About the gene
No gene-level summary was recorded for this case.
The NM_001202543.1:c.*31777C>T variant could not be checked in COSMIC. Based on available guidelines, this variant is considered to be a Variant of Uncertain Significance (VUS).
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Generic ACMG/AMP 2015 with ClinGen SVI recommendations. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
No pathogenic criterion marked as applied in the recorded assessment.
No benign criterion marked as applied in the recorded assessment.
VUS: no adjudicated criterion was applied, so no generic ACMG/AMP pathogenic or benign combination rule is satisfied.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1 allele counts were not recorded for this variant.
No SpliceAI or REVEL score is recorded in the fields used for this tile.
A ClinVar laboratory submission summary was not recorded.
No standalone functional evidence summary is recorded in evidence_summary.functional.
No COSMIC evidence statement is recorded in this case.
ACMG/AMP criteria under Generic ACMG/AMP 2015 with ClinGen SVI recommendations, with the data and sources behind each one.
28 criteria with recorded statuses: 0 met · 0 not met · 17 not assessed · 11 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
All three requested criteria are not applicable because the submitted variant is a 3' UTR single-nucleotide substitution, whereas PVS1, PM4, and BP3 each require different variant classes explicitly named in their governing definitions.
None of PS2, PM6, PP1, or BS4 can be assessed from the available record because proband, parental, pedigree, phenotype, and segregation data are absent, and variant normalization is unresolved.
No criteria match.
PS2 cannot be assessed because the case contains no proband phenotype or family-history evidence and no parental maternity and paternity testing results. The available case record also has unresolved variant normalization, with no gene or genomic coordinates, so no patient-level de novo observation can be verified.
De novo (both maternity and paternity confirmed) in a patient with the disease and no family history.
PS3 cannot be assessed from the available evidence. The case has no gene or normalized genomic consequence because the submitted coordinate was reported outside the reference-sequence bounds, and no variant-specific validated in vitro or in vivo functional study, assay result, control set, or publication was available in the functional evidence materials. Therefore, there is no auditable evidence that this variant produces a damaging effect on the gene or gene product.
Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product.
Not assessed. No case-control study, affected-individual prevalence, control prevalence, relative risk, odds ratio, or confidence interval is available. Variant normalization failed because the coordinate was outside the reference sequence, so the gene and genomic coordinates required to retrieve variant-specific case-control evidence are unresolved.
The prevalence of the variant in affected individuals is significantly increased compared to the prevalence in controls. Note 1: Relative risk (RR) or odds ratio (OR), as obtained from case-control studies, is >5.0 and the confidence interval around the estimate of RR or OR does not include 1.0.
Not assessed: no usable population-frequency record is available. Variant normalization failed for NM_001202543.1:c.*31777C>T, leaving no genomic coordinates and no GNOMAD_V2_1, GNOMAD_V2_1_NON_CANCER, GNOMAD_V3_1_NON_CANCER, or GNOMAD_V4_1 allele-frequency data to determine absence or an extremely low frequency.
PM2 (supporting): <= 0.0001 — SVI recommendation to downgrade PM2 to Supporting (ClinGen SVI 2020) (PMID:25741868)
PM3 cannot be assessed because the variant could not be normalized to a gene or disease context, and the available case evidence contains no affected-proband observations, pathogenic allele, parental or offspring testing, or phase information establishing that this variant is in trans with a pathogenic variant. Recessive inheritance applicability is therefore unresolved.
For recessive disorders, detected in trans with a pathogenic variant...This requires testing of parents (or offspring) to determine phase.
PM6 cannot be assessed because the case contains no documented patient-level de novo finding and no parental testing results. In particular, there is no evidence that the variant was assumed de novo without confirmation of maternity and paternity.
Assumed de novo, but without confirmation of paternity and maternity.
PP1 cannot be assessed because no affected family members, family structure, segregation results, or number of informative meioses are documented. The record also does not identify the gene or establish that it is definitively known to cause the disease.
Co-segregation with disease in multiple affected family members in a gene definitively known to cause the disease.
Not assessed. The case contains no patient phenotype, family history, disease diagnosis, or single-gene-etiology evidence that would permit evaluation of phenotype specificity. The unresolved gene and variant normalization further prevent disease-specific assessment.
Patient’s phenotype or family history is highly specific for a disease with a single genetic etiology.
