PIK3CA c.2188-7dupT, p.?

NM_006218.4:c.2188-7dupT

Classification Summary

Likely Benign

The final classification of NM_006218.4:c.2188-7dupT in the PIK3CA gene is 'Likely Benign.' This classification is supported by multiple lines of evidence, including low population frequency (PM2), lack of significant splicing impact (BP4), and a benign report from a reputable source (BP6).

Population Frequency
0.0233%
Common
ClinVar Classification
Benign
0 publications
REVEL Score
N/A
Not Available
COSMIC Recurrence
0 occurrences
No Criteria Applied
Classification Evidence
Very Strong (PVS)
None applied
Strong (PS/BS)
None applied
Moderate (PM/BA)
None applied
Supporting (PP/BP)
PM2 BP4 BP6
Created: 2025-04-04T21:40:18.307068

Genetic Information

Gene & Transcript Details
Gene
PIK3CA
Transcript
NM_006218.4 MANE Select
Total Exons
21
Strand
Forward (+)
Reference Sequence
NC_000003.11
Alternative Transcripts
ID Status Details
NM_006218.2 Alternative 21 exons | Forward
NM_006218.3 Alternative 21 exons | Forward
Variant Details
HGVS Notation
NM_006218.4:c.2188-7dupT
Protein Change
?
Location
Exon 14i (Exon 14i of 21)
0
5' Exon Structure (21 total) 3'
Functional Consequence
Missense Variant
Related Variants
Variant interpretation based on transcript NM_006218.4

Clinical Evidence

Population Frequency
Global Frequency
0.0233%
Low Frequency
Highest in Population
Ashkenazi Jewish
0.0616%
Common
Global: 0.0233%
Ashkenazi Jewish: 0.0616%
0%
0.0005%
0.001%
0.01%
0.05%
1%+
Allele Information
Total: 240780 Alt: 56 Homozygotes: 0
ACMG Criteria Applied
PM2
This variant is common in the population (0.023300% MAF).
ClinVar 2025-04-04T21:40:18.306633
Classification
Benign
Based on 1 submitter review in ClinVar
Submitter Breakdown
1 B
Pathogenic
Likely Pathogenic
VUS
Likely Benign
Benign
Publications
0 publications
Clinical Statement
This variant has been reported in ClinVar as Benign (1 clinical laboratories).
COSMIC
COSMIC ID
Unknown
Recurrence
0 occurrences
PM1 Criteria
Not Applied
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Functional Domain
Hotspot Status
Not a hotspot
Domain Summary

This variant is not located in a mutational hotspot or critical domain (0 mutations).

Related Variants in This Domain

Functional Studies

Functional Impact
Summary
The variant PIK3CA c.2188-7dup has not been functionally characterized in the provided sources.

Computational Evidence

Pathogenicity Predictions
Predictor Consensus
Unknown
PP3 Applied
No
SpliceAI Scores Window: ±500bp
Effect Type Score Position
- Acceptor Loss
0.01
22 bp
- Donor Loss
0.0
122 bp
+ Acceptor Gain
0.0
16 bp
+ Donor Gain
0.0
-63 bp
High impact (≥0.5)
Medium impact (0.2-0.49)
Low impact (<0.2)

VCEP Guidelines

Applied ACMG/AMP Criteria VCEP Guidelines
PM2
PM2 (Supporting) Strength Modified
According to VCEP guidelines: 'Supporting Absent/rare from controls in an ethnically-matched cohort population sample (≥1).' The evidence for this variant shows: The variant has a minor allele frequency (MAF) of 0.0233% in gnomAD, indicating it is rare. Therefore, this criterion meets the requirements because the variant is present at a very low frequency in the population.
BP4
BP4 (Supporting)
According to VCEP guidelines: 'Award BP4 for a synonymous, intronic positions (except canonical splice sites) or non-coding variants in the UTRs, if two out of three of the splicing prediction tools predicted no impact on splicing function.' The evidence for this variant shows: SpliceAI analysis indicates a maximum score of 0.01 for acceptor loss, suggesting no significant effect on splicing function. Therefore, this criterion meets the requirements because the computational predictions indicate a lack of impact on splicing.
BP6
BP6 (Supporting)
According to VCEP guidelines: 'Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation.' The evidence for this variant shows: It has been reported as benign in ClinVar by one clinical laboratory. Therefore, this criterion meets the requirements because there is a reputable source supporting the benign classification.