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Variant interpretation report

CDH1 c.1888C>G, p.(Leu630Val)

NM_004360.5:c.1888C>G NP_004351.1:p.(Leu630Val) View identifiers
Classification
Benign

Variant description:

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.

In plain language

Gene-level background from the recorded interpretation.

About CDH1

No gene-level summary was recorded for this case.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is ClinGen CDH1 VCEP v3.1.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 0 Benign evidence criteria: 2
Pathogenic criteria applied · 0

No pathogenic criterion marked as applied in the recorded assessment.

Benign criteria applied · 2
BA1Stand alone
BA1 · stand alone

Population frequency exceeds the CDH1 BA1 threshold of 0.2%. The highest observed East Asian frequency is 0.48622% in gnomAD v2.1 (97/19950 alleles) and 0.56147% in gnomAD v4.1 (252/44882 alleles), both in subpopulations with more than 2000 alleles and more than 5 observed variant alleles.

BP6Supporting
BP6 · supporting

Expert panel Clingen Gastric Cancer Variant Curation Expert Panel classified as Benign.

Recorded classification: Benign

ClinGen CDH1 Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 3.1 v3.1.0 lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BA1 stand-alone benign, BP6 supporting benign; combination = 1 stand-alone benign, which maps to Benign.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

gnomAD v4.1
gnomAD v2.1
Population frequency
267 / 1,614,146 alleles

gnomAD v4.1: 267 / 1,614,146 alleles. Recorded AF 0.000165413. Recorded homozygote count 0.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000357057; MAF= 0.03571%, 101/282868 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.00486216; MAF= 0.48622%, 97/19950 alleles, homozygotes = 0); grpmax FAF= 0.00412524.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.000325768; MAF= 0.03258%, 6/18418 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.00224215; grpmax FAF95= 0.00061019).

SpliceAI score
0.020 maximum delta

Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.

No listed criterion applied SpliceAI ↗
Functional evidence
Statement recorded

OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. CDH1 (E-cadherin), a tumor suppressor involved in cell adhesion, is altered by mutation or deletion in various cancer typess, most frequently in breas

No listed criterion applied OncoKB ↗
COSMIC
Cancer Hotspots
Somatic evidence
5 recorded samples

This variant has previously been reported in somatic cancers (COSMIC; COSV55733235, n = 5 times).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under ClinGen CDH1 VCEP v3.1.0, with the data and sources behind each one.

28 criteria with recorded statuses: 2 met · 3 not met · 9 not assessed · 14 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

The CDH1 NM_004360.5:c.1888C>G (p.Leu630Val) variant has been reported in ClinVar with an expert-panel benign classification, alongside multiple benign and likely benign clinical laboratory submissions.

This variant is present in population databases at a frequency above the CDH1 benign stand-alone threshold, with the highest observed East Asian frequency of 0.48622% in gnomAD v2.1 and 0.56147% in gnomAD v4.1.

SpliceAI predicts no significant splice impact for this variant with a maximum delta score of 0.02; REVEL 0.345 and BayesDel -0.164621 are available as supporting context but are not used to apply CDH1 missense PP3 or BP4.

Met · 2

BA1 Stand alonePopulation frequency exceeds the CDH1 BA1 threshold of 0.2%. The highest observed East Asian frequency is 0.48622% in gnomAD v2.1 (97/19950 alleles) and 0.56147% in gnomAD v4.1 (252/44882 alleles), both in subpopulations with more than 2000 alleles and more than 5 observed variant alleles. Details ▾Hide ▴
Rule
MAF cutoff of 0.2%.
Evidence considered
  • gnomAD v2.1 East Asian AF 0.00486216.
  • gnomAD v4.1 East Asian AF 0.00561472.
  • gnomAD-Canada AF 0.000325768.
Sources
BP6 SupportingExpert panel Clingen Gastric Cancer Variant Curation Expert Panel classified as Benign. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP does not allow BP6 use.
  • ClinVar assertions were reviewed as contextual evidence only.
  • ClinVar expert panel classification
Sources

