Classification rationale
1
The NRAS c.159G>A (p.Leu53=) variant has not been observed in somatic cancers in COSMIC and is reported in ClinVar as Benign by the ClinGen RASopathy Variant Curation Expert Panel.
clinvar ↗2
This variant is present in gnomAD, with the highest observed East Asian allele frequency of 0.12545% in v2.1 and 0.06181% in v4.1, which are above the NRAS RASopathy BA1 threshold of 0.05% and BS1 threshold of 0.025%.
gnomad_v2 ↗ gnomad_v4 ↗ cspec ↗3
SpliceAI predicts no significant splice impact for this synonymous variant, with a maximum delta score of 0.04, supporting no expected RNA effect.
spliceai ↗ cspec ↗