Classification rationale
1
The PPM1D c.1440del (p.Ala481ProfsTer2, p.A481Pfs*2) variant has been observed in somatic cancers and has not been reported in ClinVar.
oncokb ↗ clinvar ↗ PMID:25742468 ↗ PMID:29954749 ↗ PMID:37709843 ↗2
This variant is very rare in population databases, with an allele frequency of 3.98108e-06 in gnomAD v2.1 and 6.19528e-07 in gnomAD v4.1, which is below the 0.1% PM2 threshold.
gnomad_v2 ↗ gnomad_v4 ↗3
Functional studies of truncating exon 6 PPM1D variants indicate increased protein stability and phosphatase activity, supporting an abnormal gain-of-function mechanism for this variant class rather than a simple loss-of-function effect.
oncokb ↗ PMID:23907125 ↗ PMID:25742468 ↗ PMID:29954749 ↗ PMID:37709843 ↗4
SpliceAI predicts no significant splice impact for this variant, with a maximum delta score of 0.00.
spliceai ↗