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NM_004985.5(KRAS):c.38G>A (p.Gly13Asp)

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Interpretation:
Conflicting interpretations of pathogenicity​

Pathogenic(6); Uncertain significance(1)

Review status:
criteria provided, conflicting interpretations
Submissions:
20
First in ClinVar:
Nov 22, 2014
Most recent Submission:
Mar 11, 2023
Last evaluated:
Jul 1, 2022
Accession:
VCV000012580.38
Variation ID:
12580
Description:
single nucleotide variant
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NM_004985.5(KRAS):c.38G>A (p.Gly13Asp)

Allele ID
27619
Variant type
single nucleotide variant
Variant length
1 bp
Cytogenetic location
12p12.1
Genomic location
12: 25245347 (GRCh38) GRCh38 UCSC
12: 25398281 (GRCh37) GRCh37 UCSC
HGVS
Nucleotide Protein Molecular
consequence
NM_004985.5:c.38G>A MANE Select NP_004976.2:p.Gly13Asp missense
NM_001369786.1:c.38G>A NP_001356715.1:p.Gly13Asp missense
NM_001369787.1:c.38G>A NP_001356716.1:p.Gly13Asp missense
... more HGVS
Protein change
G13D
Other names
-
Canonical SPDI
NC_000012.12:25245346:C:T
Functional consequence
-
Global minor allele frequency (GMAF)
-

Allele frequency
The Genome Aggregation Database (gnomAD) 0.00001
Links
ClinGen: CA122534
UniProtKB: P01116#VAR_016029
OMIM: 190070.0003
dbSNP: rs112445441
VarSome
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Aggregate interpretations per condition

Interpreted condition Interpretation Number of submissions Review status Last evaluated Variation/condition record
Pathogenic 5 criteria provided, multiple submitters, no conflicts Sep 9, 2021 RCV001092389.16
Pathogenic 2 criteria provided, single submitter Nov 2, 2011 RCV000038269.6
Pathogenic 1 criteria provided, single submitter - RCV001526657.1
Pathogenic 1 criteria provided, single submitter Jul 19, 2018 RCV001266168.2
Pathogenic 1 criteria provided, single submitter Jul 1, 2022 RCV001857340.2
Uncertain significance 1 criteria provided, single submitter Dec 1, 2019 RCV001813183.3
Pathogenic 1 no assertion criteria provided Jul 1, 2015 RCV000013409.10
Pathogenic 1 no assertion criteria provided Jul 1, 2015 RCV000144967.8
Pathogenic 1 no assertion criteria provided Jul 1, 2015 RCV000144968.8
Pathogenic 1 no assertion criteria provided Mar 10, 2016 RCV000421576.1
Pathogenic 1 no assertion criteria provided Oct 2, 2014 RCV000427102.1
Likely pathogenic 1 no assertion criteria provided Oct 2, 2014 RCV000431806.1
Pathogenic 1 no assertion criteria provided Oct 2, 2014 RCV000444192.1
OCULOECTODERMAL SYNDROME, SOMATIC
Pathogenic 1 no assertion criteria provided Jul 1, 2015 RCV000791297.3
not provided 1 no assertion provided - RCV001839444.2

Clinical features observed in individuals with this variant

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Gene OMIM ClinGen Gene Dosage Sensitivity Curation Variation viewer Related variants
HI score Help TS score Help Within gene All
KRAS No evidence available No evidence available GRCh38
GRCh37
432 464

