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Variant: NM_001754.5(RUNX1):c.165dup (p.Leu56fs)

CA2387297219

1013619 (ClinVar)

Gene: RUNX1
Condition: hereditary thrombocytopenia and hematologic cancer predisposition syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: 75278995-1bc4-47dc-a356-e9f245681205

HGVS expressions

NM_001754.5:c.164_165insG
NM_001754.5:c.165dup
NM_001754.5(RUNX1):c.165dup (p.Leu56fs)
NC_000021.9:g.34887029dup
CM000683.2:g.34887029dup
NC_000021.8:g.36259326dup
CM000683.1:g.36259326dup
NC_000021.7:g.35181196dup
NG_011402.2:g.1102683dup
ENST00000675419.1:c.165dup
ENST00000300305.7:c.165dup
ENST00000344691.8:c.84dup
ENST00000358356.9:c.84dup
ENST00000399237.6:c.129dup
ENST00000399240.5:c.84dup
ENST00000437180.5:c.165dup
ENST00000455571.5:c.126dup
ENST00000482318.5:c.59-6316dup
NM_001001890.2:c.84dup
NM_001122607.1:c.84dup
NM_001754.4:c.165dup
NM_001001890.3:c.84dup
NM_001122607.2:c.84dup

Pathogenic

Met criteria codes 4
PM2_Supporting PVS1 PM5_Supporting PS4_Supporting
Not Met criteria codes 22
BA1 BS4 BS3 BS1 BS2 BP7 BP5 BP3 BP4 BP1 BP2 PS2 PS3 PS1 PP1 PP3 PP2 PP4 PM1 PM4 PM3 PM6

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

PDF
Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Myeloid Malignancy VCEP
NM_001754.5(RUNX1):c.165dup (p.Leu56ValfsTer?) is a duplication frameshift variant which results in a termination sequence 82 residues later. This variant is predicted to undergo nonsense mediated decay in a gene in which loss-of-function is an established mechanism (frameshift (+) c.98-c.779 as per VCEP specifications) (PVS1). This variant is completely absent from all population databases with at least 20x coverage for RUNX1 (PM2_supporting). This variant is a nonsense/frameshift variants that is downstream of c.98 (PM5_Supporting). This variant has been reported in one proband meeting at least one of the RUNX1-phenotypic criteria (PS4_ Supporting; PMID: 18723428). In summary, this variant meets criteria to be classified as pathogenic. ACMG/AMP criteria applied, as specified by the Myeloid Malignancy Variant Curation Expert Panel for RUNX1: PVS1, PM5_supporting, PM2_supporting, PS4_supporting.
Met criteria codes
PM2_Supporting
This variant is completely absent from all population databases with at least 20x coverage for RUNX1 (PM2_supporting).
PVS1
This variant is predicted to undergo nonsense mediated decay in a gene in which loss-of-function is an established mechanism (frameshift (+) c.98-c.779 as per VCEP specifications) (PVS1).
PM5_Supporting
This variant is a nonsense/frameshift variants that is downstream of c.98 (PM5_Supporting).
PS4_Supporting
This variant has been reported in one proband meeting at least one of the RUNX1-phenotypic criteria (PS4_ Supporting; PMID: 18723428).
Not Met criteria codes
BA1
This variant does not have a MAF ≥ 0.0015 (0.15%) in any general continental population dataset.
BS4
Segregation was not found to be absent in two or more informative meiosis.
BS3
In vitro or in vivo functional data has not been reported for this variant in the literature.
BS1
This variant does not have a MAF between 0.00015 (0.015%) and 0.0015 (0.15%) in any general continental dataset.
BS2
This rule is not applicable for MM-VCEP.
BP7
This variant is not a synonymous or intronic variant.
BP5
This rule is not applicable for MM-VCEP
BP3
This rule is not applicable for MM-VCEP
BP4
This variant does not have applicable in-silico data available.
BP1
This rule is not applicable for MM-VCEP
BP2
This variant has not been observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder or observed in cis with a pathogenic variant in any inheritance pattern.
PS2
This variant does not have a proven de novo occurrence in the literature.
PS3
In vitro or in vivo functional data has not been reported for this variant in the literature.
PS1
There has not yet been a missense change determined to be pathogenic at this amino acid residue.
PP1
This variant was not found to co-segregate with disease in 3 or more affected family members in the literature.
PP3
This variant does not have applicable in-silico data available.
PP2
This rule is not applicable for MM-VCEP
PP4
This rule is not applicable for MM-VCEP
PM1
This variant does not affect any of the following amino acid residues, nor is it located within the RHD: R107, K110, A134, R162, R166, S167, R169, G170, K194, T196, D198, R201, R204 OR within residues 89-204.
PM4
This variant is not an in-frame deletion/insertion.
PM3
This rule is not applicable for MM-VCEP
PM6
This variant does not have two or more assumed de novo occurrences in the literature.
Approved on: 2024-03-26
Published on: 2024-03-26
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