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NM_000222.2:c.148G>T
p.Val50Leu · KIT
ACMG/AMP
0%
complete
Final classification
VUS
PM2BP4
KIT
c.148G>T
p.Val50Leu
This variant

The KIT c.148G>T (p.Val50Leu) variant has been reported in ClinVar with predominantly uncertain significance submissions, with additional likely benign and benign submissions and no expert-panel consensus.

Transcript
NM_000222.2
HGVS · transcript:coding
NM_000222.2:c.148G>T
GRCh38
chr4:54695592 G>T
GRCh37
chr4:55561758 G>T
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 moderate, BP4 supporting; combination = 1 moderate + 1 supporting benign, which maps to VUS because the evidence is conflicting.
Classification rationale
PM2 BP4 VUS
KIT c.148G>T

The KIT c.148G>T (p.Val50Leu) variant has been reported in ClinVar with predominantly uncertain significance submissions, with additional likely benign and benign submissions and no expert-panel consensus.1 This variant is present in population databases at low frequency, measuring 0.00779% in gnomAD v2.1 and 0.00539% in gnomAD v4.1, which is below the 0.1% non-VCEP PM2 threshold and below benign stand-alone or strong frequency thresholds.2 Computational evidence favors little or no impact, with SpliceAI predicting no significant splice effect (maximum delta score 0.01), a low REVEL score of 0.125, and a BayesDel score of -0.628781.3

