About KMT2A
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
The variant is extremely rare in large population databases. gnomAD v2.1 reports an allele frequency of 0.00283% (8/282,230 alleles; 0 homozygotes; grpmax FAF=2.867e-05) and gnomAD v4.1 reports 0.00415% (67/1,614,060 alleles; 0 homozygotes; grpmax FAF=4.264e-05). Both frequencies are well below the 0.1% threshold for PM2 under generic ACMG/AMP. The variant is absent from gnomAD-Canada.
Multiple lines of computational evidence support a benign effect for this variant. REVEL predicts a benign score of 0.224 (threshold >0.5 for pathogenic). BayesDel predicts a benign score of -0.154507 (negative scores indicate benign). SpliceAI predicts no significant splice impact (max delta score = 0.02). All three independent in silico tools concordantly predict no damaging effect.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP4 supporting benign; combination = 1 supporting + 1 supporting benign, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 67 / 1,614,060 alleles. Recorded AF 4.15102e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 2.83457e-05; MAF= 0.00283%, 8/282230 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 6.22248e-05; MAF= 0.00622%, 8/128566 alleles, homozygotes = 0); grpmax FAF= 2.867e-05.
Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.
1 Uncertain significance · 1 Likely benign.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. KMT2A, a histone methyltransferase, is altered by mutation or deletion in various solid tumors, and by chromosomal rearrangement in various hematologi
This variant has previously been reported in somatic cancers (COSMIC; COSV63290798, n = 4 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 5 not met · 16 not assessed · 3 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_005933.3:c.2684A>G (p.Lys895Arg) is a missense variant in exon 3 of KMT2A, a gene associated with autosomal dominant Wiedemann-Steiner syndrome.
This variant is extremely rare in large population databases, with an allele frequency of 0.00283% in gnomAD v2.1 (8/282,230 alleles) and 0.00415% in gnomAD v4.1 (67/1,614,060 alleles), with no homozygotes observed. It is absent from gnomAD-Canada (PM2_Supporting).
Multiple lines of computational evidence predict a benign effect: REVEL score 0.224 (benign range), BayesDel score -0.154507 (benign), and SpliceAI predicts no splicing impact with a maximum delta score of 0.02 (BP4_Supporting).
This variant has been reported in ClinVar (Variation ID 1335086) with conflicting classifications: Uncertain significance by Invitae and Likely benign by CeGaT Center for Human Genetics Tuebingen. Neither submission reaches a definitive pathogenic or benign classification.
The only publication associated with ClinVar submissions (PMID 28492532, Sherloc classification framework) does not mention this specific variant; it was reviewed in full text and confirmed to be a methodology reference only.
This variant has been reported in COSMIC (COSV63290798) in 4 somatic cancer samples, but this does not constitute germline disease evidence.
Several potentially relevant publications were identified by exploratory literature search (de novo report, functional studies, cosegregation data, domain hotspot analysis) but none of the associated PMIDs are present in the case directory for verification; these criteria (PS2, PS3, PS4, PM1, PM6, PP1, BS3) remain not assessed pending full-text retrieval and verification.
Applying the generic ACMG/AMP 2015 combination rules (PMID 25741868): the criteria met are PM2_Supporting (pathogenic) and BP4_Supporting (benign). These are conflicting at the supporting level and are insufficient to reach a likely pathogenic or likely benign classification. The variant is classified as a Variant of Uncertain Significance (VUS).
No criteria match.
Every interpreted variant in KMT2A, mapped onto the exon structure of NM_005933.3. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| Middle Eastern1 / 6,084 | 0.00016 |
| European (non-Finnish)63 / 1,180,034 | 5.3e-05 |
| Remaining individuals3 / 62,490 | 4.8e-05 |
| European (non-Finnish)8 / 128,566 | 6.2e-05 |
This variant is present in gnomAD v4.1 (AF= 4.15102e-05; MAF= 0.00415%, 67/1614060 alleles, homozygotes = 0) and has highest observed frequency in the Middle Eastern population (AF= 0.000164366; MAF= 0.01644%, 1/6084 alleles, homozygotes = 0); grpmax FAF= 4.264e-05.
This variant is present in gnomAD v2.1 (AF= 2.83457e-05; MAF= 0.00283%, 8/282230 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 6.22248e-05; MAF= 0.00622%, 8/128566 alleles, homozygotes = 0); grpmax FAF= 2.867e-05.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.224. BayesDel score = -0.154507.
1 paper record listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 4.15102e-05; MAF= 0.00415%, 67/1614060 alleles, homozygotes = 0) and has highest observed frequency in the Middle Eastern population (AF= 0.000164366; MAF= 0.01644%, 1/6084 alleles, homozygotes = 0); grpmax FAF= 4.264e-05.
This variant is present in gnomAD v2.1 (AF= 2.83457e-05; MAF= 0.00283%, 8/282230 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 6.22248e-05; MAF= 0.00622%, 8/128566 alleles, homozygotes = 0); grpmax FAF= 2.867e-05.
This variant has been reported in ClinVar as Uncertain significance (1 clinical laboratory) and as Likely benign (1 clinical laboratory). (ClinVarID = 1335086)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.224. BayesDel score = -0.154507.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. KMT2A, a histone methyltransferase, is altered by mutation or deletion in various solid tumors, and by chromosomal rearrangement in various hematologi
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV63290798, n = 4 times).
This variant does not lie in a statistically significant hotspot.