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 benign. Select a step to read what it means.
Benign.A 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 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.
The VCEP BA1 rule is met: gnomAD v4.1 grpmax filtering allele frequency is 0.00408 (0.408%), exceeding the BA1 threshold of ≥0.0028 (0.28%). One homozygote is present in gnomAD v4.1. The variant is enriched in the African/African American population (AF=0.448%) consistent with a population-specific polymorphism rather than a founder pathogenic variant; PMS2 pathogenic variants causing Lynch syndrome are incompatible with a homozygote in a general population database, as homozygosity would cause constitutional mismatch repair deficiency (CMMRD).
The VCEP BP4_Supporting rule is met: the HCI prior probability for c.830C>A (p.Thr277Lys) is 0.0013, which is below the BP4_Supporting threshold of <0.11. Multiple additional in silico predictors support a benign interpretation: REVEL score 0.251, BayesDel score -0.187, and SpliceAI max delta 0.03 (no predicted splicing impact).
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: matched Rule17 (1 Benign.Stand Alone) with applied criteria: BA1 stand-alone benign, BP4 supporting; maps to Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 385 / 1,613,328 alleles. Recorded AF 0.000238637. Recorded homozygote count 1.
This variant is present in gnomAD v2.1 (AF= 0.000417215; MAF= 0.04172%, 118/282828 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.00456694; MAF= 0.45669%, 114/24962 alleles, homozygotes = 0); grpmax FAF= 0.00406668.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0001086484137331595, 2/18408 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.030. Refer to the recorded PP3/BP4 rationale for interpretation.
9 Benign · 7 Likely benign · 2 Uncertain significance · 1 Likely Benign.
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 not previously been reported in somatic cancers (COSMIC).
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.
27 criteria with recorded statuses: 2 met · 4 not met · 9 not assessed · 12 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
BA1 (Stand-Alone) is met: the gnomAD v4.1 grpmax filtering allele frequency is 0.408%, exceeding the VCEP BA1 threshold of 0.28%, with one homozygote present in the database, excluding this variant as a cause of Lynch syndrome due to PMS2.
BP4 (Supporting) is met: the HCI prior probability for pathogenicity is 0.0013, below the BP4_Supporting threshold of <0.11, with multiple in silico predictors (REVEL 0.251, BayesDel -0.187, SpliceAI max delta 0.03) consistent with a benign computational profile.
This variant has been reported in ClinVar as Benign by 9 clinical laboratories, Likely Benign by 8 laboratories, and Uncertain Significance by 2 laboratories (ClinVar Variation ID: 135946).
PP3 is not met: the HCI prior of 0.0013 is far below the PP3_Supporting threshold of >0.68.
PM2_Supporting is not met: the gnomAD v4.1 allele frequency of 0.0239% exceeds the PM2 threshold of <0.002%.
No criteria match.
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 |
|---|
| African/African American336 / 75,016 | 0.00451 hom |
| Middle Eastern3 / 6,060 | 0.0005 |
| Remaining individuals29 / 62,484 | 0.00046 |
| Admixed American9 / 59,976 | 0.00015 |
| South Asian4 / 91,060 | 4.4e-05 |
| European (non-Finnish)4 / 1,179,316 | 3.4e-06 |
| African/African American114 / 24,962 | 0.0046 |
| South Asian1 / 30,616 | 3.3e-05 |
| Admixed American1 / 35,440 | 2.8e-05 |
| European (non-Finnish)2 / 129,140 | 1.5e-05 |
This variant is present in gnomAD v4.1 (AF= 0.000238637; MAF= 0.02386%, 385/1613328 alleles, homozygotes = 1) and has highest observed frequency in the African/African American population (AF= 0.00447904; MAF= 0.44790%, 336/75016 alleles, homozygotes = 1); grpmax FAF= 0.00408391.
This variant is present in gnomAD v2.1 (AF= 0.000417215; MAF= 0.04172%, 118/282828 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.00456694; MAF= 0.45669%, 114/24962 alleles, homozygotes = 0); grpmax FAF= 0.00406668.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0001086484137331595, 2/18408 alleles, homozygotes = 0).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.251. BayesDel score = -0.187245. HCI prior probability for pathogenicity = 0.0013. MAPP score = 3.08. Custom PP2 score = 0.007.
9 paper records listed. 1 cited in the classification.
c.830C>A, p.T277K, custom PP2 score 0.007, MAPP score 3.08, MAPP/PP2 Prior 0.0013
Location Supplementary Table (HCI priors database); variant entry PMS2_01804
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= 0.000238637; MAF= 0.02386%, 385/1613328 alleles, homozygotes = 1) and has highest observed frequency in the African/African American population (AF= 0.00447904; MAF= 0.44790%, 336/75016 alleles, homozygotes = 1); grpmax FAF= 0.00408391.
This variant is present in gnomAD v2.1 (AF= 0.000417215; MAF= 0.04172%, 118/282828 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.00456694; MAF= 0.45669%, 114/24962 alleles, homozygotes = 0); grpmax FAF= 0.00406668.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0001086484137331595, 2/18408 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Benign (9 clinical laboratories) and as Likely benign (7 clinical laboratories) and as Uncertain significance (2 clinical laboratories) and as Likely Benign (1 clinical laboratory). (ClinVarID = 135946)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.251. BayesDel score = -0.187245. HCI prior probability for pathogenicity = 0.0013. MAPP score = 3.08. Custom PP2 score = 0.007.
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 not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.