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.
NM_000051.4:c.9139C>T is a nonsense variant producing p.Arg3047Ter in ATM, a gene where loss of function is a well-established disease mechanism. The VCEP explicitly identifies p.Arg3047 as the most C-terminal residue considered pathogenic (PMIDs: 8755918, 19691550, 18560558, 10980530, 26628246). This null variant truncates the ATM protein within the FATC domain (exon 63, the terminal coding exon). Per the ATM PVS1 Decision Tree, PVS1 is applied at very strong strength.
Expert panel ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen classified as Pathogenic.
No benign criterion marked as applied in the recorded assessment.
Richards et.al., 2015 - Combining rules v1.5.0 criteria-combination framework was evaluated deterministically with applied criteria: PVS1 very strong, PP5 supporting; 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: 26 / 1,613,988 alleles. Recorded AF 1.61092e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.76778e-05; MAF= 0.00177%, 5/282840 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 9.80072e-05; MAF= 0.00980%, 3/30610 alleles, homozygotes = 0); grpmax FAF= 2.596e-05.
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.150. Refer to the recorded PP3/BP4 rationale for interpretation.
18 Pathogenic.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV53724126, n = 18 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 · 10 not met · 0 not assessed · 17 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000051.4:c.9139C>T (p.Arg3047Ter) is a nonsense variant in exon 63 of ATM, creating a premature termination codon at the most C-terminal residue considered pathogenic by the HBOP VCEP (p.Arg3047). PVS1 is applied at very strong strength under the ATM PVS1 Decision Tree as a null variant in a gene where loss of function is a known disease mechanism.
This variant has been reported in ClinVar as Pathogenic by the ClinGen HBOP VCEP expert panel and by 18 clinical laboratories (ClinVar Variation ID: 3029).
The variant is present in gnomAD v4.1 at an extremely low frequency (AF=1.61×10⁻⁵, 26/1,613,988 alleles; no homozygotes), consistent with a rare disease-causing variant. It is also present in gnomAD v2.1 at similar frequency (AF=1.77×10⁻⁵, 5/282,840 alleles).
Functional characterization by Guo et al. (2010, PMID 21150274) demonstrates that the R3047X mutant protein is expressed but specifically deficient in oxidation-dependent ATM activation while retaining MRN/DNA-dependent activation. Cells from an A-T patient with this variant showed moderate radiosensitivity, consistent with preserved DNA damage response but lost oxidative stress signaling.
Chessa et al. (2009, PMID 19691550) identified c.9139C>T in two Italian A-T families from Central Italy, confirming observation of this variant in individuals with classical ataxia-telangiectasia.
No VCEP-approved functional assay data, case-control studies, or detailed co-segregation data were available from the reviewed sources. Additional supporting evidence may exist in curated databases not accessible in this assessment. The ClinGen expert panel classification of Pathogenic likely incorporates proband data and/or additional supporting criteria not available here.
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
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 Asian8 / 91,078 | 8.8e-05 |
| European (Finnish)2 / 64,002 | 3.1e-05 |
| African/African American1 / 74,912 | 1.3e-05 |
| European (non-Finnish)15 / 1,180,030 | 1.3e-05 |
| South Asian3 / 30,610 | 9.8e-05 |
| European (Finnish)1 / 25,120 | 4e-05 |
| European (non-Finnish)1 / 129,174 | 7.7e-06 |
This variant is present in gnomAD v4.1 (AF= 1.61092e-05; MAF= 0.00161%, 26/1613988 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 8.78368e-05; MAF= 0.00878%, 8/91078 alleles, homozygotes = 0); grpmax FAF= 4.368e-05.
This variant is present in gnomAD v2.1 (AF= 1.76778e-05; MAF= 0.00177%, 5/282840 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 9.80072e-05; MAF= 0.00980%, 3/30610 alleles, homozygotes = 0); grpmax FAF= 2.596e-05.
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.15). BayesDel score = 0.61701.
7 paper records listed. 2 cited in the classification.
Two families carrying the c.9139C>T mutation and two with c.4396C>T all originated from Central Italy.
Location Results section, line 235-236
Context Mutation screening (DHPLC, PTT, SSCP, HA, REF) of 104 Italian A-T patients from 91 families; haplotype analysis with 5 microsatellite markers.
a mutant lacking the last ten amino acids of the ATM C-terminus results in a mutant protein (R3047X, Fig. 1A) that can be fully activated by MRN and DNA but cannot be activated by oxidation in vitro.
Location Results section; Figure 1A
Context In vitro kinase assays with purified ATM wild-type and mutant proteins; phosphorylation of GST-p53 substrate assessed by western blotting. Patient-derived cells used for cellular validation.
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= 1.61092e-05; MAF= 0.00161%, 26/1613988 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 8.78368e-05; MAF= 0.00878%, 8/91078 alleles, homozygotes = 0); grpmax FAF= 4.368e-05.
This variant is present in gnomAD v2.1 (AF= 1.76778e-05; MAF= 0.00177%, 5/282840 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 9.80072e-05; MAF= 0.00980%, 3/30610 alleles, homozygotes = 0); grpmax FAF= 2.596e-05.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Pathogenic (18 clinical laboratories) and as Pathogenic by ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen (expert panel). (ClinVarID = 3029)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.15). BayesDel score = 0.61701.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV53724126, n = 18 times).
This variant does not lie in a statistically significant hotspot.