PM2 (Supporting): The variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada (total allele frequency 0.0), meeting the generic ACMG PM2 threshold of <0.1% in all population databases.1 BP4 (Supporting Benign): Multiple in silico tools predict no deleterious effect — REVEL score 0.334 (below 0.5 pathogenic threshold), BayesDel score -0.039 (within benign range), and SpliceAI max delta 0.00.2 Classification: Variant of Uncertain Significance (VUS). One supporting pathogenic criterion (PM2) and one supporting benign criterion (BP4) yield indeterminate evidence per the ACMG/AMP 2015 combination rules (PMID:25741868).3