Not met · 3 · evaluated, threshold not reached

PS4 This variant is too common in population databases for PS4 under the CDH1 specification, and no qualifying HDGC-family count was identified. The highest observed East Asian frequency is 0.48622% in gnomAD v2.1 and 0.56147% in gnomAD v4.1, which is above the CDH1 BS1 and BA1 thresholds and argues against enrichment in affected individuals. Details ▾Hide ▴
Rule
PS4 cannot be applied to variants that meet BS1 or BA1.
Evidence considered
  • CDH1 PS4 cannot be applied to variants that meet BS1 or BA1.
  • gnomAD East Asian AF exceeds benign population thresholds.
Sources
PM2 Population frequency is well above the CDH1 PM2_Supporting threshold of no more than 1 in 100,000 alleles overall and no more than 1 in 50,000 alleles in a subpopulation with at least 2 observations. This variant is present at 101/282868 alleles in gnomAD v2.1, 267/1614146 alleles in gnomAD v4.1, and 97/19950 East Asian alleles in gnomAD v2.1. Details ▾Hide ▴
Rule
≤ One out of 100,000 alleles in gnomAD cohort; if present in ≥2 individuals within a subpopulation, must be present in ≤ One out of 50,000 alleles.
Evidence considered
  • gnomAD v2.1 overall AF 0.000357057.
  • gnomAD v4.1 overall AF 0.000165413.
  • gnomAD v2.1 East Asian AF 0.00486216.
Sources
PP3 Available computational evidence does not support a splice-disrupting effect. SpliceAI predicts no significant splice impact with a maximum delta score of 0.02, and CDH1 PP3 is based on splicing evidence rather than protein-based missense prediction. REVEL 0.345 and BayesDel -0.164621 were available but are not used to apply CDH1 PP3 for missense variants. Details ▾Hide ▴
Rule
At least three in silico splicing predictors in agreement.
Evidence considered
  • SpliceAI max delta score 0.02.
  • REVEL score 0.345.
  • BayesDel score -0.164621.
Sources