Not assessed. No exact-variant ClinVar expert-panel classification was retrieved. ClinVar lookup was skipped because normalization did not resolve a gene or coordinates; therefore there is no qualifying Pathogenic or Likely pathogenic expert-panel assertion to apply PP5, and no basis to conclude that the criterion is absent.
Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratory to perform an independent evaluation.
Not assessed: no usable population-frequency record is available. Variant normalization failed for NM_001202543.1:c.*31777C>T, leaving no genomic coordinates and no GNOMAD_V2_1, GNOMAD_V2_1_NON_CANCER, GNOMAD_V3_1_NON_CANCER, or GNOMAD_V4_1 allele-frequency data to compare with the generic BA1 threshold of >= 0.05.
BA1 (stand-alone): >= 0.05 — ACMG/AMP 2015 stand-alone benign allele frequency (PMID:25741868)
Not assessed: no usable population-frequency record is available. Variant normalization failed for NM_001202543.1:c.*31777C>T, leaving no genomic coordinates and no GNOMAD_V2_1, GNOMAD_V2_1_NON_CANCER, GNOMAD_V3_1_NON_CANCER, or GNOMAD_V4_1 allele-frequency data to compare with the generic BS1 threshold of >= 0.01.
Allele frequency is greater than expected for disorder. ... BS1 (strong): >= 0.01 — Generic SVI default; per-gene derivation preferred (Whiffin et al. 2017) (PMID:28518168)
Not assessed: no individual-level population observation or phenotype/inheritance context is available. Variant normalization failed for NM_001202543.1:c.*31777C>T, and the case contains no usable evidence establishing observation in a healthy adult as a homozygote, heterozygote, or hemizygote for a fully penetrant early-onset disorder.
Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age.
BS3 cannot be assessed from the available evidence. The case has no gene or normalized genomic consequence because the submitted coordinate was reported outside the reference-sequence bounds, and no variant-specific validated in vitro or in vivo functional study, assay result, control set, or publication was available in the functional evidence materials. Therefore, there is no auditable evidence that this variant has no damaging effect on protein function or splicing.
Well-established in vitro or in vivo functional studies show no damaging effect on protein function or splicing.
BS4 cannot be assessed because no affected family members, family pedigree, variant genotypes, or phenotype/genotype discordance are documented. Therefore, lack of segregation cannot be distinguished from absent testing, incomplete ascertainment, or phenocopy.
Lack of segregation in affected members of a family.
BP2 cannot be assessed because the available case evidence contains no affected-proband or family observations showing this variant in trans with a pathogenic variant in a fully penetrant dominant disorder, or in cis with a pathogenic variant in any inheritance pattern. The gene, disorder, inheritance model, pathogenic partner, and phase are unresolved.
Observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder or observed in cis with a pathogenic variant in any inheritance pattern.
Not assessed. No case-level evidence identifies an alternate molecular basis for the disease, and no patient diagnosis or phenotype is available to establish that context. The unresolved variant identity also prevents targeted review of relevant case reports.
Variant found in a case with an alternate molecular basis for disease.
Not assessed. No exact-variant ClinVar expert-panel classification was retrieved. ClinVar lookup was skipped because normalization did not resolve a gene or coordinates; therefore there is no qualifying Benign or Likely benign expert-panel assertion to apply BP6, and no basis to conclude that the criterion is absent.
Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation.
The submitted variant is NM_001202543.1:c.*31777C>T, a 3' UTR star-coordinate SNV. It is not a nonsense variant, frameshift, canonical +/-1 or 2 splice-site variant, initiation-codon variant, or single-/multi-exon deletion, so it lies outside the variant types named by PVS1. Gene-level loss-of-function mechanism and transcript normalization could not be resolved because validation reported that the coordinate was outside the reference-sequence bounds, but that unresolved context does not make this 3' UTR SNV a PVS1 null-variant type.
PVS1: Null variant (nonsense, frameshift, canonical +/−1 or 2 splice sites, initiation codon, single or multi-exon deletion) in a gene where loss of function (LOF) is a known mechanism of disease.
PS1 applies to a missense change producing the same amino acid change as a previously established pathogenic variant. The submitted variant is NM_001202543.1:c.*31777C>T, a downstream-of-stop c.* coordinate rather than an amino-acid-changing missense variant; no amino-acid change can therefore be evaluated under PS1.
Same amino acid change as a previously established pathogenic variant regardless of nucleotide change.
PM1 applies to a variant located in a mutational hotspot or critical and well-established functional domain. The submitted c.* coordinate is downstream of the coding sequence rather than a codon or protein residue, so residue-domain or hotspot assessment under PM1 is not applicable.
