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Variant interpretation report

TP53 c.395A>T, p.(Lys132Met)

NM_000546.6:c.395A>T NP_000537.3:p.(Lys132Met) View identifiers
Classification
Likely pathogenic

Variant description:

No variant summary was recorded for this case.

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

Likely pathogenic.A likely pathogenic classification under the recorded framework.

In plain language

Gene-level background from the recorded interpretation.

About TP53

No gene-level summary was recorded for this case.

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 ClinGen TP53 VCEP v2.4. 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: 3 Benign evidence criteria: 0
Pathogenic criteria applied · 3
PS3Strong
PS3 · strong

Per the TP53 VCEP Functional Worksheet (Supplementary Table S3), p.Lys132Met (K132M) is non-functional in the Kato et al. yeast-based transactivation assay and demonstrates loss of function (LOF) by the majority of other eligible functional assays (Giacomelli LOF, Kotler LOF, Kawaguchi LOF). This satisfies the VCEP PS3 rule: non-functional on Kato et al. data AND LOF by the majority of other eligible assays → PS3 at strong strength.

PM2Supporting
PM2 · supporting

The variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada (allele frequency = 0). This satisfies the TP53 VCEP PM2_Supporting requirement: allele frequency <0.00003 (0.003%).

PP3Moderate
PP3 · moderate

Per the TP53 VCEP PP3-BP4-codes spreadsheet (Supplementary Table S2), c.395A>T (p.Lys132Met) is pre-assigned PP3_moderate. The variant meets VCEP PP3 moderate criteria: aGVGD Class C65 and BayesDel score 0.18419 ≥0.16, with SpliceAI max delta 0.00 (no predicted splicing impact). REVEL score 0.924 further supports a deleterious computational prediction.

Benign criteria applied · 0

No benign criterion marked as applied in the recorded assessment.

Recorded classification: Likely pathogenic

ClinGen TP53 Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for TP53 Version 2.4 v2.4 point-based framework: PS3 strong (+4) + PM2 supporting (+1) + PP3 moderate (+2) = 7 points, which maps to Likely Pathogenic.

02The sources

Evidence at a glance

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

SpliceAI score
0.000 maximum delta

Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.

ClinVar submissions
2 reported laboratory submissions

1 Pathogenic · 1 Uncertain significance. ClinVar API review status: criteria provided, conflicting classifications.

Context only ClinVar ↗
Functional evidence
Statement recorded

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

COSMIC
Cancer Hotspots
Somatic evidence
25 recorded samples

This variant has previously been reported in somatic cancers (COSMIC; COSV52701687, n = 25 times).

Cancer Hotspots

This variant lies in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under ClinGen TP53 VCEP v2.4, with the data and sources behind each one.

27 criteria with recorded statuses: 3 met · 12 not met · 0 not assessed · 12 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

PS3 (strong): p.Lys132Met is non-functional in the Kato et al. yeast transactivation assay and shows loss of function by the majority of other eligible functional assays (Giacomelli, Kotler, Kawaguchi), meeting the TP53 VCEP PS3 criteria at strong strength.

PM2_Supporting: The variant is absent from all gnomAD population databases (v2.1, v4.1, Canada), with an allele frequency of 0, satisfying the VCEP PM2_Supporting threshold of <0.00003.

PP3_Moderate: Per the VCEP PP3-BP4-codes spreadsheet, c.395A>T is pre-assigned PP3_moderate. The variant has aGVGD Class C65, BayesDel score 0.18419 (≥0.16), REVEL 0.924, and SpliceAI max delta 0.00.

Tavtigian point sum: PS3 (+4) + PM2_Supporting (+1) + PP3_Moderate (+2) = 7 points. Per TP53 VCEP v2.4 point-based rules, 6-9 points = Likely Pathogenic.

