PM2 (Supporting): absent (AF=0) from gnomAD v2.1/v4.1 exomes and gnomAD-Canada genomes. Overall: Variant of Uncertain Significance - one supporting criterion (PM2) satisfies no combination under generic ACMG/AMP 2015.
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NF2 encodes Merlin, a scaffolding protein that links the cell's internal skeleton to the cell membrane and helps regulate cell growth, adhesion, and signaling. Loss of its function promotes tumor formation and spread. Germline mutations in this gene cause neurofibromatosis type 2, an inherited condition marked by tumors of the nervous system and skin, along with eye abnormalities. It acts as a tumor suppressor, and the gene is also found mutated in other types of cancer.
NF2 is a tumor suppressor whose loss promotes tumor formation and causes neurofibromatosis type 2, so a splice-disrupting change in this gene would be expected to be pathogenic. This canonical splice-donor variant is classified as a VUS: SpliceAI predicts near-certain donor loss (delta 0.99), but loss-of-function is not yet formally confirmed and only its absence from gnomAD currently supports the call.
PM2 (Supporting): absent (AF=0) from gnomAD v2.1/v4.1 exomes and gnomAD-Canada genomes. Overall: Variant of Uncertain Significance - one supporting criterion (PM2) satisfies no combination under generic ACMG/AMP 2015.