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Table 1 Pathogenic/likely pathogenic germline variants in CDKN2A affecting p16INK4A, p14ARF transcripts and the associated neoplasms reported in the literature

From: CDKN2A germline alterations and the relevance of genotype-phenotype associations in cancer predisposition

Effect on p14ARF (Transcript: NM_058195)

Effect on p16INK4A (Transcript: NM_000077)

Neoplasms reported in variant carriers

References

Exon/

intron

Nucleotide change

Protein change

Variant effect

Exon/

intron

Nucleotide change

Protein change

Variant effect

MEL

PCa

NST

SARC

BrCa

HNSCC

LCa

NFB

Other neoplasms

Ex 1β

Del of Exon 1

null

/

       

uterine adenocarcinoma, thyroid adenomata, chest wall neurilemmoma, pituitary macroadenoma

[21, 25]

Ex 1β

c.47G > A

Gly16Asp

MS

/

        

[20]

Ex 1β

c.60_61insCGGCCCGCCGCGAGTG

Val22Profs*46

PT

/

        

[19]

Ex 1β

c.97dup

Glu33Glyfs*30

PT

        

Bladder ca.

[26]

Ex 1β

c.161G > A

Arg54His

MS

/

        

[27]

Ex 1β

c.193G > C

Gly65Arg

MS

/

   

/

    

[25, 28, 29]

In 1

c.193 + 1G > A

n.d.

Splicea

/

        

[25, 27, 29,30,31]

In 1

c.194-3653G > T

n.d.

Int

Ex 1α

c.-34G > T

5’UTR

/

        

[25, 29, 32,33,34,35]

In 1

c.194-3635dup

n.d.

Int

Ex 1α

c.-16_8dup

Ala4_Pro11dup b

In-frame INS

/

       

Multiple myeloma, brain tumor, colorectal ca.

[14, 36,37,38,39,40]

In 1

c.194-3585C > A

n.d.

Int

Ex 1α

c.35C > A

Ser12*

PT

/

        

[41, 42]

In 1

c.194-3576G > A

n.d.

Int

Ex 1α

c.44G > A

Trp15*

PT

/

        

[25, 35, 42,43,44]

In 1

c.194-3573 T > G

n.d.

Int

Ex 1α

c.47 T > G

Leu16Arg

MS

/

/

       

[4, 25, 29, 45, 46]

In 1

c.194-3573 T > C

n.d.

Int

Ex 1α

c.47 T > C

Leu16Pro

MS

/

/

       

[9, 45,46,47,48]

In 1

c.194-3553G > A

n.d.

Int

Ex 1α

c.67G > A

Gly23Ser

MS

/

        

[45]

In 1

c.194-3552G > A

n.d.

Int

Ex 1α

c.68G > A

Gly23Asp

MS

/

        

[25, 48,49,50,51]

In 1

c.194-3549G > C

n.d.

Int

Ex 1α

c.71G > C

Arg24Pro

MS

/

/

 

/

     

[25, 32, 34, 51,52,53]

In 1

c.194-3541G > T

n.d.

Int

Ex 1α

c.79G > T

Glu27*

PT

/

       

Neuroblastoma

[25, 54, 55]

In 1

c.194-3525 T > C

n.d.

Int

Ex 1α

c.95 T > C

Leu32Pro

MS

/

/

 

/

     

[18, 25]

In 1

c.194-3514delG

n.d.

Int

Ex 1α

c.106delG

Ala36Argfs*17

PT

/

    

/

   

[15]

In 1

c.194-3489_194-3488insAA

n.d.

Int

Ex 1α

c.131_132insAA

Tyr44*

PT

/

        

[56,57,58]

In 1

c.194-3488C > G

n.d.

Int

Ex 1α

c.132C > G

Tyr44*

PT

/

        

[56,57,58]

In 1

c.194-3488del

n.d.

Int

Ex 1α

c.132del

Tyr44*

PT

/

/

       

[59]

In 1

c.194-3478C > A

n.d.

