About PMS2
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 PMS2 VCEP v2.0.0. 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.
For PMS2 missense variants, the VCEP prioritizes the HCI prior. This variant has an HCI prior probability of 0.0446, which is below the BP4 threshold of <0.11, supporting benign computational evidence. SpliceAI also predicts no splice impact with a max delta score of 0.00.
ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for PMS2 Version 2.0.0 v2.0.0 criteria-combination framework was evaluated deterministically with applied criteria: BP4 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: 52 / 1,593,986 alleles. Recorded AF 3.26226e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.59477e-05; MAF= 0.00159%, 4/250820 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.00016372; MAF= 0.01637%, 1/6108 alleles, homozygotes = 0); grpmax FAF= 2.93e-06.
This variant is present in gnomAD-Canada v1.0 (AF= 0.000108601; MAF= 0.01086%, 2/18416 alleles, homozygotes = 0) and has highest observed frequency in the amr population (AF= 0.00238663; grpmax FAF95= 0.00042326).
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
13 Uncertain significance · 1 Benign · 1 Uncertain Significance.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. PMS2, an endonuclease involved in DNA repair, is altered in various cancers.
This variant has previously been reported in somatic cancers (COSMIC; COSV56222918, n = 1 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen PMS2 VCEP v2.0.0, with the data and sources behind each one.
28 criteria with recorded statuses: 1 met · 7 not met · 9 not assessed · 11 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The PMS2 c.241G>A (p.Glu81Lys, p.E81K) variant has been reported in ClinVar predominantly as a variant of uncertain significance, with one benign submission and no expert panel classification.
This variant is present in population databases, including gnomAD v4.1 at AF 0.0000326 (52/1,593,986 alleles) and gnomAD v2.1 at AF 0.0000159 (4/250,820 alleles); the gnomAD v4.1 frequency is above the PMS2 PM2 threshold of <0.00002 and below the BS1 and BA1 thresholds.
For PMS2 missense variants, the HCI prior is the primary computational metric; this variant has an HCI prior probability of 0.0446, which is below the BP4 threshold of <0.11 and supports BP4_Supporting, while SpliceAI predicts no splice impact with a max delta score of 0.00.
No criteria match.
For PMS2 missense variants, BP4_Supporting is met when the HCI prior probability is <0.11.
PMS2 VCEP PVS1 is reserved for qualifying loss-of-function or proven splice-aberrant variants.
PMS2 VCEP PS1 requires a different nucleotide change causing the same amino acid substitution already established by the VCEP.
PMS2 VCEP PM2_Supporting requires allele frequency <0.00002 in gnomAD v4.
PMS2 VCEP PM5 requires a qualifying same-residue missense comparator and PP3 support for the queried missense variant.
For PMS2 missense variants, PP3 requires HCI prior >0.68 (Supporting) or >0.81 (Moderate).
PMS2 VCEP BA1 requires gnomAD v4 grpmax filtering allele frequency ≥0.0028.
PMS2 VCEP BS1 requires gnomAD v4 grpmax filtering allele frequency ≥0.00028 and <0.0028.
PMS2 VCEP PS2 uses a de novo point system tied to confirmed parentage and tumor context.
PMS2 VCEP PS3 requires qualifying calibrated or framework-compatible abnormal functional evidence.
PMS2 VCEP PM3 uses a point-based framework for trans observations in the appropriate recessive disease setting.
PMS2 VCEP PP1 requires segregation data meeting Bayes likelihood ratio thresholds.
PMS2 VCEP PP4 depends on qualifying MSI-H and/or MMR protein-expression evidence.
PMS2 VCEP BS2 requires qualifying in-trans co-occurrence and clinical context inconsistent with CMMRD.
PMS2 VCEP BS3 requires qualifying normal-function evidence from accepted functional or RNA assays.
PMS2 VCEP BS4 requires lack of segregation meeting Bayes likelihood ratio thresholds.
PMS2 VCEP BP5 depends on qualifying tumor features inconsistent with the gene under review.
Every interpreted variant in PMS2, mapped onto the exon structure of NM_000535.7. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| Middle Eastern1 / 4,440 | 0.00023 |
| Admixed American10 / 59,928 | 0.00017 |
| East Asian2 / 44,782 | 4.5e-05 |
| European (non-Finnish)37 / 1,163,708 | 3.2e-05 |
| Remaining individuals1 / 61,684 | 1.6e-05 |
| African/African American1 / 74,450 | 1.3e-05 |
| Remaining individuals1 / 6,108 | 0.00016 |
| Admixed American1 / 34,578 | 2.9e-05 |
| European (non-Finnish)2 / 113,300 | 1.8e-05 |
| amr2 / 838 | 0.0024 |
This variant is present in gnomAD v4.1 (AF= 3.26226e-05; MAF= 0.00326%, 52/1593986 alleles, homozygotes = 0) and has highest observed frequency in the Middle Eastern population (AF= 0.000225225; MAF= 0.02252%, 1/4440 alleles, homozygotes = 0); grpmax FAF= 9.008e-05.
This variant is present in gnomAD v2.1 (AF= 1.59477e-05; MAF= 0.00159%, 4/250820 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.00016372; MAF= 0.01637%, 1/6108 alleles, homozygotes = 0); grpmax FAF= 2.93e-06.
This variant is present in gnomAD-Canada v1.0 (AF= 0.000108601; MAF= 0.01086%, 2/18416 alleles, homozygotes = 0) and has highest observed frequency in the amr population (AF= 0.00238663; grpmax FAF95= 0.00042326).
For PMS2 missense variants, BP4_Supporting is met when the HCI prior probability is <0.11.
For PMS2 missense variants, PP3 requires HCI prior >0.68 (Supporting) or >0.81 (Moderate).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.516. BayesDel score = 0.0236541. HCI prior probability for pathogenicity = 0.0446. MAPP score = 3.49. Custom PP2 score = 0.774.
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= 3.26226e-05; MAF= 0.00326%, 52/1593986 alleles, homozygotes = 0) and has highest observed frequency in the Middle Eastern population (AF= 0.000225225; MAF= 0.02252%, 1/4440 alleles, homozygotes = 0); grpmax FAF= 9.008e-05.
This variant is present in gnomAD v2.1 (AF= 1.59477e-05; MAF= 0.00159%, 4/250820 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.00016372; MAF= 0.01637%, 1/6108 alleles, homozygotes = 0); grpmax FAF= 2.93e-06.
This variant is present in gnomAD-Canada v1.0 (AF= 0.000108601; MAF= 0.01086%, 2/18416 alleles, homozygotes = 0) and has highest observed frequency in the amr population (AF= 0.00238663; grpmax FAF95= 0.00042326).
This variant has been reported in ClinVar as Uncertain significance (13 clinical laboratories) and as Benign (1 clinical laboratory) and as Uncertain Significance (1 clinical laboratory). (ClinVarID = 182817)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.516. BayesDel score = 0.0236541. HCI prior probability for pathogenicity = 0.0446. MAPP score = 3.49. Custom PP2 score = 0.774.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. PMS2, an endonuclease involved in DNA repair, is altered in various cancers.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV56222918, n = 1 times).
This variant does not lie in a statistically significant hotspot.