PS2
No confirmed de novo occurrence with verified parental relationships was identified, so PS2 cannot be assessed from the available evidence.
PS3
No well-established functional studies demonstrating a damaging effect for this specific variant were identified.
PS4
No case-control or prevalence data showing enrichment of this variant in affected individuals were identified.
PM1
Available evidence does not establish that this synonymous variant lies in a mutational hotspot or a critical functional domain without benign variation.
PM3
No phase data or observations in trans with a pathogenic variant were identified.
PM6
No assumed de novo occurrence without full parental confirmation was identified.
PP1
No segregation data were identified for this variant in affected family members.
PP3
Computational evidence does not support a deleterious effect because this synonymous variant has a SpliceAI maximum delta score of 0.01, which predicts no significant splice impact.
PP4
No phenotype or family history information specific enough to support a highly NF1-specific clinical presentation was provided.
PP5
No reputable source classification supporting pathogenicity was identified for this variant.