Submitted interpretations and evidence

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Interpretation
(Last evaluated)
Review status
(Assertion criteria)
Condition
(Inheritance)
Submitter More information
Pathogenic
(Nov 02, 2011)
criteria provided, single submitter
Method: clinical testing
Non-small cell lung carcinoma
Affected status: not provided
Allele origin: somatic
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Accession: SCV000061938.4
First in ClinVar: May 03, 2013
Last updated: Jan 31, 2015
Publications:
PubMed (1)
PubMed: 15696205
Number of individuals with the variant: 9
Uncertain significance
(Dec 01, 2019)
criteria provided, single submitter
Method: clinical testing
Noonan syndrome and Noonan-related syndrome
Affected status: unknown
Allele origin: germline
Genome Diagnostics Laboratory, The Hospital for Sick Children
Accession: SCV002060774.1
First in ClinVar: Jan 20, 2022
Last updated: Jan 20, 2022
Pathogenic
(Jul 19, 2018)
criteria provided, single submitter
Method: clinical testing
Inborn genetic diseases
Affected status: yes
Allele origin: germline
Ambry Genetics
Accession: SCV001444340.2
First in ClinVar: Nov 21, 2020
Last updated: Jan 07, 2023
Publications:
PubMed (7)
Number of individuals with the variant: 1
Clinical Features:
Hepatosplenomegaly (present) , Autoimmune hemolytic anemia (present)
Sex: female
Pathogenic
(Jul 01, 2022)
criteria provided, single submitter
Method: clinical testing
RASopathy
Affected status: unknown
Allele origin: germline
Invitae
Accession: SCV002117438.2
First in ClinVar: Mar 28, 2022
Last updated: Feb 07, 2023
Publications:
PubMed (1)
PubMed: 25808193
Comment:
This sequence change replaces glycine, which is neutral and non-polar, with aspartic acid, which is acidic and polar, at codon 13 of the KRAS protein … (more)
Pathogenic
(-)
criteria provided, single submitter
Method: clinical testing
Nevus sebaceous
Affected status: yes
Allele origin: somatic
Equipe Genetique des Anomalies du Developpement, Université de Bourgogne
Accession: SCV001737088.1
First in ClinVar: Jun 19, 2021
Last updated: Jun 19, 2021
Pathogenic
(Feb 01, 2020)
criteria provided, single submitter
Method: clinical testing
not provided
Affected status: yes
Allele origin: germline
CeGaT Center for Human Genetics Tuebingen
Accession: SCV001248878.13
First in ClinVar: May 12, 2020
Last updated: Jan 21, 2023
Number of individuals with the variant: 2
Pathogenic
(Sep 09, 2021)
criteria provided, single submitter
Method: clinical testing
not provided
Affected status: unknown
Allele origin: germline
PerkinElmer Genomics
Accession: SCV002016398.2
First in ClinVar: Nov 29, 2021
Last updated: Mar 11, 2023
Pathogenic
(-)
no assertion criteria provided
Method: clinical testing
not provided
Affected status: yes
Allele origin: germline
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Additional submitter:
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Study: VKGL Data-share Consensus
Accession: SCV001952799.1
First in ClinVar: Oct 02, 2021
Last updated: Oct 02, 2021
Likely pathogenic
(-)
no assertion criteria provided
Method: clinical testing
not provided
Affected status: yes
Allele origin: germline
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Additional submitter:
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Study: VKGL Data-share Consensus
Accession: SCV001972639.1
First in ClinVar: Oct 07, 2021
Last updated: Oct 07, 2021
Pathogenic
(Jul 01, 2015)
no assertion criteria provided
Method: literature only
BREAST ADENOCARCINOMA, SOMATIC
Affected status: not provided
Allele origin: somatic
OMIM
Accession: SCV000033656.6
First in ClinVar: Apr 04, 2013
Last updated: Mar 12, 2022
Publications:
PubMed (4)
PubMed: 3627975173322492106302625808193
Comment on evidence:
Breast Adenocarcinoma, Somatic In a cell line from a human breast adenocarcinoma (114480), Kozma et al. (1987) identified a heterozygous G-to-A transition in exon 1 … (more)
Pathogenic
(Jul 01, 2015)
no assertion criteria provided
Method: literature only
JUVENILE MYELOMONOCYTIC LEUKEMIA, SOMATIC
Affected status: not provided
Allele origin: somatic
OMIM
Accession: SCV000191994.5
First in ClinVar: Nov 22, 2014
Last updated: Mar 12, 2022
Publications:
PubMed (4)
PubMed: 3627975173322492106302625808193
