About ATM
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 ClinGen ATM VCEP v1.5.0. 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.
No pathogenic criterion marked as applied in the recorded assessment.
Functional assay data from the VCEP supplementary table (PMID 40580951) classifies F897I as 'Functional' with 'Medium-high' confidence, indicating retained ATM kinase activity. Per VCEP HBOP BS3 rules, rescue of an ATM-specific feature (kinase activity) supports BS3_Supporting.
REVEL score 0.069 is ≤0.249 (VCEP BP4 missense threshold). SpliceAI max delta score 0.02 is ≤0.1 (VCEP BP4 splicing threshold). Additionally, six in silico protein prediction tools showed no deleterious effect for this variant (PMID 29371908, Fig. 2).
Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework: matched Rule19 (Benign.Supporting >=2) with applied criteria: BS3 supporting, BP4 supporting; maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 57 / 1,613,938 alleles. Recorded AF 3.53173e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 3.18266e-05; MAF= 0.00318%, 8/251362 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 6.15731e-05; MAF= 0.00616%, 7/113686 alleles, homozygotes = 0); grpmax FAF= 2.855e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0003256975355553143, 6/18422 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.
16 Uncertain significance.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. ATM, a kinase involved in the DNA damage response, is mutated in various solid and hematologic malignancies.
This variant has previously been reported in somatic cancers (COSMIC; COSV99069668, n = 3 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen ATM VCEP v1.5.0, with the data and sources behind each one.
29 criteria with recorded statuses: 2 met · 9 not met · 1 not assessed · 17 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000051.4:c.2689T>A (p.Phe897Ile) in ATM is classified as Likely Benign based on two benign supporting criteria: BS3_Supporting (functional assay data demonstrates retained ATM kinase activity) and BP4_Supporting (REVEL 0.069, SpliceAI max delta 0.02, and six in silico predictors show no deleterious effect).
No pathogenic criteria were met. The variant is present in gnomAD v4 at low frequency (AF 3.53×10⁻⁵, 57/1,613,938 alleles) but does not meet PM2_Supporting (threshold ≤0.001%). It has been reported in ClinVar as Uncertain Significance (Variation ID 188232, 16 clinical laboratories).
The variant was observed in one ovarian cancer proband (PMID 29371908) but no segregation data are available. It has been reported in COSMIC (COSV99069668, n=3 somatic observations) but without established oncogenic significance.
No criteria match.
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Every interpreted variant in ATM, mapped onto the exon structure of NM_000051.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| European (non-Finnish)54 / 1,179,994 | 4.6e-05 |
| Admixed American1 / 59,998 | 1.7e-05 |
| Remaining individuals1 / 62,486 | 1.6e-05 |
| African/African American1 / 74,930 | 1.3e-05 |
| European (non-Finnish)7 / 113,686 | 6.2e-05 |
| Admixed American1 / 34,584 | 2.9e-05 |
This variant is present in gnomAD v4.1 (AF= 3.53173e-05; MAF= 0.00353%, 57/1613938 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.57629e-05; MAF= 0.00458%, 54/1179994 alleles, homozygotes = 0); grpmax FAF= 3.585e-05.
This variant is present in gnomAD v2.1 (AF= 3.18266e-05; MAF= 0.00318%, 8/251362 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 6.15731e-05; MAF= 0.00616%, 7/113686 alleles, homozygotes = 0); grpmax FAF= 2.855e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0003256975355553143, 6/18422 alleles, homozygotes = 0).
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.069. BayesDel score = -0.350015.
8 paper records listed. 1 cited in the classification.
none of the six prediction tools showed deleterious effects for the detected variants in the AXIN2, ATM, RAD51B and MAP3K1 genes (AXIN2 c.2272G > A, ATM c.2689 T > A, RAD51B c.539A > G and c.1063G > A and MAP3K1 c.764A > G)
Location Table 2 (patient 17,161); Results section (in silico analysis paragraph); Figure 2
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= 3.53173e-05; MAF= 0.00353%, 57/1613938 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.57629e-05; MAF= 0.00458%, 54/1179994 alleles, homozygotes = 0); grpmax FAF= 3.585e-05.
This variant is present in gnomAD v2.1 (AF= 3.18266e-05; MAF= 0.00318%, 8/251362 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 6.15731e-05; MAF= 0.00616%, 7/113686 alleles, homozygotes = 0); grpmax FAF= 2.855e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0003256975355553143, 6/18422 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Uncertain significance (16 clinical laboratories). (ClinVarID = 188232)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.069. BayesDel score = -0.350015.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. ATM, a kinase involved in the DNA damage response, is mutated in various solid and hematologic malignancies.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV99069668, n = 3 times).
This variant does not lie in a statistically significant hotspot.