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      "@id": "https://cspec.genome.network/cspec/SequenceVariantInterpretation/id/1807907463",
      "label": "ClinGen Limb Girdle Muscular Dystrophy Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for DYSF Version 2.0.0",
      "type": "VariantPathogenicityInterpretationGuideline",
      "version": "2.0.0"
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    "condition": {
      "@id": "https://api.monarchinitiative.org/api/bioentity/phenotype/MONDO:0015152",
      "id": "MONDO:0015152",
      "label": "autosomal recessive limb-girdle muscular dystrophy",
      "type": "GeneticCondition"
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                        "comments": "This variant has been reported in at least 3 unrelated individuals with features consistent with LGMD or dysferlinopathy (PMID: 40545540, 33610434; Jain Foundation Dysferlin Registry internal data communication; ClinVar SCV001229732.5 internal data communication), including in unconfirmed phase with a pathogenic variant (NM_003494.4: c.3112C>T p.(Arg1038Ter), 0.5 pts, PMID: 33610434; Jain Foundation Dysferlin Registry internal data communication) (PM3_Supporting).\n\nLabCorp ClinVar submission SCV000940628.3,  One individual in his 20s with Exercise-induced rhabdomyolysis and persistent elevated CK. No muscle biopsy information. Variantc.6008G>A (p.Gly2003Asp) is detected in trans with c.950C>T (p.Thr317Met). Curation in progress in VCI. (? pts)\n\n\nco-occurrence with scored variants in unconfirmed phase\nvariant being curated is not present in gnomAD v2 so cannot assess co-occurrence with c.3112C>T p.(Arg1038Ter)\n\nunscored cases:\nc.906+3A>G: unconfirmed phase, VUS in ClinVar by LabCorp/Invitae only, no citations, not in LOVD, SpliceAI 0.69; 0.5 pts if P but seems like it will remain VUS with only 1 patient \nc.854C>T p.(Thr285Met): unconfirmed phase, preliminary curation looks like VUS\nunrelated Registry participant with c.3112C>T p.(Arg1038Ter) in unconfirmed phase but no phenotype info\n\n",
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                        "comments": "The highest population allele frequency for this variant in gnomAD v4.1.0 is 0.00001600, (1/62508S) Remaining exomes/genomes), which is less than the ClinGen LGMD VCEP threshold (≤0.0001) (PM2_Supporting).\n\nGrpmax Filtering AF:\nThe upper bound of the 95% CI of the Grpmax variant allele frequency is 0.000012232 in gnomAD v4.1.0 (8/1180048 European (non-Finnish) alleles), which is lower than the LGMD VCEP threshold (<0.0001) for PM2_Supporting, meeting this criterion. ",
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                        "comments": "Another missense variant at this position, c.6008G>T p.(Gly2003Val), looks like a good possibility but it hasn't been curated yet and classifying it as at least LP is not guaranteed and will require curation of multiple additional variants. In addition, only PM5_Supporting is awarded for an LP classification, which is not enough to upgrade the classification of c.6008G>A p.(Gly2003Asp) from LP to P. \n\n\nPM5_Supporting if LP, PM5_Moderate if P\n\nc.6008G>T p.(Gly2003Val)\nnot in ClinVar\nPM2_Supporting and PP3 apply\n\n3 cases in the Dysferlin registry: \n•\tJF7496 - c.1663C>G (p.Arg555Gly) (not curated yet); c.6008G>T (Gly2003Val) - absent dysferlin by IHC of muscle\n•\tJF8117 - c.6008G>T (Gly2003Val) - homozygous\n•\tJF7559 - c.3937C>T (Gln1313X) (not curated yet); c.6008G>T (Gly2003Val)\n\n1 case in LOVD:\nIndividual #00215541\nfrom Canada, no lit citation\nLGMD phenotype, IHC DYSF decreased\nunknown phase with 3 other DYSF variants: c.4820T>C p.(Ile1607Thr) (B), c.5626G>A p.(Asp1876Asn) (B), c.6119G>A p.(Trp2040Ter) (not curated)\n\nPMID: 40774080 Kale et al. (2025)\nTurkish cohort\nLGMD clinical phenotype\nhomozygous (reported as ENST0000410020.3: c.6125G>T p.Gly2042Val) (0.5 PM3 pts, PP4)\n\nnot evaluated in functional assay\n\n",
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                        "contributionRole": {
                          "@id": "https://obofoundry.org/sepio/0000156",
                          "id": "SEPIO:0000516",
                          "label": "curator role",
                          "type": "ContributoryRole"
                        },
                        "type": "Contribution"
                      }
                    ],
