{
  "data": {
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    "assertionMethod": {
      "@id": "https://cspec.genome.network/cspec/SequenceVariantInterpretation/id/1670130991",
      "label": "ClinGen ABCA4 Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for ABCA4 Version 1.0.0",
      "type": "VariantPathogenicityInterpretationGuideline",
      "version": "1.0.0"
    },
    "condition": {
      "@id": "https://api.monarchinitiative.org/api/bioentity/phenotype/MONDO:0800406",
      "id": "MONDO:0800406",
      "label": "ABCA4-related retinopathy",
      "type": "GeneticCondition"
    },
    "evidenceLine": [
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/el/0/1735",
        "evidenceItem": [
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            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/ei/1/1736",
            "contribution": [
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                  "type": "Agent"
                },
                "contributionDate": {
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                  "description": "Date on which this evidence was provided"
                },
                "contributionRole": {
                  "@id": "https://obofoundry.org/sepio/0000156",
                  "id": "SEPIO:0000516",
                  "label": "curator role",
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                },
                "type": "Contribution"
              }
            ],
            "evidenceLine": [
              {
                "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/el/0/1735/1737",
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                          "id": "CG-PCER-AGENT:CG_50140_EP176315447905952",
                          "type": "Agent"
                        },
                        "comments": "The prevalence of the variant in affected individuals is significantly increased compared with the prevalence in controls. The OR is 95.5 and the CI is 12.78-41149.08, which is above the ABCA4 VCEP threshold of ≥5, where the CI does not contain 1 (PS4; PMID: 35120629). ",
                        "contributionDate": {
                          "date": "2025/12/22",
                          "description": "Date on which this evidence was provided"
                        },
                        "contributionRole": {
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                          "label": "curator role",
                          "type": "ContributoryRole"
                        },
                        "type": "Contribution"
                      }
                    ],
                    "id": "CA227106/MONDO:0800406/164/ci/CA227106/MONDO:0800406/164.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1735/1737",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/1/1736",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1735",
        "type": "EvidenceLine"
      },
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/el/0/1651",
        "evidenceItem": [
          {
            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/ei/1/1652",
            "contribution": [
              {
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                  "id": "CG-PCER-AGENT:CG_50140_EP176315447905952",
                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2025/12/22",
                  "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/CA227106/MONDO:0800406/164/el/0/1651/1653",
                "evidenceItem": [
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                          "id": "CG-PCER-AGENT:CG_50140_EP176315447905952",
                          "type": "Agent"
                        },
                        "comments": "This variant has been detected in at least 2 individuals with ABCA4-related retinopathy. Of those individuals, both were compound heterozygous for the variant and a pathogenic variant (c.1A>G p.(Met1Val); c.2888delG) and both of those were confirmed in trans by family testing (PM3= 2 points; PM3_Strong; PMIDs: 19365591, 17325136). ",
                        "contributionDate": {
                          "date": "2025/12/22",
                          "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": "CA227106/MONDO:0800406/164/ci/CA227106/MONDO:0800406/164.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1651/1653",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/1/1652",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1651",
        "type": "EvidenceLine"
      },
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/el/0/1690",
        "evidenceItem": [
          {
            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/ei/1/1691",
            "contribution": [
              {
                "agent": {
                  "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50140_EP176315447905952",
                  "id": "CG-PCER-AGENT:CG_50140_EP176315447905952",
                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2025/12/22",
                  "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/CA227106/MONDO:0800406/164/el/0/1690/1692",
                "evidenceItem": [
                  {
                    "@id": "CG-PCER:curatorInference/CA227106/MONDO:0800406/164/ci/CA227106/MONDO:0800406/164.002",
                    "contribution": [
                      {
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                          "id": "CG-PCER-AGENT:CG_50140_EP176315447905952",
                          "type": "Agent"
                        },
                        "comments": "The computational predictor REVEL gives a score of 0.948 which is above the threshold of >0.772, evidence that predicts a damaging effect on ABCA4 function (PP3_Moderate).",
                        "contributionDate": {
                          "date": "2025/12/22",
                          "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": "CA227106/MONDO:0800406/164/ci/CA227106/MONDO:0800406/164.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1690/1692",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/1/1691",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1690",
        "type": "EvidenceLine"
      },
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/el/0/1636",
        "evidenceItem": [
          {
            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA227106/MONDO:0800406/164/ei/1/1637",
            "contribution": [
              {
                "agent": {
                  "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50140_EP176315447905952",
                  "id": "CG-PCER-AGENT:CG_50140_EP176315447905952",
                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2025/12/22",
                  "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/CA227106/MONDO:0800406/164/el/0/1636/1638",
                "evidenceItem": [
                  {
                    "@id": "CG-PCER:curatorInference/CA227106/MONDO:0800406/164/ci/CA227106/MONDO:0800406/164.002",
                    "contribution": [
                      {
                        "agent": {
                          "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50140_EP176315447905952",
                          "id": "CG-PCER-AGENT:CG_50140_EP176315447905952",
                          "type": "Agent"
                        },
                        "comments": "The total minor allele frequency in gnomAD v4.1.0 is 0.000004337 (7/1613874 alleles), which is lower than the ClinGen ABCA4 VCEP’s threshold for PM2_Supporting (<0.0001), meeting this criterion (PM2_Supporting).",
                        "contributionDate": {
                          "date": "2025/12/22",
                          "description": "Date on which this evidence was provided"
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                          "id": "SEPIO:0000516",
                          "label": "curator role",
                          "type": "ContributoryRole"
                        },
                        "type": "Contribution"
                      }
                    ],
                    "id": "CA227106/MONDO:0800406/164/ci/CA227106/MONDO:0800406/164.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1636/1638",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/1/1637",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164/0/1636",
        "type": "EvidenceLine"
      }
    ],
    "id": "CG-PCER-VARINT:CA227106/MONDO:0800406/164",
    "metadata": {
      "created": "2025-12-22T22:48:14.789Z",
      "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": "Mon, 22 Dec 2025 22:48:14 -0000",
      "schemaLabel": "Evidence Repository.Beta-1 (Unofficial)",
      "version": "1.0.0"
    },
    "statementOutcome": {
      "@id": "https://loinc.org/LA6668-3",
      "id": "LN:LA6668-3",
      "label": "Pathogenic"
    },
    "type": "VariantPathogenicityInterpretation",
    "uuid": "c9c216b9-97ce-43a8-834f-f6808ce70962",
    "variant": {
      "@id": "https://reg.genome.network/allele/CA227106",
      "id": "CAR:CA227106",
      "relatedContextualAllele": [
        {
          "alleleName": [
            {
              "name": "NM_000350.3:c.32T>C"
            }
          ],
          "preferred": true
        }
      ],
      "relatedIdentifier": [
        {
          "label": "NM_000350.3(ABCA4):c.32T>C (p.Leu11Pro)"
        }
      ],
      "type": "CAR"
    }
  },
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-07-27T12:46:56.169Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}