VUS: BP4 (supporting) - SpliceAI maximum delta 0.01 meets the ATM VCEP <=0.1 threshold for no predicted splice impact.
ATM encodes a kinase that acts as a master controller of the cellular DNA damage response: it detects double-strand breaks and coordinates DNA repair, cell cycle arrest, or apoptosis through downstream targets including p53, BRCA1, and CHK2. Loss-of-function mutations in both copies of ATM cause ataxia telangiectasia, an autosomal recessive disorder characterized by neurological problems, immune deficiency, and cancer predisposition. ATM functions as a tumor suppressor: individuals with ataxia telangiectasia are prone to childhood lymphomas, leukemias, and breast cancer, while carriers of a single altered copy have increased risk of breast, pancreatic, prostate, and other cancers. Somatic ATM mutations also occur in lymphoid malignancies and solid tumors, and ATM-deficient cancers are often especially sensitive to DNA-damaging treatments.
ATM encodes a DNA-damage-response kinase and tumor suppressor, so the clinical relevance of this intronic variant depends on whether it alters ATM transcript processing or function in the relevant inherited cancer and ataxia-telangiectasia contexts.
VUS: BP4 (supporting) - SpliceAI maximum delta 0.01 meets the ATM VCEP <=0.1 threshold for no predicted splice impact.
Middle Eastern 2 / 5,974 |
0.033% |
Admixed American 16 / 56,820 |
0.028% |
Remaining individuals 3 / 60,358 |
0.005% |
European (non-Finnish) 2 / 1,129,430 |
0.00018% |
Admixed American 13 / 31,748 |
0.041% |
European (non-Finnish) 2 / 105,344 |
0.0019% |