Met · 3

PS3 StrongPer the TP53 VCEP Functional Worksheet (Supplementary Table S3), p.Lys132Met (K132M) is non-functional in the Kato et al. yeast-based transactivation assay and demonstrates loss of function (LOF) by the majority of other eligible functional assays (Giacomelli LOF, Kotler LOF, Kawaguchi LOF). This satisfies the VCEP PS3 rule: non-functional on Kato et al. data AND LOF by the majority of other eligible assays → PS3 at strong strength. Details ▾Hide ▴
Evidence considered
  • VCEP Functional Worksheet: K132M = Non-functional (Kato)
  • LOF (Giacomelli)
  • LOF (Kotler)
  • LOF (Kawaguchi) → assigned PS3
  • Kato et al. (PMID:12826609): yeast transactivation assay of 2
  • 314 p53 mutants
  • K132M non-functional
  • Giacomelli et al. (PMID:30224644): MITE library CRISPR screen
  • K132M LOF
  • Kotler et al. (PMID:29979965): p53 mutation library functional screen
Sources
PM2 SupportingThe variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada (allele frequency = 0). This satisfies the TP53 VCEP PM2_Supporting requirement: allele frequency <0.00003 (0.003%). Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1: absent (AC=0
  • AF=0)
  • gnomAD v4.1: absent (AC=0
  • gnomAD-Canada v1.0: absent (AC=0
  • Allele frequency 0 < VCEP PM2_Supporting threshold of 0.00003
Sources
PP3 ModeratePer the TP53 VCEP PP3-BP4-codes spreadsheet (Supplementary Table S2), c.395A>T (p.Lys132Met) is pre-assigned PP3_moderate. The variant meets VCEP PP3 moderate criteria: aGVGD Class C65 and BayesDel score 0.18419 ≥0.16, with SpliceAI max delta 0.00 (no predicted splicing impact). REVEL score 0.924 further supports a deleterious computational prediction. Details ▾Hide ▴
Evidence considered
  • VCEP PP3-BP4-codes: c.395A>T pre-assigned PP3_moderate
  • aGVGD Class C65 (pathogenic class)
  • BayesDel score 0.18419 ≥ 0.16 threshold
  • SpliceAI max delta 0.00 — no predicted splicing impact
  • REVEL score 0.924 — strongly predicted deleterious
Sources
vcep_pp3_bp4_codesbayesdelrevelspliceai ↗