Int

Ex 1α

c.142C > A

Pro48Thr

MS

/

        

[25]

In 1

c.194-3477C > T

n.d.

Int

Ex 1α

c.143C > T

Pro48Leu

MS

/

        

[60]

In 1

c.194-3474 T > G

n.d.

Int

Ex 1α

c.146 T > G

Ile49Ser

MS

/

/

 

/

     

[18, 25]

In 1

c.194-3472C > T

n.d.

Int

Ex 1α

c.148C > T

Gln50* c

PT

/

/

       

[32]

In 1

c.194-3471A > C

n.d.

Int

Ex 1α

c.149A > C

Gln50Pro

MS

/

        

[52]

In 1

c.194-69C > T

n.d.

Int

In 1

c.151-69C > T

Int

/ (Uvl)

        

[61]

In 1

c.194-2A > G

n.d.

Splice

In 1

c.151-2A > G

n.d.

Splice

   

/

     

[18]

In 1

c.194-1G > C

n.d.

Splicea

In 1

c.151-1G > C

n.d.

Splicea

/

 

/

 

/

  

/

Osteochondroma

[11, 13, 62]

Ex 2

c.202G > C

Asp68His

MS

Ex 2

c.159G > C

Met53Ile

MS

/

        

[32, 34]

Ex 2

c.202G > A

Asp68Asn

MS

Ex 2

c.159G > A

Met53Ile

MS

/

/

       

[32]

Ex 2

c.210G > T

Gln70His

MS

Ex 2

c.167G > T

Ser56Ile

MS

/

        

[34, 35, 48, 63,64,65]

Ex 2

c.215C > T

Pro72Leu

MS

Ex 2

c.172C > T

Arg58* d

PT

/

        

[25]

Ex 2

c.219 T > G

Ser73Arg

MS

Ex 2

c.176 T > G

Val59Gly

MS

/

        

[4, 30, 33, 48, 64, 66,67,68]

Ex 2

c.237 T > C

Ala79=

Silent

Ex 2

c.194 T > C

Leu65Pro

MS

   

/

     

[18, 25]

Ex 2

c.245_246delinsTT

Arg82Leu

MS

Ex 2

c.202_203delinsTT

Ala68Leu

MS

/

/

       

[25]

Ex 2

c.255A > G

Gln85=

Silent

Ex 2

c.212A > G

Asn71Ser

MS

/

        

[4, 59, 69, 70]

Ex 2

c.256C > A

Leu86Met

MS

Ex 2

c.213C > A

Asn71Lys

MS

/

   

/

 

/

 

Multiple myeloma

[17, 25]

Ex 2

c.262C > T

Arg88*

PT

Ex 2

c.219C > T

Ala73=

Silent

        

Stomach ca.

[26]

Ex 2

c.268_286del / c.269_287del

Arg90Valfs*76

PT

Ex 2

c.225_243del / c.226_244del

Ala76Cysfs*64 e

PT

/

/

   

/

  

Uterine carcinomasarcoma

[18, 25, 32, 44, 71,72,73,74,75,76]

Ex 2

c.283_296del

Thr95Leufs*61

PT

Ex 2

c.240_253del

Pro81Cysfs*34

PT

/

/

     

/

Papillary thyroid ca., uterine tumors

[77]

Ex 2

c.302C > T

Pro101Leu

MS

Ex 2

c.259C > T

Arg87Trp

MS

/

        

[33, 55, 63, 78, 79]

Ex 2

c.303G > C

Pro101=

Silent

Ex 2

c.260G > C

Arg87Pro

MS

/

    

/

/

  

[10, 25, 69, 80]

Ex 2

c.305G > T

Gly102Val

MS

Ex 2

c.262G > T

Glu88*

PT

/

        

[33, 81]

Ex 2

c.326del

Gly109Valfs*63

PT

Ex 2

c.283del

Val95Trpfs*51

PT

 

/

       

[46]

Ex 2

c.451_454dupGGTG

Ala152Glyfs*51

PT

Ex 2

c.285_288dupGGTG

Leu97Glyfs*24

PT

/

       

