Analysis in progress
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This report is still being assembled — sections appear as each stage finishes. It isn't final yet.
TET2
Final classification
VUS
TET2 c.5666C>T · p.Pro1889Leu
TET2

NM_001127208.2:c.5666C>T (p.Pro1889Leu) is a missense variant in exon 11 of TET2.

Gene
TET2
Transcript
NM_001127208.2
HGVS · transcript:coding
NM_001127208.2:c.5666C>T
Consequence
N/A
GRCh38
chr4:105276176 C>T
GRCh37
chr4:106197333 C>T
Basis 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, BP4 supporting benign; combination = 1 supporting + 1 supporting benign, which maps to VUS.
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, BP4 supporting benign; combination = 1 supporting + 1 supporting benign, which maps to VUS.
Classification rationale
PM2 BP4 VUS
TET2 c.5666C>T

NM_001127208.2:c.5666C>T (p.Pro1889Leu) is a missense variant in exon 11 of TET2. This variant is extremely rare in population databases: absent from gnomAD v2.1 (0/155,736 alleles) and present at an allele frequency of 6.45×10⁻⁷ in gnomAD v4.1 (1/1,551,522 alleles), well below the 0.1% threshold for PM2 (supporting).1 Multiple in silico predictors suggest the variant is benign: REVEL score 0.398, BayesDel score -0.091, and SpliceAI predicts no splice impact (max delta = 0.00), meeting BP4 (supporting benign).2 The variant is absent from ClinVar and has no published functional data. No papers were identified that mention NM_001127208.2:c.5666C>T specifically.3 The variant has been observed in COSMIC (COSV54425537, n=4) as a somatic finding in cancer but lacks germline functional characterization. PVS1 is not applicable (missense variant, not a null variant). PS1, PM5, and BP7 are not applicable due to lack of same-residue comparators or variant type mismatch.4

PM2 + BP4 VUS
2 revelbayesdelspliceai ↗
4 pvs1_variant_assessmentpm5_candidates
Gene diagram · NM_001127208.2 · variants mapped to exon structure
TET2 NM_001127208.2
Fetching transcript structure from UCSC…
Applied criteria · 2 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
      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= 6.44528e-07; MAF= 0.00006%, 1/1551522 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.71879e-07; MAF= 0.00009%, 1/1146948 alleles, homozygotes = 0).
      v2.1
      This variant is present in gnomAD v2.1 (AF= 0; MAF= 0.00000%, 0/155736 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0; MAF= 0.00000%, 0/7876 alleles, homozygotes = 0).
      🇨🇦 CA
      Absent from gnomAD-Canada v1.0.
      Allele frequency by ancestry
      three datasets · side by side
      gnomAD v4.1
      6.4e-05% · 1 / 1,551,522
      0 hom
      European (non-Finnish)
      1 / 1,146,948
      8.7e-05%
      + 9 not observed (Remaining individuals, Admixed American, European (Finnish), Amish, East Asian, Middle Eastern, South Asian, Ashkenazi Jewish, African/African American)
      gnomAD v2.1
      Absent · 0 / 155,736
      0 hom
      Not observed in any ancestry group.
      + 8 not observed (African/African American, Admixed American, Ashkenazi Jewish, East Asian, European (Finnish), European (non-Finnish), Remaining individuals, South Asian)
      gnomAD Canada 🇨🇦
      Absent · 0 / ?
      0 hom
      Not observed in any ancestry group.
      ClinVar screenshot
      ClinVar
      This variant is absent from ClinVar.
      SpliceAI screenshot
      In silico
      SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.398. BayesDel score = -0.0914083.
      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. TET2, a tumor suppressor and DNA demethylase, is frequently mutated in hematologic malignancies.
      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; COSV54425537, n = 4 times).
      Hotspots
      This variant does not lie in a statistically significant hotspot.
      Sources & reference links
      8Sources
      ClinVar
      gnomAD v2.1
      gnomAD v4.1
      gnomAD-Canada
      SpliceAI
      OncoKB
      COSMIC
      Cancer hotspots