Not met · 12 · evaluated, threshold not reached

PS2 No de novo observation data are available for this variant in the case materials. Per TP53 VCEP PS2 rules, de novo points require confirmed parentage and proband cancer type scoring; no such data were present. Details ▾Hide ▴
Still missing
  • No de novo proband data available for this variant
  • No parental confirmation or proband cancer phenotype information
PS4 No proband-level phenotype data with Li-Fraumeni syndrome cancer point scoring are available. Per TP53 VCEP PS4 rules, point scoring requires probands meeting Chompret criteria with LFS-associated cancers; no such data were present in the case materials. Details ▾Hide ▴
Still missing
  • No proband-level LFS cancer phenotype data available
  • No case-control data for allele frequency comparison
PM1 Codon 132 is not among the VCEP-specified hotspot codons (175, 245, 248, 249, 273, 282). Although the codon lies in a statistically significant hotspot per cancerhotspots.org, the exact amino acid change K132M is not listed on cancerhotspots.org and the residue does not meet the VCEP PM1 moderate threshold of ≥10 somatic occurrences for the same amino acid change. Details ▾Hide ▴
Evidence considered
  • Codon 132 is a statistically significant hotspot region
  • COSMIC: 25 somatic occurrences at this position
  • but exact K132M amino acid change count not specified
  • VCEP PM1 designated hotspot codons: 175
  • 245
  • 248
  • 249
  • 273
  • 282 — codon 132 excluded
Still missing
  • Exact cancerhotspots.org count for K132M-specific somatic occurrences not available
PM5 Multiple missense variants at codon 132 are recorded in the VCEP Functional Worksheet (K132E, K132N, K132Q, K132R, K132T all assigned PS3), but none have a confirmed VCEP-classified pathogenic or likely pathogenic determination. The TP53 VCEP PM5 rule requires comparator variants to be classified as P/LP per VCEP specifications; without confirmed VCEP-classified comparators at codon 132, PM5 cannot be applied. Details ▾Hide ▴
Evidence considered
  • VCEP Functional Worksheet shows multiple K132 variants (K132E
  • K132N
  • K132Q
  • K132R
  • K132T) with functional LOF evidence
  • None of these comparators have a confirmed VCEP pathogenic/likely pathogenic classification
Still missing
  • VCEP classification status of comparator K132 variants (K132E
  • K132N
  • K132Q
  • K132R
  • K132T) is unknown
Sources
vcep_functional_worksheetpm5_candidates
PP1 No cosegregation data are available for this variant. Per TP53 VCEP PP1 rules, meioses must be counted in individuals carrying the variant who also have LFS-associated cancers; no such segregation data were present. Details ▾Hide ▴
Still missing
  • No family segregation data available
  • No meioses counts in variant carriers with LFS cancers
PP4 No variant allele fraction (VAF) data from patient samples are available. Per TP53 VCEP PP4 rules, the criterion requires observation of the variant with VAF 5-35% to assess somatic mosaicism; no such clinical VAF data were present. Details ▾Hide ▴
Still missing
  • No patient VAF data available for somatic mosaicism assessment
BA1 The variant is absent from gnomAD v2.1 and v4.1. BA1 requires a filtering allele frequency ≥0.001 (0.1%) in a continental subpopulation; the variant's AF of 0 does not meet this threshold. Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1: AF=0
  • does not meet BA1 threshold of FAF ≥0.001
  • gnomAD v4.1: AF=0
  • does not meet BA1 threshold
Sources
BS1 The variant is absent from gnomAD v2.1 and v4.1. BS1 requires a filtering allele frequency ≥0.0003 in a continental subpopulation; the variant's AF of 0 does not meet this threshold. Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1: AF=0
  • does not meet BS1 threshold of FAF ≥0.0003
  • gnomAD v4.1: AF=0
  • does not meet BS1 threshold
Sources
BS2 No data are available on cancer-free females aged ≥60 carrying this variant. Per TP53 VCEP BS2 rules, at least 2 unrelated cancer-free females ≥60 years from a single source are needed for supporting strength; no such individuals have been reported. Details ▾Hide ▴
Still missing
  • No data on cancer-free elderly females carrying this variant
BS3 K132M is non-functional on Kato et al. data and shows LOF across all eligible assays per the VCEP Functional Worksheet. BS3 requires functional evidence of no damaging effect (functional or partially functional on Kato AND no LOF). The variant's consistent LOF profile contradicts BS3. Details ▾Hide ▴
Evidence considered
  • VCEP Functional Worksheet: K132M = Non-functional (Kato)
  • LOF (Giacomelli
  • Kotler
  • Kawaguchi)
  • All functional evidence indicates loss of function
  • BS3 criteria are not satisfied
Sources
vcep_functional_worksheet
BS4 No segregation data are available showing lack of segregation in affected family members with LFS-associated cancers. Per TP53 VCEP BS4 rules, lack of segregation must be demonstrated in family members diagnosed with LFS cancers. Details ▾Hide ▴
Still missing
  • No family segregation data available
BP4 The variant is classified as aGVGD Class C65 (pathogenic) with BayesDel score 0.18419. Per TP53 VCEP BP4 rules: BP4_Moderate requires BayesDel ≤-0.008 (not met, and additionally excluded for Class C65); BP4_Supporting requires BayesDel <0.16 and >-0.008 (not met, as 0.18419 >0.16, and excluded for Class C65). No BP4 strength applies. Details ▾Hide ▴
Evidence considered
  • aGVGD Class C65 — BP4 expressly excluded for C65 class
  • BayesDel score 0.18419 >0.16 — does not meet BP4_Supporting threshold
  • SpliceAI max delta 0.00 — no splicing impact
  • but BP4 still excluded by Class C65
Sources
vcep_pp3_bp4_codesbayesdelspliceai ↗
Not applicable · 12· recorded as not applicable Show reasons ▾Hide reasons ▴
PVS1 N/APVS1 applies only to null variants (nonsense, frameshift, canonical ±1,2 splice sites, initiation codons, CNVs) per the TP53 VCEP PVS1 flowchart. This variant is a missense substitution (p.Lys132Met) and does not qualify for PVS1. Details ▾Hide ▴
Evidence considered
  • Variant is a missense substitution
  • not a null variant per PVS1 definitions
  • PVS1 variant assessment confirms variant_bucket='other'
  • not a null variant class
Sources
vcep_pvs1_flowchartpvs1_variant_assessment
PS1 N/APS1 requires a different nucleotide change producing the same amino acid substitution (Lys132Met). K132M can only arise from c.395A>T in an AAG codon; no alternate single-nucleotide substitution produces the same K132M protein change. Details ▾Hide ▴
Evidence considered
  • c.395A>T is the sole single-nucleotide route to p.Lys132Met from the reference codon
PM6 VCEPThe TP53 VCEP explicitly marks PM6 as not applicable; de novo evidence is assessed under PS2 in this framework. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4: PM6 = 'Not applicable'
PP2 VCEPThe TP53 VCEP marks PP2 as not applicable for TP53; the gene has a high rate of pathogenic missense variation and this criterion is not used. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4: PP2 = 'Not applicable'
PP5 VCEPThe TP53 VCEP explicitly marks PP5 as 'Not Applicable for this VCEP' per ClinGen Sequence Variant Interpretation VCEP Review Committee recommendations. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4: PP5 explicitly marked as 'Not Applicable'
BP1 VCEPThe TP53 VCEP marks BP1 as not applicable for TP53; truncating variants account for only a portion of disease-causing variants in this gene. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4: BP1 = 'Not applicable'
BP2 VCEPThe TP53 VCEP marks BP2 as not applicable for TP53/Li-Fraumeni syndrome. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4: BP2 = 'Not applicable'
BP3 VCEPIn-frame deletion/insertion criterion; this variant is a missense substitution. Details ▾Hide ▴

No further detail was recorded.