Located in a mutational hot spot and/or critical and well-established functional domain (e.g. active site of an enzyme) without benign variation.
The submitted variant is NM_001202543.1:c.*31777C>T, a 3' UTR single-nucleotide substitution. It is not an in-frame insertion, in-frame deletion, or stop-loss variant, and no protein-length change is established; therefore it lies outside the variant types named by PM4.
PM4: Protein length changes due to in-frame deletions/insertions in a non-repeat region or stop-loss variants.
PM5 applies to a novel missense change at an amino-acid residue where a different pathogenic missense change has been observed. The submitted c.* coordinate is downstream of the coding sequence and does not specify an amino-acid residue, so same-residue comparison is not applicable.
Novel missense change at an amino acid residue where a different missense change determined to be pathogenic has been seen before.
PP2 applies to a missense variant in a gene with a low rate of benign missense variation where missense variants are a common disease mechanism. The submitted c.* coordinate is not a missense variant, and the case does not identify a gene for gene-level assessment.
Missense variant in a gene that has a low rate of benign missense variation and where missense variants are a common mechanism of disease.
Not applicable: NM_001202543.1:c.*31777C>T is a 3' untranslated-region variant, not a missense, synonymous, intronic, or splice-region variant covered by the generic PP3 computational paths. Therefore no REVEL or SpliceAI score is evaluated for PP3.
Multiple lines of computational evidence support a deleterious effect on the gene or gene product (conservation, evolutionary, splicing impact, etc.). ... PP3/BP4 apply only to a missense variant, or to a splice-region/intronic variant via the SpliceAI path - never to a frameshift, nonsense, or other truncating/protein-length-changing variant.
BP1 applies to a missense variant in a gene for which primarily truncating variants are known to cause disease. The submitted c.* coordinate is not a missense variant, and the case does not identify a gene for gene-level mechanism assessment.
Missense variant in a gene for which primarily truncating variants are known to cause disease.
The submitted variant is NM_001202543.1:c.*31777C>T, a 3' UTR single-nucleotide substitution. It is not an in-frame deletion or insertion, so the BP3 criterion does not apply regardless of whether the surrounding sequence is repetitive or functionally characterized.
BP3: In frame-deletions/insertions in a repetitive region without a known function.
Not applicable: NM_001202543.1:c.*31777C>T is a 3' untranslated-region variant, not a missense, synonymous, intronic, or splice-region variant covered by the generic BP4 computational paths. Therefore no REVEL or SpliceAI score is evaluated for BP4.
Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary, splicing impact, etc). ... PP3/BP4 apply only to a missense variant, or to a splice-region/intronic variant via the SpliceAI path - never to a frameshift, nonsense, or other truncating/protein-length-changing variant.
Not applicable: NM_001202543.1:c.*31777C>T is a 3' untranslated-region variant, not a synonymous coding variant, so the generic BP7 rule does not cover it.
A synonymous variant for which splicing prediction algorithms predict no impact to the splice consensus sequence nor the creation of a new splice site AND the nucleotide is not highly conserved.
No population statements were recorded.
Not applicable: NM_001202543.1:c.*31777C>T is a 3' untranslated-region variant, not a missense, synonymous, intronic, or splice-region variant covered by the generic PP3 computational paths. Therefore no REVEL or SpliceAI score is evaluated for PP3.
Multiple lines of computational evidence support a deleterious effect on the gene or gene product (conservation, evolutionary, splicing impact, etc.). ... PP3/BP4 apply only to a missense variant, or to a splice-region/intronic variant via the SpliceAI path - never to a frameshift, nonsense, or other truncating/protein-length-changing variant.
Not applicable: NM_001202543.1:c.*31777C>T is a 3' untranslated-region variant, not a missense, synonymous, intronic, or splice-region variant covered by the generic BP4 computational paths. Therefore no REVEL or SpliceAI score is evaluated for BP4.
Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary, splicing impact, etc). ... PP3/BP4 apply only to a missense variant, or to a splice-region/intronic variant via the SpliceAI path - never to a frameshift, nonsense, or other truncating/protein-length-changing variant.
Not applicable: NM_001202543.1:c.*31777C>T is a 3' untranslated-region variant, not a synonymous coding variant, so the generic BP7 rule does not cover it.
A synonymous variant for which splicing prediction algorithms predict no impact to the splice consensus sequence nor the creation of a new splice site AND the nucleotide is not highly conserved.
0 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.