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ARID1A
Final classification
VUS
PM2BP4
ARID1A
c.2297A>T
p.Gln766Leu
missense · exon 7

ARID1A encodes a component of the SWI/SNF chromatin-remodeling complex, which regulates gene expression by altering chromatin structure around target genes. It binds AT-rich DNA sequences and helps recruit the remodeling complex to its targets. Germline mutations in ARID1A cause Coffin-Siris syndrome, a condition marked by developmental delay and coarse facial features. ARID1A also acts as a tumor suppressor in several cancer types, including gynecologic cancers, ovarian clear cell carcinomas, and endometrial cancers.

This variant

ARID1A is a chromatin-remodeling gene in which germline mutations cause Coffin-Siris syndrome and altered function contributes to gynecologic and endometrial cancers. This missense change is classified as a variant of uncertain significance, meaning current evidence neither supports nor rules out a disease-causing role; additional family, population, or functional data would be needed to clarify its significance.

Transcript
NM_006015.5
HGVS · transcript:coding
NM_006015.5:c.2297A>T
GRCh38
chr1:26762197 A>T
GRCh37
chr1:27088688 A>T
Basis VUS: only PM2 and BP4 are met - one supporting pathogenic and one supporting benign criterion - which reaches no ACMG/AMP 2015 combination threshold, yielding a variant of uncertain significance.
VUS: only PM2 and BP4 are met - one supporting pathogenic and one supporting benign criterion - which reaches no ACMG/AMP 2015 combination threshold, yielding a variant of uncertain significance.
Classification rationale
PM2 BP4 VUS
ARID1A c.2297A>T missense · exon 7

PM2 (Supporting): absent from gnomAD v2.1, v4.1, and gnomAD-Canada v1.0 population databases. BP4 (Supporting): REVEL score 0.256 meets the <=0.290 supporting threshold for benign prediction. Final: VUS - one supporting pathogenic criterion (PM2) and one supporting benign criterion (BP4) constitute conflicting evidence that meets no ACMG/AMP 2015 Benign, Likely Benign, Likely Pathogenic, or Pathogenic combination.

PM2 + BP4 VUS
Gene diagram · NM_006015.5 · variants mapped to exon structure
ARID1A NM_006015.5
Fetching transcript structure from UCSC…
Applied criteria · 2 applied · 22 assessed
MetEvidence satisfies this criterion.
Not metEvaluated against available evidence; threshold not reached.
Not assessedApplies in principle, but no evidence was found to evaluate it.
N/ADoesn't apply to this variant type.
Applied · 2
Strength Supporting Moderate Strong Very strong
PM2 supporting Pathogenic
Met (supporting): this variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada v1.0 population databases.
The case evidence records NM_006015.5:c.2297A>T as absent from gnomAD v2.1.The case evidence records NM_006015.5:c.2297A>T as absent from gnomAD v4.1.The case evidence records NM_006015.5:c.2297A>T as absent from gnomAD-Canada v1.0.
BP4 supporting Benign
Met (supporting): REVEL score 0.256 meets the <=0.290 supporting threshold for benign prediction.
REVEL score 0.256 for NM_006015.5:c.2297A>T (p.Gln766Leu), local REVEL v1.3 lookup.ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997) sets BP4 supporting threshold at REVEL <=0.290; 0.256 satisfies this, supporting BP4 at supporting strength.SpliceAI Lookup: max delta score = 0.032 (DS_AG 0.001, DS_AL 0.017, DS_DG 0.0, DS_DL 0.032), no significant predicted splice impact, corroborating a benign computational prediction (not independently counted toward BP4 strength beyond REVEL).
Assessed · not applied · 5 not met · 17 not assessed
Pathogenic
PS1 Not assessed: insufficient evidence was available to compare this amino acid change against an established pathogenic variant at the same residue.
PS2 Not assessed: no parental testing or confirmed de novo occurrence data were available for this variant.
PS3 Not assessed: no published functional assay data (e.g., transcriptional or chromatin-remodeling activity) were available for this variant.
PS4 Not assessed: no affected-case series or case-control data were available to establish increased prevalence in affected individuals.
PM1 Not assessed: insufficient evidence was available to determine whether this variant lies in a well-established functional domain.
PM3 Not assessed: no evidence of a second ARID1A variant in trans or a recessive disease pattern was available.
PM5 Not assessed: insufficient evidence was available to determine whether a different pathogenic missense change exists at this same residue.
PM6 Not assessed: no parental testing or phenotype data were available to support an unconfirmed de novo event.
PP1 Not assessed: no family segregation data (affected or unaffected relatives tested for this variant) were available.
PP2 Not assessed: insufficient evidence was available to determine the proportion of benign missense variation in this gene.
PP3 Not met: REVEL score 0.256 falls below the >=0.644 supporting threshold for pathogenic prediction.
PP4 Not assessed: no patient phenotype description was available to establish a highly specific disease pattern.
PP5 Not met: this exact variant is absent from ClinVar, so no expert-panel pathogenic classification exists.
Benign
BA1 Not met: the variant is absent from population databases, so no allele frequency approaching the >5% BA1 threshold was observed.
BS1 Not met: the variant is absent from gnomAD, so no allele frequency above the disease-specific expected maximum was demonstrated.
BS2 Not assessed: no healthy adult homozygote or documented unaffected individual carrying this variant was identified.
BS3 Not assessed: no published functional assay data demonstrating a benign effect were available for this variant.
BS4 Not assessed: no family data showing affected relatives who do not carry the variant were available.
BP1 Not assessed: insufficient evidence was available to determine whether a stop codon is created within the last exon.
BP2 Not assessed: no family or phase data were available to determine whether this variant occurs with a pathogenic variant in cis or a benign variant in trans.
BP5 Not assessed: no alternative molecular diagnosis explaining the patient's phenotype was documented.
BP6 Not met: this exact variant is absent from ClinVar, so no expert-panel benign classification exists.
N/A · 4 PVS1 · PM4 · 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 = 0.03). REVEL score = 0.256. BayesDel score = -0.249382.
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. ARID1A, a tumor suppressor involved in transcriptional regulation, is inactivated by mutation in various cancer types including endometrial and bladde
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