Starting
Initialising…
0%
ATM
Final classification
Benign
ATM c.2873A>G · p.Glu958Gly
ATM

BS1_Strong: The variant is present in gnomAD v4.1 at a grpmax filtering allele frequency of 0.0752%, exceeding the ATM VCEP threshold of >0.05% for BS1. The variant has been observed on 90 alleles including one homozygous individual, with highest frequency in the South Asian population (0.091%).

Gene
ATM
Transcript
NM_000051.4
HGVS · transcript:coding
NM_000051.4:c.2873A>G
Consequence
N/A
GRCh38
chr11:108271098 A>G
GRCh37
chr11:108141825 A>G
Basis Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework: matched Rule16 (Benign.Strong >=2) with applied criteria: BS1 strong, BS3 moderate, BP2 strong, BP4 supporting; maps to Benign.
Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework: matched Rule16 (Benign.Strong >=2) with applied criteria: BS1 strong, BS3 moderate, BP2 strong, BP4 supporting; maps to Benign.
Classification rationale
BS1BS3BP2BP4 Benign
ATM c.2873A>G

BS1_Strong: The variant is present in gnomAD v4.1 at a grpmax filtering allele frequency of 0.0752%, exceeding the ATM VCEP threshold of >0.05% for BS1. The variant has been observed on 90 alleles including one homozygous individual, with highest frequency in the South Asian population (0.091%).1 BS3_Moderate: Comprehensive functional assessment of all ATM SNVs using prime editing and deep learning (PMID:40580951) classifies p.Glu958Gly as 'Functional' with high confidence. The variant rescues both ATM-specific phosphorylation activity and radiosensitivity, meeting VCEP criteria for BS3_Moderate.2 BP2_Strong: c.2873A>G has been observed in cis with a known pathogenic ATM variant (c.5932G>T, p.Glu1978*) on the same allele, corresponding to -4.0 points (BP2_Strong) under the ATM VCEP PM3/BP2 table.3 BP4_Supporting: REVEL score of 0.121 is below the VCEP benign threshold of ≤0.249. BayesDel score of -0.224 is consistent with a benign prediction. SpliceAI predicts no significant splice impact (max delta 0.19).4 No pathogenic criteria were met: PVS1 is not applicable (missense variant). PS1 is not met (no same amino acid change classified as pathogenic at codon 958). PS3 is not met (functional studies show normal, not damaging, effect). PM2 is not met (AF=0.00558% exceeds ≤0.001% VCEP threshold). PP3 is not met (REVEL=0.121 below >0.7333 threshold; SpliceAI=0.19 below ≥0.2 threshold).5

