About CDH1
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 likely benign. Select a step to read what it means.
Likely benign.A likely 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 CDH1 VCEP v3.1. 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.
Functional RNA studies (Garziera et al. 2013, PMID 24204729) demonstrated no impact on CDH1 transcript composition for NM_004360.5:c.48+7C>T. RT-PCR of exons 1-5 from peripheral blood mononuclear cells of the variant carrier produced a normal-sized 768 bp fragment identical to wild-type controls. Bidirectional sequencing confirmed the absence of aberrant transcripts. No protein truncations or frameshifts were detected. Per CDH1 VCEP BS3 rule: 'Functional RNA studies demonstrating no impact on transcript composition' applies at Strong strength.
NM_004360.5:c.48+7C>T is an intronic variant located at the +7 position of intron 1. Per CDH1 VCEP BP7 rule: 'Synonymous and intronic variants at or beyond +7 to -21 locations.' The variant at +7 falls exactly at the boundary of this rule. The CSPEC instructions note that the CDH1 rule specification does not require a conservation prediction and that BP7 may be used with BP4 to classify variants meeting both criteria as likely benign. Here BP7 is applied independently based on the positional rule.
ClinGen CDH1 Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 3.1 v3.1 lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BS3 strong benign, BP7 supporting benign; combination = 1 strong benign + 1 supporting benign, which maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 11 / 1,536,836 alleles. Recorded AF 7.15756e-06. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.52693e-05; MAF= 0.00153%, 2/130982 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.000250125; MAF= 0.02501%, 1/3998 alleles, homozygotes = 0).
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.
4 Likely benign. ClinVar API review status: criteria provided, multiple submitters, no conflicts.
No standalone functional evidence summary is recorded in evidence_summary.functional.
This variant has previously been reported in somatic cancers (COSMIC; COSV105066453, n = 1 times).
ACMG/AMP criteria under ClinGen CDH1 VCEP v3.1, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 7 not met · 8 not assessed · 9 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_004360.5:c.48+7C>T is an intronic variant at position +7 of intron 1 in CDH1. It has been reported in ClinVar as Likely benign by four clinical laboratories (ClinVar ID 142318, 1-star review status).
This variant is present at very low frequency in gnomAD population databases: 2 of 130,982 alleles in v2.1 (0.00153%) and 11 of 1,536,836 alleles in v4.1 (0.00072%), with no homozygotes observed.
Functional RNA studies by Garziera et al. (2013, PMID 24204729) evaluated the splicing impact of c.48+7C>T using RT-PCR on peripheral blood mononuclear cells from a heterozygous carrier. The transcript was normal in size and sequence compared to wild-type controls, with no aberrant splicing products, protein truncations, or frameshifts detected. These findings satisfy BS3 at strong strength per CDH1 VCEP specifications.
The variant's intronic position at +7 meets the CDH1 VCEP BP7 rule for intronic variants at or beyond the +7 position, providing supporting evidence for a benign interpretation.
SpliceAI predicts no significant splice impact (max delta score = 0.02), consistent with the normal transcript observed in functional RNA studies.
PS3 is not met because the functional data demonstrated no abnormal transcripts; the evidence direction is benign rather than pathogenic.
No criteria match.
No further detail was recorded.
Every interpreted variant in CDH1, mapped onto the exon structure of NM_004360.5. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| Remaining individuals2 / 59,902 | 3.3e-05 |
| European (non-Finnish)9 / 1,148,198 | 7.8e-06 |
| Remaining individuals1 / 3,998 | 0.00025 |
| East Asian1 / 10,508 | 9.5e-05 |
This variant is present in gnomAD v4.1 (AF= 7.15756e-06; MAF= 0.00072%, 11/1536836 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 3.33879e-05; MAF= 0.00334%, 2/59902 alleles, homozygotes = 0); grpmax FAF= 3.69e-06.
This variant is present in gnomAD v2.1 (AF= 1.52693e-05; MAF= 0.00153%, 2/130982 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.000250125; MAF= 0.02501%, 1/3998 alleles, homozygotes = 0).
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02).
7 paper records listed. 1 cited in the classification.
ID 5, a new intronic mutation close to exon 1 (IVS1 c.48+7C>T). ID 5 was found in a female of 51-year-old with hypergastrinemia. We did not find any truncations or frameshifts in the production of the protein associated to this mutation.
Location Table 3 (variant listing); Results para on intronic mutations; Figure 3A (RT-PCR gel); Discussion para on AMAG findings
Context RT-PCR from peripheral blood mononuclear cells (PBMCs); exons 1-5 amplification (~768 bp); agarose gel electrophoresis; bidirectional Sanger sequencing
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= 7.15756e-06; MAF= 0.00072%, 11/1536836 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 3.33879e-05; MAF= 0.00334%, 2/59902 alleles, homozygotes = 0); grpmax FAF= 3.69e-06.
This variant is present in gnomAD v2.1 (AF= 1.52693e-05; MAF= 0.00153%, 2/130982 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.000250125; MAF= 0.02501%, 1/3998 alleles, homozygotes = 0).
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Likely benign (4 clinical laboratories). (ClinVarID = 142318)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02).
This variant has previously been reported in somatic cancers (COSMIC; COSV105066453, n = 1 times).