Starting
Initialising…
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FLT3
Final classification
Likely Pathogenic
FLT3 c.1732_1797dup · p.Met578_Tyr599dup
FLT3

The FLT3 c.1732_1797dup (p.Met578_Tyr599dup) variant has not been observed in somatic cancers in COSMIC and has not been reported in ClinVar.

Gene
FLT3
Transcript
NM_004119.2
HGVS · transcript:coding
NM_004119.2:c.1732_1797dup
Consequence
N/A
GRCh38
chr13:28034121 C>CATATTCATATTCTCTGAAATCAACGTAGAAGTACTCATTATCTGAGGAGCCGGTCACCTGTACCAT
GRCh37
chr13:28608258 C>CATATTCATATTCTCTGAAATCAACGTAGAAGTACTCATTATCTGAGGAGCCGGTCACCTGTACCAT
Basis Applied the Local FLT3 ITD / activating length-mutation framework from final_classification_framework.json; this framework retains ACMG/AMP 2015 final category thresholds while using FLT3-specific criterion specifications.
Applied the Local FLT3 ITD / activating length-mutation framework from final_classification_framework.json; this framework retains ACMG/AMP 2015 final category thresholds while using FLT3-specific criterion specifications.
Classification rationale
PM1PM2PM5 Likely Pathogenic
FLT3 c.1732_1797dup

The FLT3 c.1732_1797dup (p.Met578_Tyr599dup) variant has not been observed in somatic cancers in COSMIC and has not been reported in ClinVar.1 This variant is absent from gnomAD v2.1 and gnomAD v4.1, with an observed population frequency of 0, which is below the default PM2 rarity threshold of 0.1%.2 The duplicated segment spans the FLT3 juxtamembrane ITD hotspot and includes the classic codon 589-599 activating cluster, which supports hotspot-class evidence, but no exact-variant OncoKB functional assertion was identified for p.Met578_Tyr599dup.3 SpliceAI predicts no significant splice impact for this variant, with a maximum delta score of 0.18.4

PM1 + PM2 + PM5 Likely Pathogenic
3 vcep_f_l_t_3___i_t_d___h_o_t_s_p_o_t___a_n_d___f_u_n_c_t_i_o_nvcep_f_l_t_3___o_n_c_o_k_b___g_u_i_d_a_n_c_eoncokb ↗
Gene diagram · NM_004119.2 · variants mapped to exon structure
FLT3 NM_004119.2
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 pathogenic
      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.
      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.
      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 = 0.18).
      Functional / OncoKB screenshot
      Functional
      OncoKB oncogenicity for this specific variant: not classified (variant has not been individually curated).
      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.
      Literature · how each cited paper was used
      4papers cited
      Each card is an audit: what was searched, what was found, whether it names the variant, which criteria it fed, and why.
      PMID PMID:11090077
      Found
      Structured finding pending for this record — see source link.
      Applied to
      PM1 supports · met PM5 supports · met
      PMID PMID:11756186
      Found
      Structured finding pending for this record — see source link.
      Applied to
      PM1 supports · met PM5 supports · met
      PMID PMID:12384447
      Found
      Structured finding pending for this record — see source link.
      Applied to
      PM5 supports · met
      PMID PMID:9737679
      Found
      Structured finding pending for this record — see source link.
      Applied to
      PM1 supports · met PM5 supports · met
      Sources & reference links
      7Sources
      ClinVar
      gnomAD v2.1
      gnomAD v4.1
      SpliceAI
      OncoKB
      COSMIC
      Cancer hotspots