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  • See Evidence submitted by expert panel for details.

Variant: NM_176795.4(HRAS):c.277A>G (p.Ile93Val)

CA296061

40439 (ClinVar)

Gene: HRAS
Condition: Costello syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: f12837d2-3463-4374-982c-98e2b63c406a

HGVS expressions

NM_176795.4:c.277A>G
NM_176795.4(HRAS):c.277A>G (p.Ile93Val)
NC_000011.10:g.533779T>C
CM000673.2:g.533779T>C
NC_000011.9:g.533779T>C
CM000673.1:g.533779T>C
NC_000011.8:g.523779T>C
NG_007666.1:g.6772A>G
NM_001130442.1:c.277A>G
NM_005343.2:c.277A>G
NM_176795.3:c.277A>G
NM_001130442.2:c.277A>G
NM_001318054.1:c.-43A>G
NM_005343.3:c.277A>G
NM_005343.4:c.277A>G
NM_001318054.2:c.-43A>G
ENST00000311189.7:c.277A>G
ENST00000397594.5:c.277A>G
ENST00000397596.6:c.277A>G
ENST00000417302.5:c.277A>G
ENST00000451590.5:c.277A>G
ENST00000479482.1:n.198A>G
ENST00000493230.5:c.277A>G

Uncertain Significance

Met criteria codes 2
PP2 BP4
Not Met criteria codes 3
PS4 BS2 PM2

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
RASopathy VCEP
The c.277A>G (p.Ile93Val) variant has been identified in at least 1 proband with features of a RASopathy, but no clinical diagnosis (PS4_Supporting not met; GeneDx internal data; ClinVar SCV000207855.10). An additional proband inherited this variant from an asymptomatic parent (BS2 not met; Blueprint Genetics internal data, ClinVar SCV000188770.2). The p.Ile93Val variant was present in 0.00398% (1/25120) of Finnish alleles in gnomAD (PM2 not met). Computational prediction tools and conservation analysis suggest that the p.Ile93Val variant does not impact the protein (BP4). The variant is located in the HRAS gene, which has been defined by the ClinGen RASopathy Expert Panel as a gene with a low rate of benign missense variants and pathogenic missense variants are common (PP2; PMID: 29493581). In summary, the clinical significance of the p.Ile93Val variant is uncertain. RASopathy-specific ACMG/AMP criteria applied (PMID:29493581): PP2, BP4
Met criteria codes
PP2
The variant is located in the HRAS gene, which has been defined by the ClinGen RASopathy Expert Panel as a gene with a low rate of benign missense variants and pathogenic missense variants are common (PP2; PMID: 29493581).
BP4
Computational prediction tools and conservation analysis suggest that the p.Ile93Val variant does not impact the protein (BP4).
Not Met criteria codes
PS4
The c.277A>G (p.Ile93Val) variant has been identified in at least 1 proband with features of a RASopathy, but no clinical diagnosis (PS4_Supporting not met; GeneDx internal data; ClinVar SCV000207855.10).
BS2
An additional proband inherited this variant from an asymptomatic parent (BS2 not met; Blueprint Genetics internal data, ClinVar SCV000188770.2).
PM2
Present in 0.00398% (1/25120) of Finnish alleles in gnomAD (PM2 not met).
Approved on: 2020-07-01
Published on: 2020-07-01
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