LYFE Sciences · Project HERA
Variant Interpretation · Classification Report
Generated: 2026-08-17
Case ID: NM_177438.3_c.735-23A_G_20260817_195029
Framework: ACMG/AMP 2015
Variant classification summary

NM_177438.3:c.735-23A>G

DICER1  · NP_803187.1:p.?  · NM_177438.3
GRCh37: chr14:95593108 T>C  ·  GRCh38: chr14:95126771 T>C
Gene: DICER1 Transcript: NM_177438.3
Final call
Likely Benign
BP4 supporting BP7 supporting
All criteria require review: For research and educational purposes only.
Gene
DICER1
Transcript
NM_177438.3
Protein
NP_803187.1:p.?
gnomAD AF
1.3798595697203617e-05 (v4.1)
ClinVar
Likely benign
OncoKB
Interpretation summary
Generated evidence synthesis
1
BP4 (Supporting): SpliceAI predicts no splicing effect for this intronic variant (max delta 0.001).
2
BP7 (Supporting): intronic position -23 is beyond -21 from the acceptor site, and BP4 is met as required.
3
Synthesis: a total Tavtigian score of -2 from the two supporting benign criteria classifies this variant as Likely Benign under the DICER1 VCEP v1.4 framework.
Final determination: Total score -2 falls in Rule4 range (>=-6 and >=-2), yielding Likely Benign per DICER1 VCEP v1.4.
ACMG/AMP criteria review
Criteria shown when status is available
All criteria require review: For research and educational purposes only.
Criterion Status Rationale Evidence used
PVS1 N/A Not applicable: this deep intronic variant is outside the canonical +/-1,2 splice sites and is not a nonsense/frameshift change, so no loss-of-function mechanism applies.
cspec spliceai pvs1_variant_assessment
PS1 N/A Not applicable: the variant has no predicted protein consequence and no VCEP-classified pathogenic variant exists at this nucleotide to compare.
cspec
PS2 Not assessed Not assessed: no de novo observation, parental genotypes, or confirmation data for this variant were available.
cspec
PS3 Not assessed Not assessed: no RNA splicing or microRNA cleavage assay data for this variant were available.
PS4 Not assessed Not assessed: no case series, unrelated-proband phenotype observations, or case-control counts were available.
cspec
PM1 N/A Not applicable: PM1 is restricted to missense variants at RNase IIIb hotspot codons, and this intronic variant changes no residue.
cspec
PM2 Not met Not met: gnomAD v4.1 frequency 1.38e-05 (21/1,521,894 alleles, 19 in European non-Finnish) exceeds the <0.000005 PM2 threshold.
cspec gnomad_v4
PM3 N/A Not applicable: the DICER1 VCEP designates PM3 as not applicable for this autosomal dominant disorder.
cspec
PM4 N/A Not applicable: PM4 applies only to in-frame indels, and this is a single-nucleotide substitution with no predicted protein change.
cspec spliceai
PM5 N/A Not applicable: PM5 applies to missense variants at the same codon, and this intronic variant has no amino acid change.
cspec
PM6 N/A Not applicable: the DICER1 VCEP directs de novo evidence to PS2 rather than PM6.
cspec
PP1 Not assessed Not assessed: no affected relatives, family structure, or meiosis-count data were available.
cspec
PP2 N/A Not applicable: the DICER1 VCEP designates PP2 as not applicable, and the variant is intronic with no protein consequence.
cspec
PP3 Not met Not met: SpliceAI predicts no splicing effect (max delta 0.001), and the intronic variant falls outside the missense REVEL/BayesDel sub-path.
cspec spliceai
PP4 Not assessed Not assessed: no tumor-testing or proband phenotype results for this variant were available.
cspec
PP5 N/A Not applicable: the DICER1 VCEP designates PP5 as not applicable, and the ClinVar record lacks an expert-panel submission.
cspec clinvar
BA1 Not met Not met: highest gnomAD v4.1 subpopulation frequency 1.74e-05 (1/57,450) is far below the >0.003 BA1 threshold.
cspec gnomad_v4
BS1 Not met Not met: highest gnomAD v4.1 subpopulation frequency 1.74e-05 (1/57,450) is below the >0.0003 BS1 threshold.
cspec gnomad_v4
BS2 Not met Not met: gnomAD v4.1 reports zero homozygotes, and no healthy-individual or parental-testing observations were available.
cspec gnomad_v4
BS3 Not assessed Not assessed: no RNA or cleavage assay data demonstrating absence of splicing impact were available.
BS4 Not assessed Not assessed: no genotype or phenotype data for first- to third-degree relatives were available.
cspec
BP1 N/A Not applicable: the DICER1 VCEP designates BP1 as not applicable for this gene specification.
cspec
BP2 Not assessed Not assessed: no phase, parental, or second-variant data existed to evaluate the in trans/in cis threshold.
cspec
BP3 N/A Not applicable: the DICER1 VCEP designates BP3 as not applicable for this gene.
cspec
BP4 Met Met (Supporting): SpliceAI predicts no splicing effect (max delta 0.001), satisfying the BP4 concordance rule for intronic variants.
cspec spliceai
BP5 N/A Not applicable: the DICER1 VCEP designates BP5 as not applicable due to the broad neoplasm spectrum.
cspec
BP6 N/A Not applicable: the DICER1 VCEP designates BP6 as not applicable, and the ClinVar record lacks an expert-panel assertion.
cspec clinvar
BP7 Met Met (Supporting): intronic position -23 lies beyond -21 from the acceptor site, with no splicing impact predicted.
cspec spliceai
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