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Variant: NM_000051.4(ATM):c.790del (p.Tyr264fs)

CA166283

141742 (ClinVar)

Gene: ATM
Condition: hereditary breast cancer
Inheritance Mode: Autosomal dominant inheritance
UUID: d3ead41c-4b75-4c13-83f1-65dddcea0ee9
Approved on: 2024-01-25
Published on: 2024-02-14

HGVS expressions

NM_000051.4:c.790del
NM_000051.4(ATM):c.790del (p.Tyr264fs)
NC_000011.10:g.108244915del
CM000673.2:g.108244915del
NC_000011.9:g.108115642del
CM000673.1:g.108115642del
NC_000011.8:g.107620852del
NG_009830.1:g.27084del
ENST00000452508.7:c.790del
ENST00000713593.1:c.*261del
ENST00000278616.9:c.790del
ENST00000682430.1:n.889del
ENST00000682516.1:n.924del
ENST00000682956.1:n.924del
ENST00000683100.1:n.3137del
ENST00000683174.1:n.940del
ENST00000683605.1:n.285del
ENST00000684037.1:c.790del
ENST00000684061.1:n.924del
ENST00000684179.1:n.759del
ENST00000527805.6:c.790del
ENST00000675595.1:c.625del
ENST00000675843.1:c.790del
ENST00000278616.8:c.790del
ENST00000452508.6:c.790del
ENST00000527805.5:c.790del
NM_000051.3:c.790del
NM_001351834.1:c.790del
NM_001351834.2:c.790del
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Pathogenic

Met criteria codes 3
PM5_Supporting PVS1 PM3_Strong
Not Met criteria codes 1
PM2

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for ATM Version 1.2.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Hereditary Breast, Ovarian and Pancreatic Cancer VCEP
The c.790delT (p.Y264Ifs*12) variant in ATM is a frameshift variant predicted to cause a premature stop codon in a biologically-relevant-exon leading to nonsense mediated decay in a gene in which loss-of-function is an established disease mechanism. This alteration results in a termination codon upstream of the most C-terminal pathogenic alteration (ATM p.Arg3047*), as classified by the HBOP VCEP, and is expected to be more deleterious. This variant has a minor allele frequency in gnomAD v2.1.1 of 0.00001763 (2/113450 alleles) in European (non-Finnish) population (PM2_Supporting, BS1, and BA1 are not met). This variant has been detected in at least 4 individuals with Ataxia-Telangiectasia (PMID: 12815592, 9887333, 26896183, 22213089). In summary, this variant meets the criteria to be classified as a pathogenic variant for autosomal dominant hereditary breast cancer and autosomal recessive Ataxia-Telangiectasia based on the ACMG/AMP criteria applied as specified by the HBOP VCEP. (PVS1, PM3_strong, PM5_supporting)
Met criteria codes
PM5_Supporting
This alteration results in a termination codon upstream of the most C-terminal pathogenic alteration (ATM p.Arg3047*), as classified by the HBOP VCEP, and is expected to be more deleterious.
PVS1
The c.790delT(p.Y264Ifs*12)(NM_000051.4) variant in ATM is a frameshift deletion variant predicted to cause a premature stop codon in biologically-relevant-exon 6 leading to nonsense mediated decay(PVS1).
PM3_Strong
This variant has been detected in 4 unrelated individuals with Ataxia Telangiectasia (PMID: 12815592, 9887333, 26896183, 22213089).
Not Met criteria codes
PM2
This variant has a minor allele frequency in gnomAD v2.1.1 of 0.00001763 (2/113450 alleles) in European (non-Finnish) population (PM2_Supporting not met).
Curation History
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