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 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 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.
The ATM VCEP BS3_Supporting rule applies when a variant rescues EITHER an ATM-specific feature OR radiosensitivity. Lee et al. 2025 (PMID:40580951, Cell) performed saturation prime editing of all 27,513 possible ATM SNVs and assessed cell fitness in the presence of olaparib, a PARP inhibitor that creates synthetic lethality with ATM deficiency. NM_000051.4:c.8155C>T (p.Arg2719Cys) was classified as 'Functional' with 'High' confidence, indicating the variant retains ATM activity in the DNA damage response and rescues an ATM-specific function.
Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework was evaluated deterministically with applied criteria: BS3 supporting benign; no rule matched the adjudicated criteria.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 20 / 1,611,848 alleles. Recorded AF 1.24081e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.19604e-05; MAF= 0.00120%, 3/250828 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 2.64625e-05; MAF= 0.00265%, 3/113368 alleles, homozygotes = 0); grpmax FAF= 7.03e-06.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.030. Refer to the recorded PP3/BP4 rationale for interpretation.
14 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; COSV53736920, n = 7 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: 1 met · 12 not met · 0 not assessed · 16 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000051.4(ATM):c.8155C>T (p.Arg2719Cys) is a missense variant in exon 56 of ATM, a gene in which loss of function is an established mechanism for ataxia-telangiectasia (autosomal recessive) and in which pathogenic variants confer moderate risk for hereditary breast, ovarian, and pancreatic cancer.
This variant is present in gnomAD v4.1 at an overall allele frequency of 1.24e-05 (20/1,611,848 alleles; 0 homozygotes) with a grpmax filtering allele frequency of 9.55e-06. The allele frequency slightly exceeds the ATM VCEP PM2_Supporting threshold of ≤0.001%, and no subpopulation has a singleton observation.
In silico predictors are inconclusive: REVEL score is 0.613 (intermediate, not meeting PP3 threshold of >0.7333 nor BP4 threshold of ≤0.249). BayesDel score is -0.091 (weakly favoring benign). SpliceAI predicts no splicing impact (max delta = 0.03).
A comprehensive functional screen of all ATM SNVs by Lee et al. (2025, PMID:40580951, Cell) using saturation prime editing classified p.Arg2719Cys as 'Functional' with 'High' confidence in a PARP inhibitor (olaparib) fitness assay, indicating the variant retains ATM DNA damage response function. Per ATM VCEP v1.5.0, this supports BS3_Supporting (variant rescues an ATM-specific feature).
This variant has been reported in ClinVar as Uncertain Significance by 14 clinical laboratories (Variation ID: 185832). No expert panel classification is available. Three ClinVar submissions with criterion-level data (Ambry Genetics, Invitae, Color Health) also classify the variant as Uncertain Significance.
This variant has been observed in somatic cancers (COSMIC COSV53736920, n=7), but somatic occurrence does not independently inform germline classification under the ATM VCEP framework.
No evidence was found for: a pathogenic missense variant at the same residue (PS1), case-control enrichment (PS4), compound heterozygosity with a pathogenic variant in an A-T patient (PM3), cosegregation with disease (PP1), or observation in trans with a pathogenic variant in an unaffected individual (BP2).
Applying the ATM VCEP v1.5.0 criteria, BS3_Supporting is the only criterion met. All pathogenic criteria are either not met or not applicable. Under the ACMG/AMP 2015 combining rules (adopted by the VCEP), one supporting benign criterion without any pathogenic criteria results in an overall classification of Uncertain Significance.
No criteria match.
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 |
|---|
| South Asian2 / 91,006 | 2.2e-05 |
| European (non-Finnish)18 / 1,178,322 | 1.5e-05 |
| European (non-Finnish)3 / 113,368 | 2.6e-05 |
This variant is present in gnomAD v4.1 (AF= 1.24081e-05; MAF= 0.00124%, 20/1611848 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 2.19766e-05; MAF= 0.00220%, 2/91006 alleles, homozygotes = 0); grpmax FAF= 9.55e-06.
This variant is present in gnomAD v2.1 (AF= 1.19604e-05; MAF= 0.00120%, 3/250828 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 2.64625e-05; MAF= 0.00265%, 3/113368 alleles, homozygotes = 0); grpmax FAF= 7.03e-06.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.613. BayesDel score = -0.0911133.
9 paper records 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= 1.24081e-05; MAF= 0.00124%, 20/1611848 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 2.19766e-05; MAF= 0.00220%, 2/91006 alleles, homozygotes = 0); grpmax FAF= 9.55e-06.
This variant is present in gnomAD v2.1 (AF= 1.19604e-05; MAF= 0.00120%, 3/250828 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 2.64625e-05; MAF= 0.00265%, 3/113368 alleles, homozygotes = 0); grpmax FAF= 7.03e-06.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (14 clinical laboratories). (ClinVarID = 185832)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.613. BayesDel score = -0.0911133.
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; COSV53736920, n = 7 times).
This variant does not lie in a statistically significant hotspot.