Not assessed · 9 · no assessment recorded

PS2 No confirmed de novo occurrence in an individual meeting HDGC phenotype criteria was identified. Details ▾Hide ▴
Evidence considered
  • No de novo evidence was identified in the retrieved materials.
Still missing
  • Parental testing and phenotype-specific de novo data were not available.
Sources
PS3 No RNA study showing an abnormal out-of-frame or in-frame transcript for this variant was identified. Available evidence does not support applying PS3. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP restricts PS3 to splicing-defect evidence.
  • SpliceAI predicts no significant splice impact for this variant.
Still missing
  • Variant-specific RNA assay data were not identified.
Sources
PM6 No assumed de novo occurrence in an individual meeting HDGC phenotype criteria was identified. Details ▾Hide ▴
Evidence considered
  • No PM6-level evidence was identified in the retrieved materials.
Still missing
  • Phenotype-specific de novo evidence without parental confirmation was not available.
Sources
PP1 No segregation data were identified to show co-segregation with HDGC-related disease. Details ▾Hide ▴
Evidence considered
  • No family segregation evidence was identified.
Still missing
  • Informative meioses across affected families were not available.
Sources
BS1 Population frequency also exceeds the CDH1 BS1 threshold of 0.1%, but BA1 is already met at the higher benign population strength and is the population criterion applied here. Details ▾Hide ▴
Rule
MAF cutoff of 0.1%.
Evidence considered
  • gnomAD v2.1 East Asian AF 0.00486216 exceeds 0.1%.
  • gnomAD v4.1 East Asian AF 0.00561472 exceeds 0.1%.
Sources
BS2 No phenotyped series of at least 3 or 10 unaffected carriers without gastric cancer, diffuse gastric cancer, signet ring cell tumors, or lobular breast cancer was identified, so BS2 cannot be assessed from the available evidence. Details ▾Hide ▴
Evidence considered
  • No BS2-qualifying unaffected-carrier dataset was identified.
Still missing
  • Phenotyped unaffected-carrier evidence meeting CDH1 BS2 requirements was not available.
Sources
BS4 No family data showing lack of segregation with disease were identified. Details ▾Hide ▴
Evidence considered
  • No BS4-level segregation evidence was identified.
Still missing
  • Segregation studies evaluating affected relatives were not available.
Sources
BP2 No phase information showing this variant in cis or trans with a pathogenic variant, and no homozygous observation in gnomAD, were identified. Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1 homozygotes = 0.
  • gnomAD v4.1 homozygotes = 0.
Still missing
  • Confirmed phase or qualifying homozygous observation was not available.
Sources
BP5 No alternate pathogenic or likely pathogenic variant in another HDGC gene was identified to explain the phenotype instead of CDH1. Details ▾Hide ▴
Evidence considered
  • No BP5-qualifying alternate-gene finding was identified.
Still missing
  • Evidence for an alternate molecular diagnosis such as CTNNA1 was not available.
Sources
Not applicable · 14· recorded as not applicable Show reasons ▾Hide reasons ▴
PVS1 N/AThis is a missense variant, not a nonsense, frameshift, canonical splice-site, initiation-codon, or deletion variant. Available CDH1 PVS1 guidance and the variant-level PVS1 assessment therefore do not support applying PVS1. Details ▾Hide ▴
Rule
Per modified CDH1 PVS1 decision tree.
Evidence considered
  • CDH1 loss of function is an established disease mechanism in the CDH1 framework.
  • NM_004360.5:c.1888C>G encodes p.(Leu630Val) and is not a default PVS1 variant class.
Sources
cspec ↗pvs1_gene_contextpvs1_variant_assessment
PS1 VCEPPS1 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP marks PS1 as not applicable.
Sources
PM1 VCEPPM1 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP marks PM1 as not applicable.
  • No hotspot evidence supporting PM1 was identified.
Sources
PM3 VCEPPM3 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP marks PM3 as not applicable.
Sources
PM4 N/AIn CDH1, PM4 is reserved for stop-loss variants. This variant is a missense change and does not meet that rule. Details ▾Hide ▴
Rule
Only apply to stop-loss variants.
Evidence considered
  • The CDH1 VCEP applies PM4 only to stop-loss variants.
  • NM_004360.5:c.1888C>G is p.(Leu630Val).
Sources
PM5 N/AIn the CDH1 specification, PM5 is repurposed for truncating or specific splice-related logic rather than classic same-residue missense comparison. The PM5 review artifact found that classic same-residue PM5 searching is not eligible for this missense variant. Details ▾Hide ▴
Rule
PM5_supporting is applicable to nonsense and frameshift variants that are predicted/proved to undergo NMD or located upstream of the last known pathogenic truncating variant.
Evidence considered
  • The CDH1 VCEP repurposes PM5 for PTC or truncating logic.
  • The PM5 candidate review marked this variant not applicable for classic PM5 search.
Sources
cspec ↗pm5_candidates
PP2 VCEPPP2 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP marks PP2 as not applicable.
Sources
PP4 VCEPPP4 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP marks PP4 as not applicable.
Sources
PP5 VCEPPP5 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP does not allow PP5 use.
  • ClinVar assertions were reviewed as contextual evidence only.
Sources
BS3 N/AIn the CDH1 specification, BS3 is limited to synonymous, intronic, or non-coding variants with RNA evidence showing no impact on transcript composition. This variant is missense, so BS3 is not applicable. Details ▾Hide ▴
Rule
Functional RNA studies demonstrating no impact on transcript composition.
Evidence considered
  • The CDH1 VCEP restricts BS3 to synonymous
  • intronic
  • or non-coding variants.
  • This variant is p.(Leu630Val).
Sources
BP1 VCEPBP1 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP marks BP1 as not applicable.
Sources
BP3 VCEPBP3 is not used in the CDH1 specification. Details ▾Hide ▴
Evidence considered
  • The CDH1 VCEP marks BP3 as not applicable.
Sources
BP4 N/ABP4 is not applied to missense variants in the CDH1 specification. SpliceAI predicts no significant splice impact with a maximum delta score of 0.02, and protein-based missense predictors such as REVEL 0.345 and BayesDel -0.164621 are not used to apply CDH1 BP4. Details ▾Hide ▴
Rule
Do not use protein based computational prediction models and BP4 is not applicable for missense variants.
Evidence considered
  • SpliceAI max delta score 0.02.
  • REVEL score 0.345.
  • BayesDel score -0.164621.
Sources
BP7 N/ABP7 is restricted to synonymous and qualifying intronic variants. This variant is a missense change and does not meet BP7. Details ▾Hide ▴
Rule
Synonymous and intronic variants at or beyond +7 to -21 locations.
Evidence considered
  • NM_004360.5:c.1888C>G is p.(Leu630Val).
  • BP7 in CDH1 applies to synonymous and certain intronic variants.
Sources

