Starting
Initialising…
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ATM
Final classification
Likely Benign
ATM c.662+13_662+14del · p.?
ATM

NM_000051.4:c.662+13_662+14del is an intronic deletion in ATM intron 6 at positions +13 and +14 relative to the exon 6 donor site.

Gene
ATM
Transcript
NM_000051.4
HGVS · transcript:coding
NM_000051.4:c.662+13_662+14del
Consequence
N/A
GRCh38
chr11:108244127 ATC>A
GRCh37
chr11:108114854 ATC>A
Basis Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework: matched Rule19 (Benign.Supporting >=2) with applied criteria: PM2 supporting, BP4 supporting, BP7 supporting; maps to Likely Benign.
Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework: matched Rule19 (Benign.Supporting >=2) with applied criteria: PM2 supporting, BP4 supporting, BP7 supporting; maps to Likely Benign.
Classification rationale
PM2 BP4BP7 Likely Benign
ATM c.662+13_662+14del

NM_000051.4:c.662+13_662+14del is an intronic deletion in ATM intron 6 at positions +13 and +14 relative to the exon 6 donor site. SpliceAI predicts no significant splice impact for this variant (max delta score 0.05), qualifying for BP4_Supporting per VCEP threshold of ≤0.1.1 The variant is located at +13/+14, beyond the VCEP BP7 deep intronic cutoff of +7, with no predicted aberrant splicing, qualifying for BP7_Supporting.2 This variant is present in gnomAD v4.1 at an extremely low allele frequency of 0.00012% (2/1,613,430 alleles, no homozygotes), meeting the VCEP PM2_Supporting threshold of ≤0.001%. It is absent from gnomAD v2.1.3 This variant has been reported in ClinVar as Likely benign by 3 clinical laboratories (VariationID 421805), though the VCEP does not permit use of BP6/PP5.4 No functional studies, case-control data, segregation data, or co-occurrence observations have been identified for this variant in the published literature. Per the ATM HBOP VCEP v1.5.0 framework, two benign supporting criteria (BP4, BP7) are met, resulting in a classification of Likely Benign (Richards et al. 2015 Rule 19: ≥2 Benign Supporting → Likely Benign).5

PM2 + BP4 + BP7 Likely Benign
Gene diagram · NM_000051.4 · variants mapped to exon structure
ATM NM_000051.4
Fetching transcript structure from UCSC…
Applied criteria · 3 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= 1.2396e-06; MAF= 0.00012%, 2/1613430 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 1.33558e-05; MAF= 0.00134%, 1/74874 alleles, homozygotes = 0).
      v2.1
      Absent from gnomAD v2.1.
      🇨🇦 CA
      This variant is absent from gnomAD-Canada.
      Allele frequency by ancestry
      three datasets · side by side
      gnomAD v4.1
      0.00012% · 2 / 1,613,430
      0 hom
      African/African American
      1 / 74,874
      0.0013%
      European (non-Finnish)
      1 / 1,179,730
      8.5e-05%
      + 8 not observed (Remaining individuals, Admixed American, European (Finnish), Amish, East Asian, Middle Eastern, South Asian, Ashkenazi Jewish)
      gnomAD v2.1
      Absent · 0 / ?
      0 hom
      Not observed in any ancestry group.
      gnomAD Canada 🇨🇦
      Absent · 0 / ?
      0 hom
      Not observed in any ancestry group.
      ClinVar screenshot
      ClinVar
      This variant has been reported in ClinVar as Likely benign (3 clinical laboratories). (ClinVarID = 421805)
      SpliceAI screenshot
      In silico
      SpliceAI predicts no significant splice impact for this variant (max delta score = 0.05).
      Functional No data
      No calibrated functional assay or RNA evidence was identified for this variant.
      OncoKB ↗
      COSMIC screenshot
      COSMIC
      Somatic evidence
      COSMIC
      This variant has not previously been reported in somatic cancers (COSMIC).
      Hotspots
      This variant does not lie in a statistically significant cancer hotspot.
      COSMIC ↗
      Sources & reference links
      7Sources
      CSpec VCEP
      ClinVar
      gnomAD v2.1
      gnomAD v4.1
      SpliceAI
      OncoKB
      COSMIC
      Triaged references · 8 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
      26389258 ↗ Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version. CLINVAR
      26389505 ↗ Genetics of Colorectal Cancer (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