NM_012433.3:c.2263C>T (p.Pro755Ser) in SF3B1 is a missense variant absent from population databases (gnomAD v2.1, v4.1, gnomAD-Canada), meeting PM2 at supporting strength.1 In silico predictors support a deleterious effect: REVEL score 0.562 and SpliceAI max delta 0.44 (acceptor gain) meet PP3 at supporting strength.2 No pathogenic or benign classifications are available in ClinVar. No variant-specific functional studies, segregation data, de novo observations, or case-control data were identified.3 With two supporting pathogenic criteria (PM2 and PP3) and no benign criteria met, this variant is classified as a Variant of Uncertain Significance (VUS) per ACMG/AMP 2015 guidelines.4