About RAD51D
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 likely benign. Select a step to read what it means.
Likely benign.A likely benign classification under the recorded framework.
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.
This variant is present in gnomAD at very low frequency: v2.1 AF = 0.0405% (113/278,930 alleles) and v4.1 AF = 0.0656% (1058/1,612,440 alleles), with grpmax FAF of 0.065% (v2.1) and 0.079% (v4.1), all below the 0.1% PM2 threshold for non-VCEP assessment. However, the presence of one homozygote in each database and over 100 observed alleles weakens the confidence; thus applied at supporting strength only.
One homozygous individual is observed in gnomAD v2.1 and one homozygous individual is observed in gnomAD v4.1. RAD51D-associated cancer predisposition is adult-onset with moderate penetrance, so homozygous observation does not definitively exclude pathogenicity, but it provides supporting evidence that the variant can be tolerated in at least some individuals. Applied at supporting benign strength.
RAD51D is a gene in which the primary disease mechanism is loss-of-function through truncating variants (nonsense, frameshift, canonical splice). The ACMG/AMP 2015 guidelines (PMID:25741868) specify BP1 for missense variants in genes where primarily truncating variants cause disease. The RAD51D locus is well-characterized as an ovarian cancer susceptibility gene where the vast majority of reported pathogenic variants are protein-truncating.
Multiple lines of computational evidence support a benign interpretation. REVEL score is 0.218 (benign-leaning, well below the 0.5 threshold). BayesDel score is 0.087 (low, consistent with benign). SpliceAI delta score is 0.00 (no predicted splicing impact). SIFT predicts tolerated (PMID:24130102). The aggregate in silico evidence indicates no significant impact on gene product.
Nine clinical laboratories in ClinVar have classified this variant as Likely benign (variation ID 127886). Multiple reputable clinical testing laboratories independently arrived at a likely benign classification with criteria provided, including Ambry Genetics, LabCorp, and Quest Diagnostics. This represents a substantial body of clinical laboratory consensus favoring a benign interpretation.
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, BS2 supporting benign, BP1 supporting benign, BP4 supporting benign, BP6 supporting benign; combination = 1 supporting + 4 supporting benign, which maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 1,058 / 1,612,440 alleles. Recorded AF 0.000656148. Recorded homozygote count 1.
This variant is present in gnomAD v2.1 (AF= 0.00040512; MAF= 0.04051%, 113/278930 alleles, homozygotes = 1) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000718232; MAF= 0.07182%, 91/126700 alleles, homozygotes = 0); grpmax FAF= 0.00065141.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0011406844106463879, 21/18410 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
10 Uncertain significance · 9 Likely benign. ClinVar API review status: criteria provided, conflicting classifications.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. RAD51D, a DNA repair protein, is infrequently altered in cancer.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
29 criteria with recorded statuses: 5 met · 10 not met · 7 not assessed · 7 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_002878.3:c.26G>C (p.Cys9Ser) is a missense variant in exon 1 of RAD51D.
This variant is present in gnomAD at a low frequency: 0.0405% (113/278,930 alleles, 1 homozygote) in v2.1 and 0.0656% (1058/1,612,440 alleles, 1 homozygote) in v4.1, with a maximum population frequency of 0.083% in the European (non-Finnish) population (v4.1).
The variant has been reported in ClinVar (ID 127886) as Uncertain significance by 10 clinical laboratories and Likely benign by 9 clinical laboratories; no expert panel has reviewed this variant.
Multiple lines of computational evidence predict no significant impact on the gene product: REVEL score 0.218, BayesDel score 0.087, and SpliceAI maximum delta score 0.00.
PM2 (supporting) is applied because the variant is present at very low frequency in population databases (<0.1% AF in all populations), though weakened by the observation of homozygotes.
BP4 (supporting benign) is applied because multiple computational prediction algorithms (REVEL, BayesDel, SpliceAI) support no deleterious effect.
BP1 (supporting benign) is applied because RAD51D-associated disease is primarily caused by truncating loss-of-function variants rather than missense changes.
BS2 (supporting benign) is applied because one homozygous individual was observed in gnomAD v2.1 and one in gnomAD v4.1, suggesting this variant can be tolerated in at least some individuals.
BP6 (supporting benign) is applied because nine independent clinical laboratories have classified this variant as Likely benign with criteria provided.
PVS1 is not applicable as this is a missense variant, not a null variant.
PS3 is not met because no experimental functional studies have been performed for this variant.
PP3 is not met because the aggregate computational evidence supports a benign rather than pathogenic interpretation.
Using generic ACMG/AMP 2015 combination rules (PMID:25741868), the evidence profile includes: 1 supporting pathogenic criterion (PM2) and 4 supporting benign criteria (BP1, BP4, BS2, BP6). The net benign evidence outweighs the single pathogenic criterion, supporting a classification of Likely benign.
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in RAD51D, mapped onto the exon structure of NM_002878.3. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| European (non-Finnish)980 / 1,179,946 | 0.00083 |
| Remaining individuals49 / 62,474 | 0.00078 |
| Admixed American15 / 60,030 | 0.000251 hom |
| African/African American12 / 75,044 | 0.00016 |
| European (Finnish)2 / 62,412 | 3.2e-05 |
| European (non-Finnish)91 / 126,700 | 0.00072 |
| Remaining individuals3 / 7,184 | 0.00042 |
| Admixed American13 / 35,410 | 0.000371 hom |
| African/African American5 / 24,874 | 0.0002 |
| European (Finnish)1 / 23,926 | 4.2e-05 |
This variant is present in gnomAD v4.1 (AF= 0.000656148; MAF= 0.06561%, 1058/1612440 alleles, homozygotes = 1) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000830546; MAF= 0.08305%, 980/1179946 alleles, homozygotes = 0); grpmax FAF= 0.00078695.
This variant is present in gnomAD v2.1 (AF= 0.00040512; MAF= 0.04051%, 113/278930 alleles, homozygotes = 1) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000718232; MAF= 0.07182%, 91/126700 alleles, homozygotes = 0); grpmax FAF= 0.00065141.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0011406844106463879, 21/18410 alleles, homozygotes = 0).
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.218. BayesDel score = 0.0874681.
8 paper records listed. 1 cited in the classification.
c.26G>C p.Cys9Ser rs140825795 C0 Tolerated Possibly damaging Deleterious No effect 0.0006 (842)
Location Table 1 (Nonsynonymous variants section)
One of five neoplasms with a missense variant (p.C9S) revealed loss of the wildtype allele, but this variant occurred at similar frequency in European American controls and was predicted by SIFT to be benign.
Results section; Table 2
RAD51D 17 33446607 26G>C Exon 1 C9S 1 0 1 2 2 5
Appendix Table A4
RAD51D c.26G>C (p.Cys9Ser)
Appendix Table A4 (VUS listing)
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= 0.000656148; MAF= 0.06561%, 1058/1612440 alleles, homozygotes = 1) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000830546; MAF= 0.08305%, 980/1179946 alleles, homozygotes = 0); grpmax FAF= 0.00078695.
This variant is present in gnomAD v2.1 (AF= 0.00040512; MAF= 0.04051%, 113/278930 alleles, homozygotes = 1) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000718232; MAF= 0.07182%, 91/126700 alleles, homozygotes = 0); grpmax FAF= 0.00065141.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0011406844106463879, 21/18410 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Uncertain significance (10 clinical laboratories) and as Likely benign (9 clinical laboratories). (ClinVarID = 127886)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.218. BayesDel score = 0.0874681.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. RAD51D, a DNA repair protein, is infrequently altered in cancer.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.