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Variant: NM_001754.5(RUNX1):c.351+1G>T

CA410203333

988837 (ClinVar)

Gene: RUNX1
Condition: hereditary thrombocytopenia and hematologic cancer predisposition syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: 3397bd48-d848-44cc-99b5-e9105dda8018

HGVS expressions

NM_001754.5:c.351+1G>T
NM_001754.5(RUNX1):c.351+1G>T
NC_000021.9:g.34886842C>A
CM000683.2:g.34886842C>A
NC_000021.8:g.36259139C>A
CM000683.1:g.36259139C>A
NC_000021.7:g.35181009C>A
NG_011402.2:g.1102870G>T
ENST00000675419.1:c.351+1G>T
ENST00000300305.7:c.351+1G>T
ENST00000344691.8:c.270+1G>T
ENST00000358356.9:c.270+1G>T
ENST00000399237.6:c.315+1G>T
ENST00000399240.5:c.270+1G>T
ENST00000437180.5:c.351+1G>T
ENST00000455571.5:c.312+1G>T
ENST00000482318.5:c.59-6129G>T
NM_001001890.2:c.270+1G>T
NM_001122607.1:c.270+1G>T
NM_001754.4:c.351+1G>T
NM_001001890.3:c.270+1G>T
NM_001122607.2:c.270+1G>T

Pathogenic

Met criteria codes 3
PVS1 PM2_Supporting PS4_Moderate
Not Met criteria codes 23
PM3 PM1 PM4 PM5 PM6 BA1 BS4 BS3 BS1 BS2 BP5 BP7 BP2 BP3 BP4 BP1 PS2 PS3 PS1 PP1 PP3 PP2 PP4

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

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Myeloid Malignancy VCEP
The c.351+1G>T variant is a canonical splice site variant predicted to disrupt exon 4 donor splice site recognition. The c.351+1G>T variant is a canonical splice site variant predicted to disrupt exon 4 donor splice site recognition. According to SpliceAI prediction, the donor loss is 0.99 at -1 bp. This variant is expected to result in exon 4 skipping, leading to a frameshift (PVS1). This variant has been reported in 2 probands (#17, and #44.2), both meeting at least one of the RUNX1-phenotypic criteria (PS4_Moderate; PMID: 24100448 and 32935436). This variant is completely absent from all population databases (gnomAD v2.1.1, v3.1.2, and gnomAD v4.0.0) with at least 20x coverage for RUNX1 (PM2_supporting). 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, PS4_moderate, PM2_supporting.
Met criteria codes
PVS1
The c.351+1G>T variant is a canonical splice site variant predicted to disrupt exon 4 donor splice site recognition. According to SpliceAI prediction, the donor loss is 0.99 at -1 bp. This variant is expected to result in exon 4 skipping, leading to a frameshift (PVS1).
PM2_Supporting
This variant is completely absent from all population databases (gnomAD v2.1.1, v3.1.2, and gnomAD v4.0.0) with at least 20x coverage for RUNX1 (PM2_supporting).
PS4_Moderate
This variant has been reported in 2 probands (#17, and #44.2), both meeting at least one of the RUNX1-phenotypic criteria (PS4_Moderate; PMID: 24100448 and 32935436).
Not Met criteria codes
PM3
The MMVCEP does not evaluate this rule.
PM1
This rule cannot be applied since this is a canonical splice site variant.
PM4
This rule cannot be applied since this is a canonical splice site variant.
PM5
This rule cannot be applied since this is a canonical splice site variant.
PM6
This rule cannot be applied since, to our knowledge, this information has not been provided in any study.
BA1
This rule cannot be applied since the variant is completely absent from all population databases.
BS4
This rule cannot be applied because we have no information about segregation.
BS3
BS3 cannot be applied because the variant meets PVS1.
BS1
This rule cannot be applied since the variant is completely absent from all population databases.
BS2
This rule is not applicable for MM-VCEP.
BP5
The MMVCEP does not evaluate this rule.
BP7
This rule cannot be applied since this is a canonical splice site variant.
BP2
This rule cannot be applied since, to our knowledge, this information has not been provided in any study.
BP3
The MMVCEP does not evaluate this rule.
BP4
This rule cannot be applied since this is a canonical splice site variant.
BP1
The MMVCEP does not evaluate this rule.
PS2
This rule cannot be applied since, to our knowledge, this information has not been provided in any study.
PS3
PS3 cannot be applied because the variant meets PVS1.
PS1
This rule cannot be applied since this is a canonical splice site variant.
PP1
This variant was not found to co-segregate with disease in 3 or more affected family members in the literature.
PP3
This rule cannot be applied since this is a canonical splice site variant.
PP2
The MMVCEP does not evaluate this rule.
PP4
The MMVCEP does not evaluate this rule.
Approved on: 2023-12-09
Published on: 2023-12-09
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