                    "id": "CA347226819/MONDO:0015152/180/ci/CA347226819/MONDO:0015152/180.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA347226819/MONDO:0015152/180/0/1780/1782",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA347226819/MONDO:0015152/180/1/1781",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Not Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA347226819/MONDO:0015152/180/0/1780",
        "type": "EvidenceLine"
      },
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA347226819/MONDO:0015152/180/el/0/1828",
        "evidenceItem": [
          {
            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA347226819/MONDO:0015152/180/ei/1/1829",
            "contribution": [
              {
                "agent": {
                  "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50061_EP173626590511418",
                  "id": "CG-PCER-AGENT:CG_50061_EP173626590511418",
                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2026/2/17",
                  "description": "Date on which this evidence was provided"
                },
                "contributionRole": {
                  "@id": "https://obofoundry.org/sepio/0000156",
                  "id": "SEPIO:0000516",
                  "label": "curator role",
                  "type": "ContributoryRole"
                },
                "type": "Contribution"
              }
            ],
            "evidenceLine": [
              {
                "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA347226819/MONDO:0015152/180/el/0/1828/1830",
                "evidenceItem": [
                  {
                    "@id": "CG-PCER:curatorInference/CA347226819/MONDO:0015152/180/ci/CA347226819/MONDO:0015152/180.002",
                    "contribution": [
                      {
                        "agent": {
                          "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50061_EP173626590511418",
                          "id": "CG-PCER-AGENT:CG_50061_EP173626590511418",
                          "type": "Agent"
                        },
                        "contributionDate": {
                          "date": "2026/2/17",
                          "description": "Date on which this evidence was provided"
                        },
                        "contributionRole": {
                          "@id": "https://obofoundry.org/sepio/0000156",
                          "id": "SEPIO:0000516",
                          "label": "curator role",
                          "type": "ContributoryRole"
                        },
                        "type": "Contribution"
                      }
                    ],
                    "id": "CA347226819/MONDO:0015152/180/ci/CA347226819/MONDO:0015152/180.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA347226819/MONDO:0015152/180/0/1828/1830",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA347226819/MONDO:0015152/180/1/1829",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Not Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA347226819/MONDO:0015152/180/0/1828",
        "type": "EvidenceLine"
      }
    ],
    "id": "CG-PCER-VARINT:CA347226819/MONDO:0015152/180",
    "metadata": {
      "created": "2026-02-17T19:54:54.759Z",
      "note": "DISCLAIMER: While the data/content in this document is approved by ClinGen expert panel(s), the SEPIO schema presented here is an initial prototype and has not been reviewed nor finalized by the ClinGen Data Exchange Modeling Team. We expect it to differ significantly from the final schema.",
      "producedAtUTC": "Tue, 17 Feb 2026 19:54:54 -0000",
      "schemaLabel": "Evidence Repository.Beta-1 (Unofficial)",
      "version": "1.0.0"
    },
    "statementOutcome": {
      "@id": "https://loinc.org/LA26332-9",
      "id": "LN:LA26332-9",
      "label": "Likely Pathogenic"
    },
    "type": "VariantPathogenicityInterpretation",
    "uuid": "1a6c317b-6a2f-45df-afd9-4b0d9bfc1074",
    "variant": {
      "@id": "https://reg.genome.network/allele/CA347226819",
      "id": "CAR:CA347226819",
      "relatedContextualAllele": [
        {
          "alleleName": [
            {
              "name": "NM_001130987.2:c.6125G>A"
            }
          ],
          "preferred": true
        }
      ],
      "relatedIdentifier": [
        {
          "label": "NM_001130987.2(DYSF):c.6125G>A (p.Gly2042Asp)"
        }
      ],
      "type": "CAR"
    }
  },
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-10-29T15:44:19.886Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}