The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]


Variant: NM_001754.4(RUNX1):c.984A>G (p.Thr328=)

CA10014227

258187 (ClinVar)

Gene: RUNX1
Condition: hereditary thrombocytopenia and hematologic cancer predisposition syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: 3b529aa5-afa3-4671-bdf2-1cbfaf0aa32f
Approved on: 2022-07-07
Published on: 2022-07-07

HGVS expressions

NM_001754.4:c.984A>G
NM_001754.4(RUNX1):c.984A>G (p.Thr328=)
NC_000021.9:g.34792594T>C
CM000683.2:g.34792594T>C
NC_000021.8:g.36164891T>C
CM000683.1:g.36164891T>C
NC_000021.7:g.35086761T>C
NG_011402.2:g.1197118A>G
ENST00000675419.1:c.984A>G
ENST00000300305.7:c.984A>G
ENST00000344691.8:c.903A>G
ENST00000399240.5:c.711A>G
ENST00000437180.5:c.984A>G
ENST00000482318.5:c.*574A>G
NM_001001890.2:c.903A>G
NM_001001890.3:c.903A>G
NM_001754.5:c.984A>G
NM_001754.5(RUNX1):c.984A>G (p.Thr328=)

Likely Benign

Met criteria codes 2
BP4 BP7
Not Met criteria codes 24
PVS1 BA1 BS2 BS4 BS3 BS1 BP2 BP3 BP1 BP5 PS2 PS4 PS3 PS1 PP1 PP4 PP3 PP2 PM6 PM2 PM1 PM5 PM3 PM4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Myeloid Malignancy Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 2

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Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Myeloid Malignancy VCEP
NM_001754.4(RUNX1):c.984A>G (p.Thr328=) is a synonymous variant. There is NO predicted effect on the gene product; REVEL is not calculable. SpliceAI predicts: Acceptor loss 0.00, Donor loss 0.00, Acceptor gain 0.00, Donor gain 0.00. As such, there appears to be NO effect on splicing (BP4. Evolutionary conservation prediction algorithms predict the site as not being conserved (PhyloP score -3.2495 which is < 2.0)(BP7). In summary, this variant meets the criteria to be classified as likely benign. ACMG/AMP criteria applied, as specified by the Myeloid Malignancy Variant Curation Expert Panel for RUNX1: BP4, BP7.
Met criteria codes
BP4
This variant produces a synonymous change in all observed transcripts from an ACA to ACG codon; the consequent amino acid in both cases is Threonine. As such there is NO predicted effect on the gene product; REVEL and SpiceAI scores are not calculable. Given that no effect is computationally predicted for this variant, BP4 IS MET.
BP7
This IS a synonymous variant. For this variant, SpliceAI predicts: Acceptor loss 0.00, Donor loss 0.00, Acceptor gain 0.00, Donor gain 0.00. As such, there appears to be NO effect on splicing. Evolutionary conservation prediction algorithms predict the site as not being conserved (PhyloP score -3.2495 which is < 2.0); as such BP7 IS MET (BP7).
Not Met criteria codes
PVS1
This is a synonymous variant; as such PSV1 is NOT met.
BA1
MAF of 0.00076 (0.076%, 3/3966, 3969 alleles) in the African subpopulation of the ExAc cohort is between 0.00015 (0.015%) and 0.0015 (0.15%) (BA1 IS NOT MET). Note: The variant is classified as likely benign based on BS1 alone with no contradictory evidence supporting pathogenicity.
BS2
This rule is not applicable for MM-VCEP
BS4
This variant has been reported in NO probands with relevant phenotypic features. BS4 is NOT met.
BS3
There are NO in vitro or in vivo functional studies performed on this variant. BS3 is NOT MET.
BS1
MAF of 0.00076 (0.076%, 3/3966, 3969 alleles) in the African subpopulation of the ExAc cohort is between 0.00015 (0.015%) and 0.0015 (0.15%) (BS1 IS MET). Note: The variant is classified as likely benign based on BS1 alone with no contradictory evidence supporting pathogenicity.
BP2
This synonymous variant has not been observed in a relevant inheritance pattern with a pathogenic variant. BP2 is NOT MET.
BP3
This rule is not applicable for MM-VCEP
BP1
This rule is not applicable for MM-VCEP
BP5
This rule is not applicable for MM-VCEP
PS2
This variant has not been assessed as being de novo or had confirmation of maternity/paternity. PM6 is NOT MET.
PS4
There is no reported case-control studies for this synonymous variant; PS4 is NOT met.
PS3
There are NO in vitro or in vivo functional studies performed on this variant. PS3 is NOT MET.
PS1
This synonymous variant is found at amino acid 328. The only other identified pathogenic variants located at amino acid 328 are RUNX1 p.Y328X and p.T328fs. Both of these are nonsense variants. There are no other missense SNV variants described at the RUNX1 328 aa site. Further, this variant is a synonymous variant. As such, PS1 is NOT met.
PP1
This variant has been reported in NO probands with relevant phenotypic features. PP1 is NOT met.
PP4
This rule is not applicable for MM-VCEP
PP3
This variant produces a synonymous change in all observed transcripts from an ACA to ACG codon; the consequent amino acid in both cases is Threonine. As such there is NO predicted effect on the gene product; PP3 is NOT met. Scores are not calculable by REVEL or SpiceAI.
PP2
This rule is not applicable for MM-VCEP
PM6
This variant has not been assessed as being de novo or had confirmation of maternity/paternity. PM6 is NOT MET.
PM2
MAF of 0.00076 (0.076%, 3/3966, 3969 alleles) in the African subpopulation of the ExAc cohort is between 0.00015 (0.015%) and 0.0015 (0.15%) (PM2 IS NOT MET). Note: The variant is classified as likely benign based on BS1 alone with no contradictory evidence supporting pathogenicity.
PM1
This variant is synonymous and falls outside of the conserved Runt-Homology Domain (aa 89-204). As such, PM1 is NOT met.
PM5
This synonymous variant is found at amino acid 328. The only other identified pathogenic variants located at amino acid 328 are RUNX1 p.Y328X and p.T328fs. Both of these are nonsense variants. There are no other missense SNV variants described at the RUNX1 328 aa site. Further, this variant is a synonymous variant. As such, PM5 is NOT met.
PM3
This rule is not applicable for MM-VCEP
PM4
This variant is a SYNONYMOUS variant; PM4 is NOT met.
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