Identifiers

Gene
CDH1
Transcript
NM_004360.5
Coding (HGVS c.)
NM_004360.5:c.1888C>G
Protein (HGVS p.)
NP_004351.1:p.(Leu630Val)
GRCh38
chr16:68822177 C>G
GRCh37
chr16:68856080 C>G
ClinVar
133846
COSMIC
COSV55733235

Gene diagram

Every interpreted variant in CDH1, mapped onto the exon structure of NM_004360.5. Select a row to find it on the plot.

CDH1NM_004360.5
Fetching transcript structure from UCSC…
gnomAD v4.1 267 / 1,614,146 alleles AF 0.000165 · 0 homozygotes · FAF 0.00505
gnomAD v2.1 101 / 282,868 alleles AF 0.000357 · 0 homozygotes · FAF 0.00413
gnomAD-Canada v1.0 6 / 18,418 alleles AF 0.000326 · 0 homozygotes · FAF 0.00061

By genetic ancestry

gnomAD v4.1

AF 0.00017 · 267 / 1,614,146 alleles · 0 hom · FAF 0.005
East Asian252 / 44,882 0.0056
Remaining individuals7 / 62,510 0.00011
South Asian8 / 91,080 8.8e-05
0 alternate alleles recorded in 7 other groups: Admixed American, European (Finnish), Amish, Middle Eastern, Ashkenazi Jewish, African/African American, European (non-Finnish).

gnomAD v2.1

AF 0.00036 · 101 / 282,868 alleles · 0 hom · FAF 0.0041
East Asian97 / 19,950 0.0049
Remaining individuals3 / 7,226 0.00042
South Asian1 / 30,616 3.3e-05
0 alternate alleles recorded in 5 other groups: African/African American, Admixed American, Ashkenazi Jewish, European (Finnish), European (non-Finnish).

gnomAD-Canada

AF 0.00033 · 6 / 18,418 alleles · 0 hom · FAF 0.00061
eas3 / 1,338 0.0022
sas2 / 1,362 0.0015
oth1 / 1,138 0.00088
0 alternate alleles recorded in 6 other groups: afr, amr, asj, fin, mid, nfe.

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.000165413; MAF= 0.01654%, 267/1614146 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.00561472; MAF= 0.56147%, 252/44882 alleles, homozygotes = 0); grpmax FAF= 0.00504519.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000357057; MAF= 0.03571%, 101/282868 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.00486216; MAF= 0.48622%, 97/19950 alleles, homozygotes = 0); grpmax FAF= 0.00412524.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.000325768; MAF= 0.03258%, 6/18418 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.00224215; grpmax FAF95= 0.00061019).