Low grade neuroepithelial tumor

[53]

Ex 2

c.339G > C

Pro113=

Silent

Ex 2

c.296G > C

Arg99Pro

MS

/

/

       

[25]

Ex 2

c.344G > T

Arg115Leu

MS

Ex 2

c.301G > T

Gly101Trp

MS

/

  

/

     

[18, 25, 32, 33, 67]

Ex 2

c.350_351del

Ala117Glyfs*43

PT

Ex 2

c.307_308del

Arg103Alafs*16

PT

/

        

[25, 34]

Ex 2

c.365G > T

Arg122Leu

MS

Ex 2

c.322G > T

Asp108Tyr

MS

/

        

[82]

Ex 2

c.377C > G

Pro126Arg

MS

Ex 2

c.334C > G

Arg112Gly

MS

/

        

[25]

Ex 2

c.378_380dup

Ser127dup

In-frame INS

Ex 2

c.335_337dup

Arg112dup f

In-frame INS

/

/

  

/

   

non-Hodgkin’s lymphoma, cervical ca., phyllodes tumor

[10, 25]

Ex 2

c.382_383delinsCT

Ala128Leu

MS

Ex 2

c.339_340delinsCT

Pro114Ser

MS

/

        

[63]

Ex 2

c.383_398del

Ala128Glufs*39

PT

Ex 2

c.340_355del

Pro114Argfs*27

PT

 

/

       

[83]

Ex 2

c.*2del

3’UTR

Ex 2

c.358del

Glu120Serfs*26

PT

/

   

/

 

/

  

[25, 67]

Ex 2

c.*21 T > A

3’UTR

Ex 2

c.377 T > A

Val126Asp

MS

/

/

       

[4, 9, 32, 48, 69, 76]

Ex 2

c.*23G > C

3’UTR

Ex 2

c.379G > C

Ala127Pro

MS

/

/

       

[52, 55, 84, 85]

Ex 2

c.*101G > T

3’UTR

Ex 2

c.457G > T

Asp153Tyr

MS

/

/

       

[32]

In 2

c.*102-105A > G

n.d.

3’UTR

In 2

c.458-105A > G

n.d.

Int

/

        

[25]

 

Del part of Exon 2

n.d.

PT

 

Del of Exon 1 & part of Exon 2

  

/

        

[86]

 

Del of entire CDS

  

Del of entire CDS

  

/

 

/

  

/

 

/

GBM, astrocytoma, meningioma

[12, 16]

  1. Ex exon, In intron, CDS coding sequence, Del deletion, PT protein truncating, MS missense, INS in-frame insertion, Int intronic, 3UTR 3-prime UTR, ca. cancer, Mel melanoma, PCa pancreatic cancer, NST neural system tumors, Sarc sarcoma, BrCa breast cancer, HNSCC head and neck squamous cell carcinoma, LCa Lung cancer, NFB neurofibroma, Uvl uveal melanoma, NHL non-Hodgkin’s lymphoma, GBM glioblastoma multiforme, n.d. not determined
  2. a Splice site alteration is experimentally shown to result in protein truncation through exon skipping
  3. b Alternative names for NM_000077:c.-16_8dup (p.Ala4_Pro11dup) in the literature: 1_24dup, 23ins24, 32ins24, c.9_32dup24, c.24_47dup24, c.32_33ins24, c.32_33ins9_32, 24 bp duplication/insertion, p.M1_S8dup, p.1_8dup8
  4. c Alternative name for NM_000077: c.148C > T (p.Gln50*) in the literature: 50Q > X
  5. d Alternative name for NM_000077: c.172C > T (p.Arg58*) in the literature: p16INK4a Arg50Ter
  6. e Alternative name for NM_000077: c.225_243del (p.Ala76Cysfs*64) in the literature: p16-Leiden
  7. f Alternative names for NM_000077: c.335_337dup (p. Arg112dup) in the literature: 337-338insGTC, 113insR, 113insArg, p.R112_L113insR, 112-113insArg, p.Arg105ins