PM2 + BP4 VUS
LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
Gene diagram · NM_000222.2 · variants mapped to exon structure
KIT NM_000222.2
Fetching transcript structure from UCSC…
Applied criteria · 2 applied · 22 assessed
MetEvidence satisfies this criterion.
Not metEvaluated against available evidence; threshold not reached.
Not assessedApplies in principle, but no evidence was found to evaluate it.
N/ADoesn't apply to this variant type.
Applied · 2
Strength Supporting Moderate Strong Very strong
PM2 moderate Pathogenic
Population frequency is below the non-VCEP PM2 threshold of 0.1%. This variant is present at 0.00779% in gnomAD v2.1 (22/282496 alleles) and 0.00539% in gnomAD v4.1 (87/1614054 alleles), with no homozygotes reported in either dataset.
gnomAD v2.1 AF 7.78772e-0522/282496homozygotes 0
BP4 supporting Benign
Multiple computational results favor no clinically meaningful impact. SpliceAI predicts no significant splice effect with a maximum delta score of 0.01, REVEL is low at 0.125, and BayesDel is -0.628781, which does not support a deleterious effect.
SpliceAI max delta score 0.01REVEL 0.125BayesDel -0.628781
Assessed · not applied · 6 not met · 16 not assessed
Pathogenic
PVS1 This variant is a missense substitution, NP_000213.1:p.(Val50Leu), and does not fall into the generic PVS1 null-variant categories of nonsense, frameshift, or canonical +/-1,2 splice variants.
PS1 No reviewed evidence was identified showing that a different nucleotide change creates the same KIT p.(Val50Leu) amino acid substitution with an established pathogenic or likely pathogenic classification.
PS2 No confirmed de novo occurrence with verified maternity and paternity was identified for this variant.
PS3 No well-established functional study of this exact variant was identified showing a damaging effect on KIT function.
PS4 Available evidence does not show that this variant is significantly enriched in affected individuals compared with controls.
PM1 This variant has not been shown to lie in a mutational hotspot or a well-established critical functional domain without benign variation.
PM3 No evidence was identified showing this variant in trans with a pathogenic variant in a recessive disease context.
PM5 No reviewed same-residue pathogenic or likely pathogenic comparator was established for KIT codon 50.
PM6 No assumed de novo occurrence without confirmed parentage was identified for this variant.
PP1 No segregation data were identified for this variant.
PP2 Available evidence does not establish that KIT meets PP2 requirements for a gene with a low rate of benign missense variation and a common pathogenic missense mechanism at a level suitable for criterion application.
PP3 Available computational evidence does not support a deleterious effect.
PP4 No phenotype information was provided that is sufficiently specific to apply PP4.
PP5 ClinVar shows mixed submissions and no expert-panel classification for this variant, so a reputable-source-only pathogenic assertion was not used.
Benign
BA1 Population frequency is below the non-VCEP BA1 threshold of 1%.
BS1 Population frequency is below the non-VCEP BS1 threshold of 0.3%.
BS2 No evidence was identified showing this variant in healthy adults in a manner sufficient to support BS2.
BS3 No well-established functional study of this exact variant was identified showing normal KIT function.
BS4 No non-segregation data were identified for this variant.
BP2 No phase information was identified showing this variant in trans with a pathogenic variant for a dominant disorder or in cis with a pathogenic variant.
BP5 No alternate molecular diagnosis or alternate established cause for the relevant phenotype was identified, so BP5 was not assessed.
BP6 A reputable-source-only benign assertion was not used because ClinVar shows mixed submissions and no expert-panel benign or likely benign consensus.
N/A · 4 PM4 · BP1 · BP3 · BP7
Research & evidence
Population frequency
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= 5.39015e-05; MAF= 0.00539%, 87/1614054 alleles, homozygotes = 0) and has highest observed frequency in the European (Finnish) population (AF= 9.37295e-05; MAF= 0.00937%, 6/64014 alleles, homozygotes = 0); grpmax FAF= 5.463e-05.
v2.1
This variant is present in gnomAD v2.1 (AF= 7.78772e-05; MAF= 0.00779%, 22/282496 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000147454; MAF= 0.01475%, 19/128854 alleles, homozygotes = 0); grpmax FAF= 0.00049825.
Allele frequency by ancestry
three datasets · side by side
gnomAD v4.1
0.0054% · 87 / 1,614,054
0 hom · FAF 0.0055%
European (Finnish)
6 / 64,014
0.0094%
European (non-Finnish)
79 / 1,180,042
0.0067%
Remaining individuals
1 / 62,488
0.0016%
African/African American
1 / 74,936
0.0013%
+ 6 not observed (Admixed American, Amish, East Asian, Middle Eastern, South Asian, Ashkenazi Jewish)
gnomAD v2.1
0.0078% · 22 / 282,496
0 hom · FAF 0.05%
European (non-Finnish)
19 / 128,854
0.015%
Remaining individuals
1 / 7,210
0.014%
European (Finnish)
2 / 25,122
0.008%
+ 5 not observed (African/African American, Admixed American, Ashkenazi Jewish, East Asian, South Asian)
ClinVar screenshot
ClinVar
This variant has been reported in ClinVar as Uncertain significance (9 clinical laboratories) and as Likely benign (1 clinical laboratory) and as Benign (1 clinical laboratory). (ClinVarID = 409722)
SpliceAI screenshot
In silico
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.125. BayesDel score = -0.628781.
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. KIT, a receptor tyrosine kinase, is recurrently mutated in gastrointestinal stromal tumors.
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 previously been reported in somatic cancers (COSMIC; COSV105160851, n = 1 times).
Hotspots
This variant does not lie in a statistically significant hotspot.
Sources & reference links
7Sources
ClinVar
gnomAD v2.1
gnomAD v4.1
SpliceAI
OncoKB
COSMIC
Cancer hotspots
Triaged references · 10 PMIDs not cited in assessment
22138009 ↗ NCCN Task Force report: Evaluating the clinical utility of tumor markers in oncology. CLINVAR
23852704 ↗ Tumor markers in colorectal cancer, gastric cancer and gastrointestinal stromal cancers: European group on tumor markers 2014 guidelines update. CLINVAR
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
20963938 ↗ CEBPA-Associated Familial Acute Myeloid Leukemia (AML). CLINVAR
23970018 ↗ Acute myeloblastic leukaemias in adult patients: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. 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
32171751 ↗ Acute myeloid leukaemia in adult patients: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. CLINVAR
33226740 ↗ PMID:33226740 CLINVAR
22685257 ↗ The UK NEQAS for Molecular Genetics scheme for gastrointestinal stromal tumour: findings and recommendations following four rounds of circulation. CLINVAR
28492532 ↗ Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria. CLINVAR