The PIK3CA c.1930T>C (p.Tyr644His) variant has not been reported in ClinVar, and Cancer Hotspots did not identify a statistically significant hotspot at Tyr644 in the reviewed record.
clinvar ↗ hotspots ↗This variant is absent from gnomAD v2.1 and is present once in gnomAD v4.1 (1/1,607,506 alleles; AF 6.22082e-07; 0 homozygotes), which satisfies PM2_Supporting under the Brain Malformations VCEP and is far below the BA1 and BS1 population thresholds.
gnomad_v2 ↗ gnomad_v4 ↗ cspec ↗Tyr644 lies outside the PIK3CA Table 4 PM1 domains (amino acids 322-483 and 797-1068), so domain-based PM1 support was not established.
cspec ↗SpliceAI predicts no significant splice impact for this variant (max delta score 0.02); REVEL 0.613 and BayesDel 0.183264 were available, but PP3 and BP4 are not applicable to this missense variant under the Brain Malformations VCEP.
spliceai ↗ cspec ↗