Classification rationale
1
The PMS2 c.1128A>C (p.Pro376=) variant has been observed once in somatic cancers in COSMIC and has been reported in ClinVar predominantly as likely benign or benign by multiple single-submitter clinical laboratories.
clinvar ↗2
This variant is present in gnomAD v2.1 and v4.1 at low frequency and is absent from gnomAD-Canada; the v4.1 allele frequency is 7.50e-05 (121/1612348 alleles) with a highest observed population frequency of 9.93e-05 in non-Finnish Europeans, which is above the PMS2 PM2_Supporting cutoff of 0.00002 but below the BS1 and BA1 population thresholds.
gnomad_v2 ↗ gnomad_v4 ↗ gnomad_canada ↗ cspec ↗3
SpliceAI predicts no significant splice effect with a maximum delta score of 0.00, supporting BP4 and BP7 for this synonymous change.
spliceai ↗ cspec ↗