About RUNX1
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 RUNX1 VCEP v3.1.0. 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.
This missense variant affects Arg197, which lies within the RUNX1 Runt homology domain residue range 89-204 defined by the RUNX1 VCEP for PM1_Supporting. The residue is within the critical DNA-binding domain but is not one of the 13 residues specified for PM1_Strong.
This variant is present at very low frequency in population databases. In gnomAD v4.1, the grpmax FAF is 6.8e-07, which is below the RUNX1 PM2_Supporting threshold of 5.0e-05, with 4/1611650 alleles observed overall and more than 2000 alleles assessed; gnomAD v2.1 likewise shows only 1/250946 alleles.
No benign criterion marked as applied in the recorded assessment.
Tavtigian et.al., 2020 - Bayesian adaptation of Richards et.al., 2015 v3.1.0 point-based framework: PM1 supporting (+1) + PM2 supporting (+1) = 2 points, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 4 / 1,611,650 alleles. Recorded AF 2.48193e-06. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 3.98492e-06; MAF= 0.00040%, 1/250946 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.81368e-06; MAF= 0.00088%, 1/113460 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.010. Refer to the recorded PP3/BP4 rationale for interpretation.
3 Uncertain significance.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. RUNX1, a transcription factor involved in hematopoietic differentiation, is altered by mutation or chromosomal rearrangement in various hematologic ma
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 RUNX1 VCEP v3.1.0, with the data and sources behind each one.
28 criteria with recorded statuses: 2 met · 7 not met · 8 not assessed · 11 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The RUNX1 c.590G>A (p.Arg197Gln) variant has not been observed in somatic cancers in COSMIC and has been reported in ClinVar as Uncertain Significance, including an expert-panel submission from the ClinGen Myeloid Malignancy VCEP.
This variant is present at very low frequency in population databases, with gnomAD v4.1 showing 4/1611650 alleles and a grpmax FAF of 6.8e-07, which is below the RUNX1 PM2_Supporting threshold of 5.0e-05.
No reviewed variant-specific functional evidence demonstrating either abnormal or normal RUNX1 function was identified, so the current evidence does not support PS3 or BS3.
This missense change affects Arg197 within the RUNX1 Runt homology domain, supporting PM1_Supporting under the RUNX1 VCEP, but computational evidence does not meet PP3 or BP4 because REVEL is 0.702, SpliceAI is 0.01, and the RUNX1 thresholds are REVEL at least 0.88 for PP3 and less than 0.50 with SpliceAI at most 0.20 for BP4.
No criteria match.
PM1_Supporting for missense variants affecting other amino acid residues 89-204 within the RHD; PM1_Strong reserved for 13 specified residues.
RUNX1 PM2_Supporting requires minor allele frequency <=0.00005 with adequate allele count and coverage.
RUNX1 VCEP PVS1 applies to loss-of-function variant classes; this missense variant does not meet that rule.
RUNX1 PM5 requires a different pathogenic or likely pathogenic missense change at the same amino acid residue, with additional VCEP caveats.
RUNX1 PP3 for missense variants requires REVEL >=0.88 or SpliceAI >=0.38.
RUNX1 BA1 requires minor allele frequency >=0.0015 in a qualifying general population dataset.
RUNX1 BS1 requires allele frequency between 0.00015 and 0.0015 in a qualifying population dataset.
RUNX1 BP4 for missense variants requires REVEL <0.50 and SpliceAI <=0.20.
PS2_Supporting requires 1 proven de novo case and PS2_Moderate requires at least 2 proven de novo cases in RUNX1-related disease.
RUNX1 PS3 requires altered transactivation with additional functional support, or qualifying alternative functional evidence per VCEP thresholds.
RUNX1 PS4 requires at least 1 qualifying proband for PS4_Supporting, 2-3 for PS4_Moderate, or at least 4 for PS4.
RUNX1 PM6_Supporting requires 2-3 assumed de novo cases and PM6 requires at least 4 assumed de novo cases.
RUNX1 BS3 requires normal transactivation with or without qualifying secondary evidence depending on strength.
Observed in trans with a pathogenic variant for a fully penetrant dominant disorder, or observed in cis with a pathogenic variant.
Criterion marked not applicable by the RUNX1 VCEP.
RUNX1 PM4 is restricted to in-frame indels and stop-loss variants.
Criterion marked not applicable by the RUNX1 VCEP.
Criterion marked not applicable by the RUNX1 VCEP.
Criterion marked not applicable by the VCEP and SVI recommendations.
Criterion marked not applicable by the RUNX1 VCEP.
Criterion marked not applicable by the RUNX1 VCEP.
Criterion marked not applicable by the RUNX1 VCEP.
Criterion marked not applicable by the RUNX1 VCEP.
Criterion marked not applicable by the VCEP and SVI recommendations.
RUNX1 BP7 applies to qualifying synonymous or intronic variants with low splice prediction scores.
Every interpreted variant in RUNX1, mapped onto the exon structure of NM_001001890.2. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| East Asian1 / 44,790 | 2.2e-05 |
| European (non-Finnish)3 / 1,179,746 | 2.5e-06 |
| European (non-Finnish)1 / 113,460 | 8.8e-06 |
This variant is present in gnomAD v4.1 (AF= 2.48193e-06; MAF= 0.00025%, 4/1611650 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 2.23264e-05; MAF= 0.00223%, 1/44790 alleles, homozygotes = 0); grpmax FAF= 6.8e-07.
This variant is present in gnomAD v2.1 (AF= 3.98492e-06; MAF= 0.00040%, 1/250946 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.81368e-06; MAF= 0.00088%, 1/113460 alleles, homozygotes = 0).
RUNX1 PP3 for missense variants requires REVEL >=0.88 or SpliceAI >=0.38.
RUNX1 BP4 for missense variants requires REVEL <0.50 and SpliceAI <=0.20.
RUNX1 BP7 applies to qualifying synonymous or intronic variants with low splice prediction scores.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.702. BayesDel score = 0.137586.
14 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= 2.48193e-06; MAF= 0.00025%, 4/1611650 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 2.23264e-05; MAF= 0.00223%, 1/44790 alleles, homozygotes = 0); grpmax FAF= 6.8e-07.
This variant is present in gnomAD v2.1 (AF= 3.98492e-06; MAF= 0.00040%, 1/250946 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.81368e-06; MAF= 0.00088%, 1/113460 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Uncertain significance (3 clinical laboratories) and as Uncertain Significance by ClinGen Myeloid Malignancy Variant Curation Expert Panel (expert panel). (ClinVarID = 580214)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.702. BayesDel score = 0.137586.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. RUNX1, a transcription factor involved in hematopoietic differentiation, is altered by mutation or chromosomal rearrangement in various hematologic ma
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.