About POLE
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 uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
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 León-Castillo et al. 2020 custom POLE framework. 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_006231.4:c.3959G>A is present at extremely low frequency in population databases. In gnomAD v2.1, the allele frequency is 3.21e-05 (0.0032%, 8/249,426 alleles, 0 homozygotes; grpmax FAF=8.51e-05). In gnomAD v4.1, the frequency is 1.55e-05 (0.0016%, 25/1,613,522 alleles, 0 homozygotes; grpmax FAF=1.10e-04). Both are well below the 0.1% PM2 threshold. The variant is absent from gnomAD-Canada v1.0. Highest subpopulation frequency is in South Asians (v2.1: 0.020%, v4.1: 0.018%).
Under the Leon-Castillo et al. 2020 custom POLE framework, BP4_Supporting applies when the variant appears in Supplementary Table S2 or S3 with REVEL class 'Likely benign' and >=4 benign in silico results. R1320Q is absent from both tables, so the custom rule does not apply. Under generic fallback, multiple lines of computational evidence predict no impact: REVEL score 0.225 (below 0.5, benign-leaning), BayesDel score -0.2976 (negative, predicting benign), and SpliceAI max delta 0.02 (no splicing impact). These results support a lack of deleterious effect at the supporting evidence level.
The adjudicated criteria yield exactly one pathogenic supporting criterion (PM2) and one benign supporting criterion (BP4). No pathogenic criteria reach moderate, strong, or very-strong strength, and no benign criteria reach strong or standalone strength. Under the Leon-Castillo et al. 2020 custom POLE framework (which defers to standard ACMG/AMP 2015 final-combination thresholds), the evidence is insufficient for any classification other than Uncertain Significance. Conflicting supporting-level evidence on both sides confirms VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 25 / 1,613,522 alleles. Recorded AF 1.54941e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 3.20736e-05; MAF= 0.00321%, 8/249426 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 0.000196053; MAF= 0.01961%, 6/30604 alleles, homozygotes = 0); grpmax FAF= 8.513e-05.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.
5 Uncertain significance. ClinVar API review status: criteria provided, multiple submitters, no conflicts.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. POLE, the catalytic subunit of DNA polymerase epsilon, is an enzyme involved in DNA replication and repair. Select POLE mutations lead to ultra-high m
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 León-Castillo et al. 2020 custom POLE framework, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 9 not met · 12 not assessed · 3 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_006231.4:c.3959G>A (p.Arg1320Gln) in POLE is classified as a Variant of Uncertain Significance (VUS).
This variant is a missense substitution in exon 31 of 49, located in the C-terminal region of POLE, far outside the well-characterized exonuclease domain (residues ~268-471).
The variant is present at very low frequency in population databases: gnomAD v2.1 allele frequency 0.0032% (8/249,426 alleles) and v4.1 allele frequency 0.0016% (25/1,613,522 alleles), with no homozygotes observed (PM2_Supporting).
Multiple in silico tools predict a benign effect: REVEL score 0.225, BayesDel score -0.2976, and SpliceAI max delta 0.02 (BP4_Supporting).
The variant is not one of the five established pathogenic POLE exonuclease-domain hotspot mutations (P286R, V411L, S297F, A456P, S459F) and is absent from the recurrent variant list in the Leon-Castillo et al. 2020 endometrial carcinoma cohort analysis.
ClinVar classifies this variant as Uncertain Significance with 5 clinical laboratory submissions and review status 'criteria provided, single submitter' (1-star). No expert panel review has been performed.
No functional studies, segregation data, de novo observations, or case-control data are available for this variant. The reviewed literature (Karbassi et al. 2016, PMID:26467025; Hampel et al. 2015, PMID:25394175; Nykamp et al. 2017, PMID:28492532) consists of variant classification methodology papers that do not mention this variant.
The net evidence balance is one supporting pathogenic criterion (PM2) and one supporting benign criterion (BP4), resulting in a classification of Uncertain Significance under the ACMG/AMP 2015 framework.
No criteria match.
Every interpreted variant in POLE, mapped onto the exon structure of NM_006231.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| South Asian16 / 91,092 | 0.00018 |
| Middle Eastern1 / 6,084 | 0.00016 |
| Remaining individuals3 / 62,486 | 4.8e-05 |
| African/African American1 / 74,950 | 1.3e-05 |
| European (non-Finnish)4 / 1,180,050 | 3.4e-06 |
| South Asian6 / 30,604 | 0.0002 |
| Remaining individuals1 / 6,108 | 0.00016 |
| European (non-Finnish)1 / 112,312 | 8.9e-06 |
This variant is present in gnomAD v4.1 (AF= 1.54941e-05; MAF= 0.00155%, 25/1613522 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 0.000175647; MAF= 0.01756%, 16/91092 alleles, homozygotes = 0); grpmax FAF= 0.00010969.
This variant is present in gnomAD v2.1 (AF= 3.20736e-05; MAF= 0.00321%, 8/249426 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 0.000196053; MAF= 0.01961%, 6/30604 alleles, homozygotes = 0); grpmax FAF= 8.513e-05.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.225. BayesDel score = -0.297636.
2 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
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= 1.54941e-05; MAF= 0.00155%, 25/1613522 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 0.000175647; MAF= 0.01756%, 16/91092 alleles, homozygotes = 0); grpmax FAF= 0.00010969.
This variant is present in gnomAD v2.1 (AF= 3.20736e-05; MAF= 0.00321%, 8/249426 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 0.000196053; MAF= 0.01961%, 6/30604 alleles, homozygotes = 0); grpmax FAF= 8.513e-05.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (5 clinical laboratories). (ClinVarID = 240494)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.225. BayesDel score = -0.297636.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. POLE, the catalytic subunit of DNA polymerase epsilon, is an enzyme involved in DNA replication and repair. Select POLE mutations lead to ultra-high m
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.