BS1 + BS3 + BP2 + BP4 Benign
2 PMID:40580951 ↗vcep_suppl_tables1_pmid_40580951
3 vcep_atm_pm3_bp2_1_5
4 revelbayesdelspliceai ↗
5 revelspliceai ↗gnomad_v4 ↗vcep_suppl_tables1_pmid_40580951
Gene diagram · NM_000051.4 · variants mapped to exon structure
ATM NM_000051.4
Fetching transcript structure from UCSC…
Applied criteria · 4 met · select any tile
Met
Not met
Not assessed
N/A
Strength very strong supporting
Pathogenic evidence
PVS
PS
PM
PP
Benign evidence
BA
BS
BP
Rationale
Select a criterion.
Sources
Evidence used
    Gaps remaining
      Rule
      Research & evidence
      Population frequency · supports benign
      gnomAD v4.1 screenshot
      gnomAD v4.1
      gnomAD v2.1 screenshot
      gnomAD v2.1
      v4.1
      This variant is present in gnomAD v4.1 (AF= 5.57617e-05; MAF= 0.00558%, 90/1614012 alleles, homozygotes = 1) and has highest observed frequency in the South Asian population (AF= 0.000911207; MAF= 0.09112%, 83/91088 alleles, homozygotes = 1); grpmax FAF= 0.00075231.
      v2.1
      This variant is present in gnomAD v2.1 (AF= 9.5457e-05; MAF= 0.00955%, 24/251422 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 0.000718672; MAF= 0.07187%, 22/30612 alleles, homozygotes = 0); grpmax FAF= 0.00048585.
      🇨🇦 CA
      This variant is absent from gnomAD-Canada.
      Allele frequency by ancestry
      three datasets · side by side
      gnomAD v4.1
      0.0056% · 90 / 1,614,012
      1 hom · FAF 0.075%
      South Asian
      83 / 91,088
      0.091%
      1 hom
      Remaining individuals
      3 / 62,488
      0.0048%
      Admixed American
      1 / 59,996
      0.0017%
      African/African American
      1 / 74,918
      0.0013%
      European (non-Finnish)
      2 / 1,180,036
      0.00017%
      + 5 not observed (European (Finnish), Amish, East Asian, Middle Eastern, Ashkenazi Jewish)
      gnomAD v2.1
      0.0095% · 24 / 251,422
      0 hom · FAF 0.049%
      South Asian
      22 / 30,612
      0.072%
      Admixed American
      1 / 34,590
      0.0029%
      European (non-Finnish)
      1 / 113,732
      0.00088%
      + 5 not observed (African/African American, Ashkenazi Jewish, East Asian, European (Finnish), Remaining individuals)
      gnomAD Canada 🇨🇦
      Absent · 0 / ?
      0 hom
      Not observed in any ancestry group.
      ClinVar screenshot
      ClinVar
      This variant has been reported in ClinVar as Uncertain significance (6 clinical laboratories) and as Likely benign (3 clinical laboratories). (ClinVarID = 133611)
      SpliceAI screenshot
      In silico
      SpliceAI predicts no significant splice impact for this variant (max delta score = 0.19). REVEL score = 0.121. BayesDel score = -0.224243.
      Functional / OncoKB screenshot
      Functional Unknown Oncogenic Effect
      OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. ATM, a kinase involved in the DNA damage response, is mutated in various solid and hematologic malignancies.
      OncoKB ↗
      COSMIC screenshot
      COSMIC
      Cancer hotspots screenshot
      Cancer hotspots
      Somatic evidence Not in COSMIC / hotspots
      COSMIC
      This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
      Hotspots
      This variant does not lie in a statistically significant hotspot.
      Literature · how each cited paper was used
      1papers cited
      Each card is an audit: what was searched, what was found, whether it names the variant, which criteria it fed, and why. 9 further PMIDs triaged but not cited — see Sources & References.
      Functional assessment of all ATM SNVs using prime editing and deep learning.
      Found
      Suppl Table S1: E958G classified as 'Functional' High confidence combined score -0.866.
      Applied to
      BS3 supports · met
      Sources & reference links
      8Sources
      CSpec VCEP
      ClinVar
      gnomAD v2.1
      gnomAD v4.1
      SpliceAI
      OncoKB
      COSMIC
      Cancer hotspots
      Triaged references · 9 PMIDs not cited in assessment
      25741868 ↗ Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. CLINVAR
      20301317 ↗ Hereditary Ataxia Overview. CLINVAR
      20301790 ↗ Ataxia-Telangiectasia. CLINVAR
      24418350 ↗ EFNS/ENS Consensus on the diagnosis and management of chronic ataxias in adulthood. CLINVAR
      24728327 ↗ Germline variation in cancer-susceptibility genes in a healthy, ancestrally diverse cohort: implications for individual genome sequencing. CLINVAR
      25394175 ↗ A practice guideline from the American College of Medical Genetics and Genomics and the National Society of Genetic Counselors: referral indications for cancer predisposition assessment. CLINVAR
      26389210 ↗ Genetics of Breast and Gynecologic Cancers (PDQ®): Health Professional Version. CLINVAR
      20050888 ↗ EFNS guidelines on the molecular diagnosis of ataxias and spastic paraplegias. CLINVAR
      28492532 ↗ Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria. CLINVAR