About FH
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
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 Not recorded. 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.
NM_000143.4:c.6C>T is present in gnomAD at very low overall allele frequency: 0.025% in v2.1 (45/178374 alleles, grpmax FAF 0.018%) and 0.013% in v4.1 (199/1544456 alleles, grpmax FAF 0.029%). Both overall AF and grpmax FAF are below the 0.1% threshold. No homozygotes observed. Not detected in gnomAD-Canada. Caveat: Ashkenazi Jewish subpopulation AF is 0.33% (v2.1) / 0.30% (v4.1), exceeding the 0.1% cutoff, but the controlling grpmax FAF remains below threshold.
Multiple reputable clinical laboratories have independently classified NM_000143.4:c.6C>T as benign or likely benign in ClinVar (4 labs Benign, 6 labs Likely benign; 9 usable submissions with criteria provided). While the specific evidence supporting their classifications is not publicly available for independent evaluation, the consensus among established clinical testing laboratories meets BP6 at supporting benign strength.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP6 supporting; combination = 1 supporting + 1 supporting benign, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 199 / 1,544,456 alleles. Recorded AF 0.000128848. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 0.000252279; MAF= 0.02523%, 45/178374 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00329334; MAF= 0.32933%, 28/8502 alleles, homozygotes = 0); grpmax FAF= 0.00017843.
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
6 Likely benign · 4 Benign.
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
29 criteria with recorded statuses: 2 met · 17 not met · 1 not assessed · 9 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000143.4:c.6C>T is a synonymous variant (p.Tyr2=) in exon 1 of FH, which encodes fumarate hydratase. This variant is present in gnomAD at low overall frequency: 0.025% in v2.1 (45/178,374 alleles) and 0.013% in v4.1 (199/1,544,456 alleles), with grpmax filtering allele fractions of 0.018% and 0.029% respectively, meeting PM2 at supporting strength.
The variant has been classified as Benign or Likely benign by multiple reputable clinical laboratories in ClinVar (Variation ID 184570): 4 laboratories classify as Benign and 6 as Likely benign, with criteria provided. The consensus among established clinical testing laboratories meets BP6 at supporting benign strength.
SpliceAI predicts no splicing impact (max delta score 0.00), and the variant does not lie within a known mutational hotspot or the fumarate lyase domain. No functional studies, cosegregation data, de novo reports, or case-control analyses are available for this variant.
PVS1, PS1, PS5, PM5, PP2, BP1, BP3, PM3, and PM4 are not applicable to this synonymous variant. The remaining pathogenic criteria (PS2, PS3, PS4, PM1, PM6, PP1, PP3, PP4, PP5) are not met. All benign criteria except BP6 are not met or not assessed. BA1 and BS1 are not met as the overall allele frequency is below respective thresholds.
The net evidence tally consists of one supporting pathogenic criterion (PM2_supporting) and one supporting benign criterion (BP6_supporting). Under ACMG/AMP 2015 combination rules (PMID:25741868), when benign and pathogenic criteria cancel at the supporting level, the variant defaults to Variant of Uncertain Significance (VUS).
No criteria match.
Every interpreted variant in FH, mapped onto the exon structure of NM_000143.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| Ashkenazi Jewish85 / 28,504 | 0.003 |
| Middle Eastern2 / 4,578 | 0.00044 |
| South Asian33 / 83,580 | 0.00039 |
| Remaining individuals19 / 59,670 | 0.00032 |
| East Asian6 / 40,706 | 0.00015 |
| European (Finnish)7 / 59,102 | 0.00012 |
| European (non-Finnish)46 / 1,143,940 | 4e-05 |
| Admixed American1 / 50,768 | 2e-05 |
| Ashkenazi Jewish28 / 8,502 | 0.0033 |
| Remaining individuals2 / 5,282 | 0.00038 |
| South Asian8 / 22,282 | 0.00036 |
| East Asian3 / 12,262 | 0.00024 |
| European (Finnish)1 / 18,642 | 5.4e-05 |
| European (non-Finnish)3 / 70,378 | 4.3e-05 |
This variant is present in gnomAD v4.1 (AF= 0.000128848; MAF= 0.01288%, 199/1544456 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00298204; MAF= 0.29820%, 85/28504 alleles, homozygotes = 0); grpmax FAF= 0.00028848.
This variant is present in gnomAD v2.1 (AF= 0.000252279; MAF= 0.02523%, 45/178374 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00329334; MAF= 0.32933%, 28/8502 alleles, homozygotes = 0); grpmax FAF= 0.00017843.
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 0.000128848; MAF= 0.01288%, 199/1544456 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00298204; MAF= 0.29820%, 85/28504 alleles, homozygotes = 0); grpmax FAF= 0.00028848.
This variant is present in gnomAD v2.1 (AF= 0.000252279; MAF= 0.02523%, 45/178374 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00329334; MAF= 0.32933%, 28/8502 alleles, homozygotes = 0); grpmax FAF= 0.00017843.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Likely benign (6 clinical laboratories) and as Benign (4 clinical laboratories). (ClinVarID = 184570)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.