC1 nucleotide-exchange assays, PAK1 pull-down assays, GTP hydrolysis assays, structural comparisons, and cell-expression/microscopy experiments.

  • The RAC1 P29S hotspot mutation in melanoma confers resistance to pharmacological inhibition of RAF.
    The paper explicitly studied RAC1 c.85C>T encoding p.P29S and describes it as a recurrent somatic melanoma hotspot found in approximately 4% to 9% of melanomas. Functional and clinical melanoma analyses evaluated the P29S allele; no different pathogenic missense substitution at Pro29 was provided.
    → PS3 · strong Names this variant
    PMID 25056119 ↗
    Source detail
    Recently, two large-scale whole exome sequencing (WES) studies have revealed that in addition to recurrent mutations in BRAF and NRAS, the next most frequently observed somatic protein-coding hotspot mutation in melanoma of cutaneous origin is the RAC1 c.85C>T single-nucleotide variant (SNV) encoding the P29S amino acid change found in approximately 4% to 9% of melanomas (10, 11).

    Location Introduction; Results, “RAC1 P29S Mutant Melanoma Cell Lines Have Higher Levels of Activated RAC1 and Display Differential Sensitivity to RAF and MEK Inhibitors”

    Context Melanoma cell-line genotyping; RAC1 activation and inhibitor-response assays; isogenic overexpression models; xenograft experiments; and a clinical cohort of 45 treated patients.

  • RAC1 and melanoma.
    Review/commentary on RAC1 and melanoma describing RAC1 P29S as the third most common recurrent melanoma mutation, present in roughly 4-7% of sun-exposed melanomas with a UV-associated C>T signature. It summarises that the mutant protein remains mostly GTP-bound, binds PAK1 and MAP3K11/MLK3 more strongly, and increases melanocyte proliferation and migration. The article reviews somatic tumour biology only and reports no family, pedigree, parental testing, or segregation information.
    → PS3 · strong Names this variant
    PMID 25465943 ↗
    Source detail
    When mutant RAC1P29S is introduced into normal melanocytes, it increases membrane ruffling and promotes proliferation and migration.

    Location Abstract and main text discussion of RAC1P29S function

    Context Review of approximately 4,600 sun-exposed melanomas and of biochemical, melanocyte ectopic-expression, knockdown and drug-response experiments in RAC1P29S melanoma models.

Other recorded publications

  • The effect of polycyclic aromatic hydrocarbons on choline kinase activity in mouse hepatoma cells.
    Unrelated to this variant. The paper investigates induction of choline kinase activity by polycyclic aromatic hydrocarbons in murine Hepa 1c1c7 hepatoma cells and the role of the aromatic hydrocarbon receptor; it does not mention RAC1, c.85C>T, or p.(P29S) and provides no clinical, family, or segregation data.
    Does not name this variant
    PMID 2546593 ↗

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

Not available in gnomAD-Canada v1.0.

ClinVar

This variant is absent from ClinVar.

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.585. BayesDel score = 9.90479e-05.

Functional

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Gain-of-function; curated oncogenicity label: Oncogenic.

Somatic

This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV61821563, n = 178 times).

Cancer Hotspots

This variant lies in a statistically significant hotspot.