Comment on evidence:
Breast Adenocarcinoma, Somatic In a cell line from a human breast adenocarcinoma (114480), Kozma et al. (1987) identified a heterozygous G-to-A transition in exon 1 … (more)
Pathogenic
(Jul 01, 2015)
no assertion criteria provided
Method: literature only
RAS-ASSOCIATED AUTOIMMUNE LEUKOPROLIFERATIVE DISORDER, SOMATIC
Affected status: not provided
Allele origin: somatic
OMIM
Accession: SCV000191995.5
First in ClinVar: Nov 22, 2014
Last updated: Mar 12, 2022
Publications:
PubMed (4)
PubMed: 3627975173322492106302625808193
Comment on evidence:
Breast Adenocarcinoma, Somatic In a cell line from a human breast adenocarcinoma (114480), Kozma et al. (1987) identified a heterozygous G-to-A transition in exon 1 … (more)
Pathogenic
(-)
no assertion criteria provided
Method: clinical testing
not provided
Affected status: yes
Allele origin: unknown
Department of Pathology and Laboratory Medicine,Sinai Health System
Additional submitter:
Franklin by Genoox
Study: The Canadian Open Genetics Repository (COGR)
Accession: SCV001552665.2
First in ClinVar: Apr 13, 2021
Last updated: Nov 29, 2022
Number of individuals with the variant: 76
Pathogenic
(Mar 10, 2016)
no assertion criteria provided
Method: literature only
Neoplasm of the large intestine
(Somatic mutation)
Affected status: yes
Allele origin: somatic
Database of Curated Mutations (DoCM)
Accession: SCV000504458.1
First in ClinVar: Mar 08, 2017
Last updated: Mar 08, 2017
Publications:
PubMed (16)
Other databases
http://docm.genome.wustl.edu/var… http://docm.genome.wustl.edu/variants/ENST00000256078:c.38G>A
Likely pathogenic
(Oct 02, 2014)
no assertion criteria provided
Method: literature only
Acute myeloid leukemia
(Somatic mutation)
Affected status: yes
Allele origin: somatic
Database of Curated Mutations (DoCM)
Accession: SCV000504459.1
First in ClinVar: Mar 08, 2017
Last updated: Mar 08, 2017
Publications:
PubMed (5)
PubMed: 31222171643449222789701907519022407852
Other databases
http://docm.genome.wustl.edu/var… http://docm.genome.wustl.edu/variants/ENST00000256078:c.38G>A
Pathogenic
(Oct 02, 2014)
no assertion criteria provided
Method: literature only
Neoplasm of ovary
(Somatic mutation)
Affected status: yes
Allele origin: somatic
Database of Curated Mutations (DoCM)
Accession: SCV000504460.1
First in ClinVar: Mar 08, 2017
Last updated: Mar 08, 2017
Publications:
PubMed (2)
PubMed: 2197577519018267
Other databases
http://docm.genome.wustl.edu/var… http://docm.genome.wustl.edu/variants/ENST00000256078:c.38G>A
Pathogenic
(Oct 02, 2014)
no assertion criteria provided
Method: literature only
Thyroid tumor
(Somatic mutation)
Affected status: yes
Allele origin: somatic
Database of Curated Mutations (DoCM)
Accession: SCV000504461.1
First in ClinVar: Mar 08, 2017
Last updated: Mar 08, 2017
Publications:
PubMed (4)
PubMed: 19255327234060271977337117384584
Other databases
http://docm.genome.wustl.edu/var… http://docm.genome.wustl.edu/variants/ENST00000256078:c.38G>A
Pathogenic
(Oct 02, 2014)
no assertion criteria provided
Method: literature only
Non-small cell lung carcinoma
(Somatic mutation)
Affected status: yes
Allele origin: somatic
Database of Curated Mutations (DoCM)
Accession: SCV000504462.1
First in ClinVar: Mar 08, 2017
Last updated: Mar 08, 2017
Publications:
PubMed (2)
PubMed: 1246091818794081
Other databases
http://docm.genome.wustl.edu/var… http://docm.genome.wustl.edu/variants/ENST00000256078:c.38G>A
Pathogenic
(Jul 01, 2015)
no assertion criteria provided
Method: literature only
OCULOECTODERMAL SYNDROME, SOMATIC
Affected status: not provided
Allele origin: somatic
OMIM
Accession: SCV000930607.3
First in ClinVar: Aug 05, 2019
Last updated: Mar 12, 2022
Publications:
PubMed (4)
PubMed: 3627975173322492106302625808193
Comment on evidence:
Breast Adenocarcinoma, Somatic In a cell line from a human breast adenocarcinoma (114480), Kozma et al. (1987) identified a heterozygous G-to-A transition in exon 1 … (more)
not provided
(-)
no assertion provided
Method: literature only
Encephalocraniocutaneous lipomatosis
Affected status: unknown
Allele origin: somatic
GeneReviews
Accession: SCV002099548.2
First in ClinVar: Mar 03, 2022
Last updated: Oct 01, 2022
Publications:
PubMed (1)
PubMed: 25808193

