About APC
No gene-level summary was recorded for this case.
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.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is ClinGen APC VCEP v2.1.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
NM_001127511.3:c.793C>T is a nonsense variant producing p.Arg265Ter (p.R265*) in exon 7. APC is a gene where loss of function is the established mechanism of disease (InSiGHT Hereditary Colorectal Cancer/Polyposis VCEP v2.1.0). The premature termination codon at position 265 occurs well upstream of the last exon, and nonsense-mediated decay is expected. Under the APC VCEP modified PVS1 decision tree (Figure 1), this null variant meets PVS1 at Very Strong strength.
The variant has been observed in multiple unrelated families with classic FAP. PMID:12901799 reports a 3-generation Malaysian Chinese family with multiple affected members segregating the variant with disease (estimated ≥2 phenotype points). PMID:30897307 reports 3 affected individuals from 2 unrelated Brazilian families (families 10 and 21), all with classic FAP and one with osteoma (estimated ≥1.5 phenotype points). Total estimated phenotype points: 3.5, meeting PS4_Moderate threshold (2-3.5 points) under the APC VCEP phenotype point system (Table 1).
The variant is absent from gnomAD v2.1.1 (non-cancer dataset, AC=0) and present at extremely low frequency in gnomAD v4.1 (AF=2.48e-6, 4/1,610,912 alleles, grpmax FAF=8e-7). Under the APC VCEP PM2 threshold: AC=0 (≤1) requires AF<0.001% (1e-5); absent from v2.1.1 meets this. Under the alternative threshold for AC>1: AF≤0.0003% (3e-6); the v4.1 AF of 2.48e-6 also meets this. PM2_Supporting is satisfied.
Expert panel ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis Variant Curation Expert Panel classified as Pathogenic.
No benign criterion marked as applied in the recorded assessment.
ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for APC Version 2.1.0 v2.1.0 criteria-combination framework: matched Rule18 (1 Pathogenic.Very Strong + 1 Pathogenic.Moderate) with applied criteria: PVS1 very strong, PS4 moderate, PM2 supporting, PP5 supporting; maps to Likely Pathogenic.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 4 / 1,610,912 alleles. Recorded AF 2.48307e-06. Recorded homozygote count 0.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.190. Refer to the recorded PP3/BP4 rationale for interpretation.
15 Pathogenic · 1 pathogenic.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen APC VCEP v2.1.0, with the data and sources behind each one.
29 criteria with recorded statuses: 4 met · 3 not met · 8 not assessed · 14 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_001127511.3:c.793C>T (p.Arg265Ter) is a nonsense variant in exon 7 of APC, a gene where loss of function is the established disease mechanism for familial adenomatous polyposis.
The variant meets PVS1 at Very Strong strength: null variant in a LOF-established gene, expected to trigger nonsense-mediated decay (InSiGHT VCEP v2.1.0 modified decision tree).
The variant has been observed in multiple unrelated families with classic FAP: a 3-generation Malaysian Chinese family (PMID:12901799) and 3 affected individuals from 2 Brazilian families (PMID:30897307), meeting PS4 at Moderate strength (estimated 3.5 phenotype points).
The variant is absent from gnomAD v2.1.1 and present at extremely low frequency in gnomAD v4.1 (AF=2.48e-6, grpmax FAF=8e-7), meeting PM2 at Supporting strength under APC VCEP population thresholds.
Under the APC VCEP v2.1.0 combination rules (Rule 22): one Very Strong criterion (PVS1) + one Moderate criterion (PS4) + one Supporting criterion (PM2) reaches Pathogenic classification. The ClinGen InSiGHT expert panel independently classified this variant as Pathogenic (ClinVar variation 184999).
No criteria match.
No further detail was recorded.
Every interpreted variant in APC, mapped onto the exon structure of NM_001127511.3. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| European (non-Finnish)4 / 1,177,804 | 3.4e-06 |
This variant is present in gnomAD v4.1 (AF= 2.48307e-06; MAF= 0.00025%, 4/1610912 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.39615e-06; MAF= 0.00034%, 4/1177804 alleles, homozygotes = 0); grpmax FAF= 8e-07.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.19). BayesDel score = 0.66.
8 paper records listed. 2 cited in the classification.
Sequence analysis revealed that the affected individuals are heterozygous for a C847T transition, whilst all the unaffected family members and control individuals are homozygous C at the same position. This nucleotide substitution generates a stop codon at amino acid position 283, in place of the usual arginine (Arg283Ter).
Location Abstract; Results paragraph describing sequencing confirmation
p.Arg283Ter(c.847C>T) 1 (Family 10) ... p.Arg283Ter(c.847C>T) 2 (Family 21)
Location Table 1 (families 10 and 21); Table 7 (codon 283 phenotypic correlations)
Context Prospective single-center cohort study; clinical phenotyping by colonoscopy, UGIE, CT, MRI, Doppler ultrasound, ophthalmoscopy
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 2.48307e-06; MAF= 0.00025%, 4/1610912 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.39615e-06; MAF= 0.00034%, 4/1177804 alleles, homozygotes = 0); grpmax FAF= 8e-07.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Error retrieving ClinVar entry.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.19). BayesDel score = 0.66.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.