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Variant: NM_001754.5(RUNX1):c.292del (p.Leu98fs)

CA512318852

561231 (ClinVar)

Gene: RUNX1
Condition: hereditary thrombocytopenia and hematologic cancer predisposition syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: bf3e82b4-cd47-4a45-bab9-d08dd560bc37

HGVS expressions

NM_001754.5:c.292del
NM_001754.5(RUNX1):c.292del (p.Leu98fs)
NC_000021.9:g.34886903del
CM000683.2:g.34886903del
NC_000021.8:g.36259200del
CM000683.1:g.36259200del
NC_000021.7:g.35181070del
NG_011402.2:g.1102810del
ENST00000675419.1:c.292del
ENST00000300305.7:c.292del
ENST00000344691.8:c.211del
ENST00000358356.9:c.211del
ENST00000399237.6:c.256del
ENST00000399240.5:c.211del
ENST00000437180.5:c.292del
ENST00000455571.5:c.253del
ENST00000482318.5:c.59-6189del
NM_001001890.2:c.211del
NM_001122607.1:c.211del
NM_001754.4:c.292del
NM_001001890.3:c.211del
NM_001122607.2:c.211del

Pathogenic

Met criteria codes 3
PM2_Supporting PM5_Supporting PVS1
Not Met criteria codes 23
PM6 PM3 PM1 PM4 BS2 BS4 BS3 BS1 BP2 BP3 BP4 BP1 BP5 BP7 PS2 PS4 PS3 PS1 BA1 PP4 PP1 PP3 PP2

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 NM_001754.5:c.292del p.(Leu98SerfsTer24) variant is a frameshift variant that is predicted to introduce a premature stop codon and is expected to result in nonsense-mediated mRNA decay. All the biologically relevant transcripts are predicted to be affected (PVS1). This variant is completely absent from all population databases with at least 20x coverage for RUNX1 (PM2_supporting), and is a nonsense variant downstream of c.98 (in transcript NM_001754.4) (PM5_supporting). The c.292del variant has been reported in one proband with a diagnosis of clonal cytopenia of undetermined significance (PMID: 33179473). This variant was identified by NGS and had a VAF of 33%. However, its germline origin was not assessed in the study. Therefore, we cannot assess case-study/segregation criteria. In summary, this variant meets the criteria to be classified as pathogenic. ACMG/AMP criteria applied, as specified by the Myeloid Malignancy Variant Curation Expert Panel for RUNX1: PVS1, PM2_supporting, PM5_supporting.
Met criteria codes
PM2_Supporting
This variant is completely absent from all population databases with at least 20x coverage for RUNX1 (PM2_supporting).
PM5_Supporting
This is a nonsense/frameshift variants downstream of c.98 (in transcript NM_001754.4).
PVS1
The NM_001754.5:c.292del p.(Leu98SerfsTer24) variant is a frameshift variant that is predicted to introduce a premature stop codon and is expected to result in nonsense-mediated mRNA decay. All the biologically relevant transcripts are predicted to be affected (PVS1).
Not Met criteria codes
PM6
This rule is not applicable to this variant since there is no reported evidence.
PM3
The MMVCEP does not evaluate this rule.
PM1
This variant is a deletion
PM4
This rule is not applicable to the variant since it is a frameshift deletion.
BS2
The MMVCEP does not evaluate this rule.
BS4
This rule is not applicable to this variant since there is not informative meiosis.
BS3
This rule is not applicable to the variant since no functional studies have been found.
BS1
This variant is completely absent from all population databases with at least 20x coverage for RUNX1.
BP2
This rule is not applicable to this variant since there is no reported evidence.
BP3
This rule is not applicable to the variant since it is a frameshift deletion.
BP4
This rule is not applicable to the variant since it is a deletion.
BP1
The MMVCEP does not evaluate this rule and the variant is a deletion.
BP5
The MMVCEP does not evaluate this rule.
BP7
This rule is not applicable to the variant since it is a deletion.
PS2
This rule is not applicable to this variant since there is no reported evidence.
PS4
The c.292del variant has been reported in one proband with a diagnosis of clonal cytopenia of undetermined significance (PMID: 33179473). This variant was identified by NGS and had a VAF of 33%. However, its germline origin was not assessed in the study.
PS3
This rule is not applicable to the variant since no functional studies have been found.
PS1
This rule is not applicable to the variant since it is a deletion.
BA1
This variant is completely absent from all population databases with at least 20x coverage for RUNX1.
PP4
The MMVCEP does not evaluate this rule.
PP1
This rule is not applicable to this variant since there is not informative meiosis.
PP3
This rule is not applicable to the variant since it is a deletion.
PP2
This rule is not applicable to the variant since it is a deletion.
Approved on: 2023-12-09
Published on: 2023-12-09
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