Starting
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RAD51D
Final classification
Likely Benign
RAD51D c.198G>T · p.Val66=
RAD51D

NM_002878.4:c.198G>T (p.Val66=) is a synonymous variant in RAD51D with no predicted amino acid change.

Gene
RAD51D
Transcript
NM_002878.4
HGVS · transcript:coding
NM_002878.4:c.198G>T
Consequence
N/A
GRCh38
chr17:35118566 C>A
GRCh37
chr17:33445585 C>A
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: BS1 supporting, BP6 supporting, BP7 supporting; combination = 3 supporting benign, which maps to Likely Benign.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BS1 supporting, BP6 supporting, BP7 supporting; combination = 3 supporting benign, which maps to Likely Benign.
Classification rationale
BS1BP6BP7 Likely Benign
RAD51D c.198G>T

NM_002878.4:c.198G>T (p.Val66=) is a synonymous variant in RAD51D with no predicted amino acid change.1 SpliceAI predicts no splice impact for this variant (max delta score = 0.00), meeting BP7 (supporting).2 This variant is present in gnomAD v4.1 with a grpmax filtering allele frequency of 0.303% and an East Asian subpopulation frequency of 0.348% (156/44,880 alleles, one homozygote), marginally exceeding the 0.3% threshold for BS1 at supporting strength.3 Multiple clinical diagnostic laboratories have classified this variant as Likely benign (5 labs) or Benign (1 lab) in ClinVar (Variation ID: 184496), consistent with BP6 at supporting strength.4 No variant-specific functional, segregation, de novo, or case-control data were identified in the literature. Three PMIDs from ClinVar (25741868, 25394175, 28492532) are guideline or methods papers that do not mention NM_002878.4:c.198G>T.

BS1 + BP6 + BP7 Likely Benign
Gene diagram · NM_002878.4 · variants mapped to exon structure
RAD51D NM_002878.4
Fetching transcript structure from UCSC…
Applied criteria · 3 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 · supports benign
      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= 9.72617e-05; MAF= 0.00973%, 157/1614202 alleles, homozygotes = 1) and has highest observed frequency in the East Asian population (AF= 0.00347594; MAF= 0.34759%, 156/44880 alleles, homozygotes = 1); grpmax FAF= 0.00303071.
      v2.1
      This variant is present in gnomAD v2.1 (AF= 3.57927e-05; MAF= 0.00358%, 9/251448 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000434972; MAF= 0.04350%, 8/18392 alleles, homozygotes = 0); grpmax FAF= 0.00021573.
      🇨🇦 CA
      Absent from gnomAD-Canada v1.0.
      Allele frequency by ancestry
      three datasets · side by side
      gnomAD v4.1
      0.0097% · 157 / 1,614,202
      1 hom · FAF 0.3%
      East Asian
      156 / 44,880
      0.35%
      1 hom
      Remaining individuals
      1 / 62,508
      0.0016%
      + 8 not observed (Admixed American, European (Finnish), Amish, Middle Eastern, South Asian, Ashkenazi Jewish, African/African American, European (non-Finnish))
      gnomAD v2.1
      0.0036% · 9 / 251,448
      0 hom · FAF 0.022%
      East Asian
      8 / 18,392
      0.043%
      Remaining individuals
      1 / 6,136
      0.016%
      + 6 not observed (African/African American, Admixed American, Ashkenazi Jewish, European (Finnish), European (non-Finnish), South Asian)
      gnomAD Canada 🇨🇦
      Absent · 0 / ?
      0 hom
      Not observed in any ancestry group.
      ClinVar screenshot
      ClinVar
      This variant has been reported in ClinVar as Likely benign (7 clinical laboratories) and as Benign (1 clinical laboratory). (ClinVarID = 184496)
      SpliceAI screenshot
      In silico
      SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
      Functional / OncoKB screenshot
      Functional Unknown Oncogenic Effect
      OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
      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
      Triaged references · 3 PMIDs not cited in assessment
      25741868 ↗ Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. CLINVAR
      25394175 ↗ A practice guideline from the American College of Medical Genetics and Genomics and the National Society of Genetic Counselors: referral indications for cancer predisposition assessment. CLINVAR
      28492532 ↗ Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria. CLINVAR