About PIK3CA
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is ClinGen PIK3CA VCEP v1.1. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
Residue 950 (Glu950) falls within the C-terminal kinase domain (AA 797-1068) defined in Table 4 of the ClinGen Brain Malformations VCEP specification (v1.1) as a critical functional domain for PIK3CA. Under this VCEP, PM1 is awarded at Supporting strength for residues located within approved Table 4 domains, independent of hotspot recurrence.
This variant is extremely rare in population databases. In gnomAD v2.1, it is present at AF=0.00080% (2/248,508 alleles) and in gnomAD v4.1 at AF=0.00006% (1/1,611,758 alleles), with zero homozygotes in both datasets. The highest subpopulation frequency is 0.00177% in European (non-Finnish) in v2.1. Under the VCEP, PM2 is awarded at Supporting strength for variants absent or rare (≤1 person) in ethnically-matched controls. The pooled allele count across datasets supports PM2 at supporting level.
No benign criterion marked as applied in the recorded assessment.
ClinGen Brain Malformations Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 1.1 v1.1 lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM1 supporting, PM2 supporting; combination = 2 supporting, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 1 / 1,611,758 alleles. Recorded AF 6.20441e-07. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 8.04803e-06; MAF= 0.00080%, 2/248508 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 1.7734e-05; MAF= 0.00177%, 2/112778 alleles, homozygotes = 0); grpmax FAF= 2.95e-06.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.050. Refer to the recorded PP3/BP4 rationale for interpretation.
1 Likely benign. ClinVar API review status: criteria provided, single submitter.
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen PIK3CA VCEP v1.1, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 9 not met · 2 not assessed · 13 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_006218.4:c.2850A>G (p.Glu950=) is a synonymous variant in PIK3CA exon 20. The ClinGen Brain Malformations VCEP (v1.1) framework was applied for criterion adjudication.
The variant falls within the C-terminal kinase domain (AA 797-1068), a Table 4 critical functional domain for PIK3CA per the VCEP specification, meeting PM1 at Supporting strength.
The variant is extremely rare in population databases: gnomAD v2.1 AF=0.00080% (2/248,508 alleles), gnomAD v4.1 AF=0.00006% (1/1,611,758 alleles), with zero homozygotes. PM2 is met at Supporting strength under VCEP rules.
PVS1, PS1, PM5, PM6, PP1, PP2, PP3, PP4, PP5, BS4, BP1, BP6, and BP3 are not applicable under the VCEP framework or due to the synonymous nature of the variant.
SpliceAI predicts no significant splicing impact (max delta=0.05), but BP4 requires two of three tools (varSEAK, SpliceAI, MaxEntScan) per VCEP specifications; only SpliceAI is available. BP7 requires a PhyloP score <0.1, which is not available. Both BP4 and BP7 remain not assessed.
No functional studies, de novo reports, case observations, or segregation data were identified for this synonymous variant. PS2, PS3, PS4, BS2, BS3, BP2, and BP5 are not met.
With PM1_Supporting (+1) and PM2_Supporting (+1), the total points sum to +2. Per the VCEP Tavtigian point-combination framework (Pathogenic ≥10, Likely Pathogenic 6-9, VUS 0-5, Likely Benign -6 to -1, Benign <-6), a score of +2 falls within the VUS (0-5) range.
No criteria match.
Every interpreted variant in PIK3CA, mapped onto the exon structure of NM_006218.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| European (non-Finnish)1 / 1,178,374 | 8.5e-07 |
| European (non-Finnish)2 / 112,778 | 1.8e-05 |
This variant is present in gnomAD v4.1 (AF= 6.20441e-07; MAF= 0.00006%, 1/1611758 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.48627e-07; MAF= 0.00008%, 1/1178374 alleles, homozygotes = 0).
This variant is present in gnomAD v2.1 (AF= 8.04803e-06; MAF= 0.00080%, 2/248508 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 1.7734e-05; MAF= 0.00177%, 2/112778 alleles, homozygotes = 0); grpmax FAF= 2.95e-06.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.05).
5 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 6.20441e-07; MAF= 0.00006%, 1/1611758 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.48627e-07; MAF= 0.00008%, 1/1178374 alleles, homozygotes = 0).
This variant is present in gnomAD v2.1 (AF= 8.04803e-06; MAF= 0.00080%, 2/248508 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 1.7734e-05; MAF= 0.00177%, 2/112778 alleles, homozygotes = 0); grpmax FAF= 2.95e-06.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Likely benign (1 clinical laboratory). (ClinVarID = 1796825)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.05).
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.