The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
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Variant: NM_001204.7(BMPR2):c.797G>C (p.Arg266Thr)

CA320454

212810 (ClinVar)

Gene: BMPR2
Condition: pulmonary arterial hypertension
Inheritance Mode: Autosomal dominant inheritance
UUID: 88f76109-c430-4d6c-8f25-aac06732349f

HGVS expressions

NM_001204.7:c.797G>C
NM_001204.7(BMPR2):c.797G>C (p.Arg266Thr)
NC_000002.12:g.202518997G>C
CM000664.2:g.202518997G>C
NC_000002.11:g.203383720G>C
CM000664.1:g.203383720G>C
NC_000002.10:g.203091965G>C
NG_009363.1:g.147671G>C
ENST00000374580.10:c.797G>C
ENST00000638587.1:c.728G>C
ENST00000374574.2:c.797G>C
ENST00000374580.8:c.797G>C
NM_001204.6:c.797G>C

Uncertain Significance

Met criteria codes 1
PM2
Not Met criteria codes 3
PP1 BA1 BP4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Pulmonary Hypertension Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for BMPR2 Version 1.1.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Pulmonary Hypertension VCEP
The BMPR2 c.797G>C variant is a missense variant predicted to cause an arginine to threonine substitution at amino acid 266 (p.Arg266Thr). The variant is absent from gnomAD v2.1.1 controls and v4.1 (PM2 met). The REVEL score is 0.628 and does not meet PP3 (≥0.75) nor BP4 (<0.25) criteria for computational predicted impact on the gene product. Two unrelated idiopathic pulmonary arterial hypertension probands have been reported (PMID: 16429395, PMID: 19555857) but is below the threshold for PP1 (at least three probands). An additional proband with pulmonary arterial hypertension associated with another disease (PMID: 31727138) was not included in the count. Experimental data has not been reported for this variant. In summary, this variant is classified as a variant of uncertain significance for pulmonary arterial hypertension based on the ACMG/AMP criteria applied, as specified by the ClinGen Pulmonary Hypertension VCEP: PM2 (VCEP specifications version 1.1, 1/18/2024).
Met criteria codes
PM2
absent from gnomAD v2.1.1 controls and v4.1
Not Met criteria codes
PP1
Two probands reported by Machado et al in 2006 (PMID: 16429395) and 2009 (PMID: 19555857) Zhu et al 2019 (PMID: 31727138) reported an APAH proband, but associated PAH is not included.
BA1
0.0001406 (<0.1%) in European Population, gnomad v2.1.1 controls
BP4
REVEL: 0.628
Approved on: 2024-05-02
Published on: 2024-05-02
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