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MYC
Final classification
VUS
MYC c.956C>T · p.Thr319Ile
MYC

NM_002467.5:c.956C>T (p.Thr319Ile) is a missense variant in MYC exon 3, absent from gnomAD v2.1, v4.1, and gnomAD-Canada population databases (PM2_Supporting).

Gene
MYC
Transcript
NM_002467.5
HGVS · transcript:coding
NM_002467.5:c.956C>T
Consequence
N/A
GRCh38
chr8:127740549 C>T
GRCh37
chr8:128752795 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
MYC c.956C>T

NM_002467.5:c.956C>T (p.Thr319Ile) is a missense variant in MYC exon 3, absent from gnomAD v2.1, v4.1, and gnomAD-Canada population databases (PM2_Supporting).1 Multiple in silico predictors are concordant in predicting no deleterious effect: REVEL score 0.079, BayesDel score -0.588, and SpliceAI max delta 0.00 (BP4_Supporting).2 The variant is absent from ClinVar with no submissions from any laboratory, and has not been reported in COSMIC or at cancerhotspots.org. No variant-specific functional studies or clinical case reports were identified in the literature.3 Under the ACMG/AMP 2015 generic classification framework, the combination of one supporting pathogenic criterion (PM2) and one supporting benign criterion (BP4) results in a final classification of Variant of Uncertain Significance (VUS).4

PM2 + BP4 VUS
2 revelbayesdelspliceai ↗
4 generic_acmg_combination_rules
Gene diagram · NM_002467.5 · variants mapped to exon structure
MYC NM_002467.5
Fetching transcript structure from UCSC…
Applied criteria · 2 applied · 19 assessed
Applied · 2
Strength Supporting Moderate Strong Very strong
PM2 supporting Pathogenic
NM_002467.5:c.956C>T is absent from gnomAD v2.1, gnomAD v4.1, and gnomAD-Canada v1.0, meeting the PM2 threshold for absent/very low frequency (<0.1%) in population databases.
Absent from gnomAD v2.1 (exomes).Absent from gnomAD v4.1 (exomes).Absent from gnomAD-Canada v1.0 (genomes).
BP4 supporting Benign
Multiple lines of computational evidence suggest no deleterious impact. REVEL score is 0.079 (well below pathogenic threshold), BayesDel score is -0.588 (negative, predicting benign), and SpliceAI predicts no splicing impact (max delta = 0.00). These results are concordant in predicting a benign effect.
REVEL: 0.079 (lowbenign).BayesDel: -0.588253 (benign).
Assessed · not applied
Pathogenic
PS1 No alternate nucleotide change at c.956 resulting in the same amino acid change (p.Thr319) has been reported as pathogenic.
PS2 No de novo occurrence data with confirmed maternity and paternity is available for this variant.
PS3 No variant-specific or range-based functional data exists for NM_002467.5:c.956C>T (p.Thr319Ile).
PS4 No data on variant prevalence in affected individuals versus controls is available.
PM1 Residue Thr319 lies in the central regulatory region of MYC (residues ~144-354), not in the critical bHLH-LZ DNA-binding domain (residues ~355-439).
PM6 No de novo occurrence data (without confirmed parentage) is available for this variant.
PP1 No co-segregation data in affected family members is available for this variant.
PP2 No HCI prior data is available for MYC (gene not supported in the HCI database).
PP3 Multiple in silico predictors do not support a deleterious effect.
PP4 No patient phenotype or family history data is available to assess whether the clinical presentation is highly specific for an MYC-related disorder.
PP5 NM_002467.5:c.956C>T is absent from ClinVar; no reputable source has reported this variant as pathogenic.
Benign
BA1 NM_002467.5:c.956C>T is absent from gnomAD v2.1, v4.1, and gnomAD-Canada.
BS1 NM_002467.5:c.956C>T is absent from gnomAD.
BS2 No data is available on healthy adult individuals carrying this variant.
BS3 No in vitro or in vivo functional studies demonstrating no damaging effect on protein function or splicing have been performed for this variant.
BS4 No family segregation data is available to assess lack of segregation with disease.
BP2 No data on observation of this variant in trans with a known pathogenic variant in a fully penetrant dominant gene is available.
BP5 No data is available on an alternate molecular basis for disease in a case carrying this variant.
BP6 NM_002467.5:c.956C>T is absent from ClinVar; no reputable source has reported this variant as benign.
N/A · 5 PVS1 · PM5 · BP1 · BP3 · BP7
Research & evidence
Population frequency
gnomAD v4.1 screenshot
gnomAD v4.1
gnomAD v2.1 screenshot
gnomAD v2.1
v4.1
Absent from gnomAD v4.1.
v2.1
Absent from gnomAD v2.1.
🇨🇦 CA
Absent from gnomAD-Canada v1.0.
Allele frequency by ancestry
three datasets · side by side
gnomAD v4.1
Absent · 0 / ?
0 hom
Not observed in any ancestry group.
gnomAD v2.1
Absent · 0 / ?
0 hom
Not observed in any ancestry group.
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 = 0.079. BayesDel score = -0.588253.
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. MYC, a transcription factor, is altered by chromosomal rearrangement, amplification and overexpression in a variety of cancer types.
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 not previously been reported in somatic cancers (COSMIC).
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