Reasoning
No governing ARID1A VCEP or gene-specific framework is available, so generic ACMG/AMP is used. BP2 requires the variant to be observed in trans with a pathogenic variant in a disorder where the gene is not fully penetrant, or in cis with a pathogenic variant. The available case evidence contains no second variant, phase result, proband genotype, or family data demonstrating either configuration. The variant's presence in gnomAD v4.1 at AF 7.006913020385913e-07 (1/1,427,162 alleles; zero homozygotes) does not provide cis/trans evidence. Therefore BP2 cannot be assessed.
Rule
Generic BP2: variant observed in trans with a pathogenic variant for a fully penetrant dominant disorder, or observed in cis with a pathogenic variant; phase and the applicable inheritance/penetrance context must be established.
Evidence considered
- The case provides no cis/trans phase data, second variant, affected-proband genotype, or family segregation information.
- gnomAD v4.1 reports AF 7.006913020385913e-07 with 1 alternate allele among 1,427,162 alleles and zero homozygotes; this population observation cannot establish cis or trans phase with another pathogenic variant.
- No ARID1A-specific VCEP or CSPEC specification is available; the case framework therefore falls back to generic ACMG/AMP criteria.
Still missing
- A second variant identified in the same proband or family
- Experimental or pedigree-based cis/trans phase determination
- Relevant inheritance and penetrance context
Sources