Functional evidence

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There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Citations for this variant

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Title Author Journal Year Link
Encephalocraniocutaneous Lipomatosis. Adam MP - 2022 PMID: 35099867
Encephalocraniocutaneous Lipomatosis. Adam MP - 2022 BookShelf: NBK576966
Cetuximab treatment for metastatic colorectal cancer with KRAS p.G13D mutations improves progression-free survival. Osumi H Molecular and clinical oncology 2015 PMID: 26623049
Oculoectodermal syndrome is a mosaic RASopathy associated with KRAS alterations. Peacock JD American journal of medical genetics. Part A 2015 PMID: 25808193
Comparative analysis of KRAS codon 12, 13, 18, 61, and 117 mutations using human MCF10A isogenic cell lines. Stolze B Scientific reports 2015 PMID: 25705018
Prospective enterprise-level molecular genotyping of a cohort of cancer patients. MacConaill LE The Journal of molecular diagnostics : JMD 2014 PMID: 25157968
KRAS mutations: variable incidences in a Brazilian cohort of 8,234 metastatic colorectal cancer patients. Gil Ferreira C BMC gastroenterology 2014 PMID: 24720724
KRAS G13D Mutation and Sensitivity to Cetuximab or Panitumumab in a Colorectal Cancer Cell Line Model. Kumar SS Gastrointestinal cancer research : GCR 2014 PMID: 24558511
Selumetinib-enhanced radioiodine uptake in advanced thyroid cancer. Ho AL The New England journal of medicine 2013 PMID: 23406027
Mutant KRAS codon 12 and 13 alleles in patients with metastatic colorectal cancer: assessment as prognostic and predictive biomarkers of response to panitumumab. Peeters M Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2013 PMID: 23182985
Association of KRAS G13D tumor mutations with outcome in patients with metastatic colorectal cancer treated with first-line chemotherapy with or without cetuximab. Tejpar S Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2012 PMID: 22734028
De novo childhood myelodysplastic/myeloproliferative disease with unique molecular characteristics. Ismael O British journal of haematology 2012 PMID: 22571758
RAS mutations are frequent in FAB type M4 and M5 of acute myeloid leukemia, and related to late relapse: a study of the Japanese Childhood AML Cooperative Study Group. Sano H International journal of hematology 2012 PMID: 22407852
Inhibition of MEK and PI3K/mTOR suppresses tumor growth but does not cause tumor regression in patient-derived xenografts of RAS-mutant colorectal carcinomas. Migliardi G Clinical cancer research : an official journal of the American Association for Cancer Research 2012 PMID: 22392911
Epidermal growth factor receptor blockers for the treatment of ovarian cancer. Haldar K The Cochrane database of systematic reviews 2011 PMID: 21975775
Effect of simvastatin on cetuximab resistance in human colorectal cancer with KRAS mutations. Lee J Journal of the National Cancer Institute 2011 PMID: 21398618
Efficacy according to biomarker status of cetuximab plus FOLFOX-4 as first-line treatment for metastatic colorectal cancer: the OPUS study. Bokemeyer C Annals of oncology : official journal of the European Society for Medical Oncology 2011 PMID: 21228335
Autoimmune lymphoproliferative syndrome-like disease with somatic KRAS mutation. Takagi M Blood 2011 PMID: 21063026
Association of KRAS p.G13D mutation with outcome in patients with chemotherapy-refractory metastatic colorectal cancer treated with cetuximab. De Roock W JAMA 2010 PMID: 20978259
Randomized, phase III trial of panitumumab with infusional fluorouracil, leucovorin, and oxaliplatin (FOLFOX4) versus FOLFOX4 alone as first-line treatment in patients with previously untreated metastatic colorectal cancer: the PRIME study. Douillard JY Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2010 PMID: 20921465