BP5 VCEPThe TP53 VCEP marks BP5 as not applicable; alternative molecular basis evidence is not evaluated under this code. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4: BP5 = 'Not applicable'
BP6 VCEPThe TP53 VCEP explicitly marks BP6 as 'Not Applicable for this VCEP' per ClinGen Sequence Variant Interpretation VCEP Review Committee recommendations. ClinVar classification alone cannot be used to apply BP6 under this framework. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4: BP6 explicitly marked as 'Not Applicable'
BP7 N/ABP7 applies to synonymous (silent) or intronic variants. This variant is a missense substitution (c.395A>T, p.Lys132Met) and does not qualify. Details ▾Hide ▴
Evidence considered
  • Variant is a missense substitution
  • not synonymous or intronic
  • TP53 VCEP BP7 rules are for synonymous/silent and intronic variants only
PS5 N/APS5 is not a criterion in the TP53 VCEP v2.4 framework. Under the VCEP, same-residue missense comparator evidence is assessed via PM5. Since the TP53 VCEP framework takes precedence, PS5 is not applied. Details ▾Hide ▴
Evidence considered
  • TP53 VCEP v2.4 does not include a PS5 criterion
  • PM5 serves this evidentiary role

Identifiers

Gene
TP53
Transcript
NM_000546.6
Coding (HGVS c.)
NM_000546.6:c.395A>T
Protein (HGVS p.)
NP_000537.3:p.(Lys132Met)
GRCh38
chr17:7675217 T>A
GRCh37
chr17:7578535 T>A
ClinVar
376629
COSMIC
COSV52701687

Gene diagram

Every interpreted variant in TP53, mapped onto the exon structure of NM_000546.6. Select a row to find it on the plot.

TP53NM_000546.6
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

Absent from gnomAD-Canada v1.0.

SpliceAI and Pangolin

Pangolin splice lossmagnitude shown
-0.010
Pangolin splice gain
0.010

Other predictors

REVEL
0.924
BayesDel
0.296

How the predictions were used

PP3 ModeratePer the TP53 VCEP PP3-BP4-codes spreadsheet (Supplementary Table S2), c.395A>T (p.Lys132Met) is pre-assigned PP3_moderate. The variant meets VCEP PP3 moderate criteria: aGVGD Class C65 and BayesDel score 0.18419 ≥0.16, with SpliceAI max delta 0.00 (no predicted splicing impact). REVEL score 0.924 further supports a deleterious computational prediction. Details ▾Hide ▴
Evidence considered
  • VCEP PP3-BP4-codes: c.395A>T pre-assigned PP3_moderate
  • aGVGD Class C65 (pathogenic class)
  • BayesDel score 0.18419 ≥ 0.16 threshold
  • SpliceAI max delta 0.00 — no predicted splicing impact
  • REVEL score 0.924 — strongly predicted deleterious
Sources
vcep_pp3_bp4_codesbayesdelrevelspliceai ↗
BP4 The variant is classified as aGVGD Class C65 (pathogenic) with BayesDel score 0.18419. Per TP53 VCEP BP4 rules: BP4_Moderate requires BayesDel ≤-0.008 (not met, and additionally excluded for Class C65); BP4_Supporting requires BayesDel <0.16 and >-0.008 (not met, as 0.18419 >0.16, and excluded for Class C65). No BP4 strength applies. Details ▾Hide ▴
Evidence considered
  • aGVGD Class C65 — BP4 expressly excluded for C65 class
  • BayesDel score 0.18419 >0.16 — does not meet BP4_Supporting threshold
  • SpliceAI max delta 0.00 — no splicing impact
  • but BP4 still excluded by Class C65
Sources
vcep_pp3_bp4_codesbayesdelspliceai ↗
BP7 N/ABP7 applies to synonymous (silent) or intronic variants. This variant is a missense substitution (c.395A>T, p.Lys132Met) and does not qualify. Details ▾Hide ▴
Evidence considered
  • Variant is a missense substitution
  • not synonymous or intronic
  • TP53 VCEP BP7 rules are for synonymous/silent and intronic variants only

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.924. BayesDel score = 0.295714.