Open the gnomAD-Canada detail page →

SpliceAI and Pangolin

SpliceAI acceptor lossat -206 bp
0.000
SpliceAI acceptor gainat +328 bp
0.010
SpliceAI donor lossat -58 bp
0.010
SpliceAI donor gainat +48 bp
0.020
Pangolin splice lossmagnitude shown
-0.020
Pangolin splice gain
0.020

Other predictors

REVEL
0.345
BayesDel
-0.165

How the predictions were used

PP3 Available computational evidence does not support a splice-disrupting effect. SpliceAI predicts no significant splice impact with a maximum delta score of 0.02, and CDH1 PP3 is based on splicing evidence rather than protein-based missense prediction. REVEL 0.345 and BayesDel -0.164621 were available but are not used to apply CDH1 PP3 for missense variants. Details ▾Hide ▴
Rule
At least three in silico splicing predictors in agreement.
Evidence considered
  • SpliceAI max delta score 0.02.
  • REVEL score 0.345.
  • BayesDel score -0.164621.
Sources
BP4 N/ABP4 is not applied to missense variants in the CDH1 specification. SpliceAI predicts no significant splice impact with a maximum delta score of 0.02, and protein-based missense predictors such as REVEL 0.345 and BayesDel -0.164621 are not used to apply CDH1 BP4. Details ▾Hide ▴
Rule
Do not use protein based computational prediction models and BP4 is not applicable for missense variants.
Evidence considered
  • SpliceAI max delta score 0.02.
  • REVEL score 0.345.
  • BayesDel score -0.164621.
Sources
BP7 N/ABP7 is restricted to synonymous and qualifying intronic variants. This variant is a missense change and does not meet BP7. Details ▾Hide ▴
Rule
Synonymous and intronic variants at or beyond +7 to -21 locations.
Evidence considered
  • NM_004360.5:c.1888C>G is p.(Leu630Val).
  • BP7 in CDH1 applies to synonymous and certain intronic variants.
Sources

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.345. BayesDel score = -0.164621.

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.

Recorded publications

  • Novel CDH1 germline mutations identified in Chinese gastric cancer patients.
    Chen QH et al. · 2013
    No paper-specific finding is recorded.
    PMID 23431106 ↗
  • Tamoxifen and risk of contralateral breast cancer for BRCA1 and BRCA2 mutation carriers.
    No paper-specific finding is recorded.
    PMID 23918944 ↗
  • Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.
    No paper-specific finding is recorded.
    PMID 25741868 ↗
  • Germline TP53 Mutations in Patients With Early-Onset Colorectal Cancer in the Colon Cancer Family Registry.
    Yurgelun MB et al. · 2015
    No paper-specific finding is recorded.
    PMID 26086041 ↗
  • A Standardized DNA Variant Scoring System for Pathogenicity Assessments in Mendelian Disorders.
    No paper-specific finding is recorded.
    PMID 26467025 ↗
  • Identification of germline alterations in breast cancer predisposition genes among Malaysian breast cancer patients using panel testing.
    Ng PS et al. · 2016
    No paper-specific finding is recorded.
    PMID 26757417 ↗
  • Prevalence of disease-causing genes in Japanese patients with BRCA1/2-wildtype hereditary breast and ovarian cancer syndrome.
    No paper-specific finding is recorded.
    PMID 32566746 ↗
  • American Society of Clinical Oncology policy statement update: genetic testing for cancer susceptibility.
    No paper-specific finding is recorded.
    PMID 12692171 ↗
  • Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria.
    No paper-specific finding is recorded.
    PMID 28492532 ↗

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.000165413; MAF= 0.01654%, 267/1614146 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.00561472; MAF= 0.56147%, 252/44882 alleles, homozygotes = 0); grpmax FAF= 0.00504519.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000357057; MAF= 0.03571%, 101/282868 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.00486216; MAF= 0.48622%, 97/19950 alleles, homozygotes = 0); grpmax FAF= 0.00412524.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.000325768; MAF= 0.03258%, 6/18418 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.00224215; grpmax FAF95= 0.00061019).

ClinVar

This variant has been reported in ClinVar as Benign (7 clinical laboratories) and as Likely benign (5 clinical laboratories) and as Benign by Clingen Gastric Cancer Variant Curation Expert Panel (expert panel). (ClinVarID = 133846)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.345. BayesDel score = -0.164621.

Functional

OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. CDH1 (E-cadherin), a tumor suppressor involved in cell adhesion, is altered by mutation or deletion in various cancer typess, most frequently in breas

Somatic

This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV55733235, n = 5 times).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.