Randomized phase III study of panitumumab with fluorouracil, leucovorin, and irinotecan (FOLFIRI) compared with FOLFIRI alone as second-line treatment in patients with metastatic colorectal cancer. Peeters M Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2010 PMID: 20921462
Beneficial effects of sorafenib on tumor progression, but not on radioiodine uptake, in patients with differentiated thyroid carcinoma. Hoftijzer H European journal of endocrinology 2009 PMID: 19773371
Frequency and type of KRAS mutations in routine diagnostic analysis of metastatic colorectal cancer. Neumann J Pathology, research and practice 2009 PMID: 19679400
Phase II trial of sorafenib in metastatic thyroid cancer. Kloos RT Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2009 PMID: 19255327
Fluorouracil, leucovorin, and oxaliplatin with and without cetuximab in the first-line treatment of metastatic colorectal cancer. Bokemeyer C Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2009 PMID: 19114683
High-throughput sequencing screen reveals novel, transforming RAS mutations in myeloid leukemia patients. Tyner JW Blood 2009 PMID: 19075190
KRAS or BRAF mutation status is a useful predictor of sensitivity to MEK inhibition in ovarian cancer. Nakayama N British journal of cancer 2008 PMID: 19018267
Frequency and distinctive spectrum of KRAS mutations in never smokers with lung adenocarcinoma. Riely GJ Clinical cancer research : an official journal of the American Association for Cancer Research 2008 PMID: 18794081
Wild-type KRAS is required for panitumumab efficacy in patients with metastatic colorectal cancer. Amado RG Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2008 PMID: 18316791
Hyperactive Ras in developmental disorders and cancer. Schubbert S Nature reviews. Cancer 2007 PMID: 17384584
Spontaneous improvement of hematologic abnormalities in patients having juvenile myelomonocytic leukemia with specific RAS mutations. Matsuda K Blood 2007 PMID: 17332249
KRAS mutation status is predictive of response to cetuximab therapy in colorectal cancer. Lièvre A Cancer research 2006 PMID: 16618717
Implications of NRAS mutations in AML: a study of 2502 patients. Bacher U Blood 2006 PMID: 16434492
Randomized phase II trial of the clinical and biological effects of two dose levels of gefitinib in patients with recurrent colorectal adenocarcinoma. Rothenberg ML Journal of clinical oncology : official journal of the American Society of Clinical Oncology 2005 PMID: 16361624
KRAS mutations and primary resistance of lung adenocarcinomas to gefitinib or erlotinib. Pao W PLoS medicine 2005 PMID: 15696205
BRAF and RAS mutations in human lung cancer and melanoma. Brose MS Cancer research 2002 PMID: 12460918
RAS gene mutations in childhood acute myeloid leukemia: a Pediatric Oncology Group study. Vogelstein B Genes, chromosomes & cancer 1990 PMID: 2278970
ras oncogenes in human cancer: a review. Bos JL Cancer research 1989 PMID: 2547513
The human c-Kirsten ras gene is activated by a novel mutation in codon 13 in the breast carcinoma cell line MDA-MB231. Kozma SC Nucleic acids research 1987 PMID: 3627975
RAS gene mutations in acute and chronic myelocytic leukemias, chronic myeloproliferative disorders, and myelodysplastic syndromes. Janssen JW Proceedings of the National Academy of Sciences of the United States of America 1987 PMID: 3122217
http://docm.genome.wustl.edu/variants/ENST00000256078:c.38G>A - - - -

Text-mined citations for rs112445441...

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These citations are identified by LitVar using the rs number, so they may include citations for more than one variant at this location. Please review the LitVar results carefully for your variant of interest.

Record last updated Mar 11, 2023