6 paper records listed. 3 cited in the classification. None of the listed paper records explicitly indicates that the variant is named.

Cited in the classification

  • Understanding the function-structure and function-mutation relationships of p53 tumor suppressor protein by high-resolution missense mutation analysis.
    Kato S et al. · 2003 Jul 8
    Systematic site-directed mutagenesis and yeast-based functional assay of 2,314 p53 missense mutants covering all possible single-nucleotide substitutions. K132M was tested as part of the comprehensive library and classified as non-functional in the p53 transactivation assay. The per-variant data, including K132M, is captured in the VCEP Functional Worksheet (Supplementary Table S3) derived from this study.
    → PS3 Does not name this variant
    PMID 12826609 ↗
    Source detail

    Location The variant is part of the 2,314-mutant library; individual variants are not named in the paper body. Per-variant functional results are in the VCEP Supplementary Table S3 derived from this study's data.

    Context Yeast-based p53 transactivation assay using 8 p53-binding sequences (p21WAF1, MDM2, BAX, 14-3-3σ, p53AIP1, GADD45, Noxa, p53R2); also validated in Saos-2 human osteosarcoma cells via luciferase reporter assay

  • A Systematic p53 Mutation Library Links Differential Functional Impact to Cancer Mutation Pattern and Evolutionary Conservation.
    Kotler E et al. · 2018 Jul 5
    Created a synthetically designed p53 mutation library and measured functional impact of approximately 10,000 DNA-binding domain p53 variants. K132M was tested as part of the systematic library; the VCEP Functional Worksheet records LOF for K132M in the Kotler assay.
    → PS3 Does not name this variant
    PMID 29979965 ↗
    Source detail

    Location Variant-level data not available in abstract; per-variant functional classification (LOF) recorded in VCEP Functional Worksheet derived from this study

    Context Synthetic p53 mutation library with functional impact measurement in DBD variants

  • Mutational processes shape the landscape of TP53 mutations in human cancer.
    Giacomelli AO et al. · 2018 Oct
    Comprehensive TP53 mutagenesis by integrated tiles (MITE) library testing all missense and nonsense TP53 mutations in isogenic A549 cells. Screens for dominant-negative, loss-of-function, and WT-like alleles using nutlin-3 and etoposide. K132M was tested as part of the systematic library; the VCEP Functional Worksheet records LOF for K132M in the Giacomelli assay.
    → PS3 Does not name this variant
    PMID 30224644 ↗
    Source detail

    Location Per-variant data in Supplementary Tables 2 and 3 (not included in the provided full text). VCEP Functional Worksheet records the LOF classification for K132M from this study.

    Context CRISPR-Cas9 edited isogenic A549 lung carcinoma cells (p53 WT and p53 NULL); nutlin-3 and etoposide positive-selection screens; MITE library covering all 20 amino acids + stop at each codon

Other recorded publications

  • P53 mutations in Ewing's sarcoma.
    Analyzed p53 deletion and sequence alterations plus MDM2 amplification in 35 Ewing's sarcoma tissue specimens. Two tumors showed p53 deletion and three had p53 mutations (codons 238, 176, 273). K132M was not identified in this study.
    Does not name this variant
    PMID 11295075 ↗
  • TP53 Variations in Human Cancers: New Lessons from the IARC TP53 Database and Genomics Data.
    IARC TP53 Database overview presenting current contents and functionalities, with systematic analysis of TP53 somatic mutation data. The paper references NM_000546 as the canonical transcript and discusses TP53 mutation patterns broadly but does not discuss K132M or any individual germline variant specifically.
    Does not name this variant
    PMID 27328919 ↗
  • American College of Medical Genetics and Genomics technical standards and guidelines: microarray analysis for chromosome abnormalities in neoplastic disorders.
    ACMG technical standards and guidelines for microarray analysis in neoplastic disorders. Background review paper on chromosomal microarray methodology; does not discuss TP53 variants or K132M.
    Does not name this variant
    PMID 23619274 ↗

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

Absent from gnomAD-Canada v1.0.

ClinVar

This variant has been reported in ClinVar as Pathogenic (1 clinical laboratory) and as Uncertain significance (1 clinical laboratory). (ClinVarID = 376629)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.924. BayesDel score = 0.295714.

Functional

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

Somatic

This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV52701687, n = 25 times).

Cancer Hotspots

This variant lies in a statistically significant hotspot.