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Variant: NM_001754.5(RUNX1):c.166_193dup (p.Ala65fs)

CA891844470

571388 (ClinVar)

Gene: RUNX1
Condition: hereditary thrombocytopenia and hematologic cancer predisposition syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: 98ed23b5-7557-477d-af0e-20f02ed05e0e

HGVS expressions

NM_001754.5:c.166_193dup
NM_001754.5(RUNX1):c.166_193dup (p.Ala65fs)
NC_000021.9:g.34887005_34887032dup
CM000683.2:g.34887005_34887032dup
NC_000021.8:g.36259302_36259329dup
CM000683.1:g.36259302_36259329dup
NC_000021.7:g.35181172_35181199dup
NG_011402.2:g.1102684_1102711dup
ENST00000675419.1:c.166_193dup
ENST00000300305.7:c.166_193dup
ENST00000344691.8:c.85_112dup
ENST00000358356.9:c.85_112dup
ENST00000399237.6:c.130_157dup
ENST00000399240.5:c.85_112dup
ENST00000437180.5:c.166_193dup
ENST00000455571.5:c.127_154dup
ENST00000482318.5:c.59-6315_59-6288dup
NM_001001890.2:c.85_112dup
NM_001122607.1:c.85_112dup
NM_001754.4:c.166_193dup
NM_001001890.3:c.85_112dup
NM_001122607.2:c.85_112dup

Pathogenic

Met criteria codes 4
PM5_Supporting PVS1 PM2_Supporting PS4_Supporting
Not Met criteria codes 22
BS2 BS4 BS3 BS1 BP2 BP3 BP4 BP1 BP5 BP7 PS1 PS2 PS3 BA1 PP4 PP1 PP3 PP2 PM3 PM1 PM4 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
The c.166_193dup (p.Ala65Valfs*82) variant is a 28-bp duplication causing a frameshift that is predicted to introduce a premature stop codon and expected to result in nonsense-mediated mRNA decay (PVS1). This variant is completely absent from all population databases (gnomAD v2.1.1 and v3) with at least 20x coverage for RUNX1 (PM2_supporting). This variant is a nonsense/frameshift variants that is downstream of c.98 (PM5_Supporting). The variant has not been reported in FPD/AML patients in the literature to the best of our knowledge; however one patient meeting RUNX1-phenotype criteria is reported from a clinical laboratory (PS4_Supporting; SCV000820350.2). 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, PM2_supporting, PS4_Supporting, PM5_supporting.
Met criteria codes
PM5_Supporting
This variant is a nonsense/frameshift variants that is downstream of c.98 (PM5_Supporting).
PVS1
The c.166_193dup (p.Ala65Valfs*82) variant is a 28-bp duplication causing a frameshift that is predicted to introduce a premature stop codon and expected to result in nonsense-mediated mRNA decay.
PM2_Supporting
This variant is completely absent from all population databases with at least 20x coverage for RUNX1 (PM2_Supporting).
PS4_Supporting
The variant has not been reported in the literature to the best of our knowledge. Internal laboratory data reports 1 patient meeting RUNX1-phenotype criteria.
Not Met criteria codes
BS2
MM-VCEP deemed N/A for RUNX1
BS4
No data currently available
BS3
No data currently available
BS1
This variant does not have a MAF between 0.00015 (0.015%) and 0.0015 (0.15%) in any general continental dataset.
BP2
No evidence
BP3
MM-VCEP deemed N/A for RUNX1
BP4
This variant does not have applicable in-silico data available.
BP1
MM-VCEP deemed N/A for RUNX1
BP5
MM-VCEP deemed N/A for RUNX1
BP7
This variant is not a synonymous or intronic variant.
PS1
This variant is not a missense, or synonymous variant.
PS2
No data currently available
PS3
No data currently available
BA1
This variant does not have a MAF ≥ 0.0015 (0.15%) in any general continental population dataset.
PP4
MM-VCEP deemed N/A for RUNX1
PP1
No data currently available
PP3
This variant does not have applicable in-silico data available.
PP2
MM-VCEP deemed N/A for RUNX1
PM3
MM-VCEP deemed N/A for RUNX1
PM1
This variant is not a missense variant.
PM4
This variant is not an in-frame deletion/insertion.
PM6
No data currently available
Approved on: 2024-03-26
Published on: 2024-03-26
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