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Gene | ATR |
Variant | I774fs |
Impact List | frameshift |
Protein Effect | loss of function - predicted |
Gene Variant Descriptions | ATR I774fs results in a change in the amino acid sequence of the Atr protein beginning at aa 774 of 2644, likely resulting in premature truncation of the functional protein (UniProt.org). Due to the loss of the PI3K/PI4K domain and the FATC domain (UniProt.org), I774fs is predicted to lead to a loss of Atr protein function. |
Associated Drug Resistance | |
Category Variants Paths |
ATR mutant ATR inact mut ATR I774fs |
Transcript | NM_001184.4 |
gDNA | chr3:g.(142555898_142555899) |
cDNA | c.(2320_2319) |
Protein | p.I774fs |
Source Database | RefSeq |
Genome Build | GRCh38/hg38 |
Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
---|---|---|---|---|---|
XM_047448362.1 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_011512924 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_047448361.1 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_011512926 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
NM_001184.4 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
NM_001184.3 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_047448364.1 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_011512924.2 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_047448360.1 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_011512924.1 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
XM_047448363.1 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
NM_001184 | chr3:g.(142555898_142555899) | c.(2320_2319) | p.I774fs | RefSeq | GRCh38/hg38 |
Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
---|---|---|---|---|---|---|---|
ATR inact mut | prostate cancer | sensitive | Enzalutamide + Talazoparib | Guideline | Actionable | Talzenna (talazoparib) plus Xtandi (enzalutamide) is included in guidelines as systemic therapy for patients with metastatic castration-resistant prostate cancer harboring a pathogenic germline or somatic ATR mutation who have not been treated in the setting of castration-resistant prostate cancer (NCCN.org). | detail... |
ATR inact mut | prostate cancer | sensitive | Enzalutamide + Talazoparib | FDA approved | Actionable | In a Phase III trial (TALAPRO-2) that supported FDA approval, Talzenna (talazoparib) plus Xtandi (enzalutamide) improved median radiographic progression-free survival compared to enzalutamide plus placebo (27.9 vs 16.4 mo, HR 0.46, p=0.0003) in patients with metastatic castration-resistant prostate cancer harboring deficient homologous recombination repair genes including ATR, with an HR of 0.66 (p=0.12) in patients with non-BRCA mutations treated with Talzenna (talazoparib) (PMID: 37285865; NCT03395197). | detail... 37285865 |