About PIK3CA
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 PIK3CA VCEP v1.1.0. 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.
The p.Ile391Met change lies within the PIK3CA amino-acid interval 322-483, which is listed by this VCEP as an approved Table 4 critical functional domain, supporting PM1 at Supporting strength. Cancer Hotspots did not identify a statistically significant hotspot at residue 391, but hotspot recurrence is not required by this VCEP when the variant falls in an approved domain.
This variant exceeds the VCEP BA1 threshold of greater than 0.0926% by a wide margin, with overall allele frequency 6.57058% in gnomAD v2.1 and 6.60819% in gnomAD v4.1.
This variant exceeds the VCEP BS1 threshold of greater than 0.0185%, with overall allele frequency 6.57058% in gnomAD v2.1 and 6.60819% in gnomAD v4.1, which is far above the maximum expected frequency for a disease-causing PIK3CA brain malformation variant.
This variant is present in many apparently healthy population participants, including 1,032 homozygotes in gnomAD v2.1 and 4,921 homozygotes in gnomAD v4.1, which is well above the VCEP BS2 threshold of at least 3 homozygotes.
Expert panel ClinGen Brain Malformations Variant Curation Expert Panel classified as Benign.
Brain Malformations Specification Tavtigian point framework v1.1.0 point-based framework: BS2 strong (-4) + PM1 supporting (+1) + BA1 stand-alone benign (-8) + BS1 strong (-4) = -15 points, which maps to Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 106,360 / 1,609,518 alleles. Recorded AF 0.0660819. Recorded homozygote count 4921.
This variant is present in gnomAD v2.1 (AF= 0.0657058; MAF= 6.57058%, 18372/279610 alleles, homozygotes = 1032) and has highest observed frequency in the African/African American population (AF= 0.211283; MAF= 21.12834%, 5097/24124 alleles, homozygotes = 531); grpmax FAF= 0.204728.
No SpliceAI or REVEL score is recorded in the fields used for this tile.
A ClinVar laboratory submission summary was not recorded.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Inconclusive; curated oncogenicity label: Inconclusive.
No COSMIC evidence statement is recorded in this case.
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen PIK3CA VCEP v1.1.0, with the data and sources behind each one.
28 criteria with recorded statuses: 5 met · 2 not met · 8 not assessed · 13 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The PIK3CA c.1173A>G (p.Ile391Met) variant has been reported in ClinVar as Benign, including a Benign expert-panel classification from the ClinGen Brain Malformations Variant Curation Expert Panel.
This variant is common in population databases, with allele frequency 6.57058% in gnomAD v2.1 and 6.60819% in gnomAD v4.1, greatly exceeding the VCEP BA1 threshold of 0.0926% and BS1 threshold of 0.0185%, and it is also observed in numerous homozygous individuals.
Curated literature resources identified functional publications relevant to this variant, but the retrieved evidence did not provide validated variant-specific assay results sufficient to apply either PS3 or BS3.
SpliceAI predicts no significant splice impact for this variant with a maximum delta score of 0.00, while REVEL is 0.236 and BayesDel is -0.391355; however, PP3 is not applicable and BP4 is restricted to non-missense variants in this VCEP framework.
No criteria match.
PM1_Supporting may be awarded for residues affecting VCEP-approved critical functional domains in Table 4.
BA1 is met when allele frequency is greater than 0.0926% under this VCEP.
BS1 is met when allele frequency is greater than 0.0185% under this VCEP.
Award BS2 if >=3 homozygotes are present in gnomAD or ExAC, or >=3 heterozygous well-phenotyped family members are observed.
PS4 phenotype points can only be used if the variant meets PM2.
PM2_Supporting requires absence or rarity in controls under this VCEP.
PS1 applies only if the same amino acid change has already been established as pathogenic regardless of nucleotide change.
PS2 requires confirmed parental absence, with stronger evidence when tissue distribution supports a post-zygotic event.
PS3 requires well-established functional studies supporting a damaging effect on protein function or splicing.
PM5 applies when a novel missense change occurs at a residue where a different pathogenic missense change has already been established.
Award PP2 if the missense constraint z-score is >3.09 for applicable genes including PIK3CA.
BS3 requires well-established functional studies showing no damaging effect on protein function or splicing.
BP2 may be used when a variant is observed in cis or trans with a known pathogenic variant in the same gene.
BP5 may be used when an alternate molecular basis for disease is identified.
PVS1 is not applicable for this VCEP.
Not applicable for this VCEP.
Not applicable for this VCEP.
Not applicable for this VCEP.
Not applicable for this VCEP.
PP3 is not applicable for this VCEP because traditional prediction algorithms are not used for these GOF variants.
Not applicable for this VCEP.
PP5 is not for use in this VCEP.
Not applicable for this VCEP.
Not applicable for this VCEP.
Not applicable for this VCEP.
BP4 applies only to synonymous, intronic non-canonical splice, and UTR variants under this VCEP.
Every interpreted variant in PIK3CA, mapped onto the exon structure of NM_006218.2. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| African/African American15815 / 74,780 | 0.211715 hom |
| Middle Eastern849 / 6,052 | 0.1464 hom |
| Ashkenazi Jewish3823 / 29,530 | 0.13235 hom |
| Amish74 / 912 | 0.0812 hom |
| Remaining individuals4887 / 62,294 | 0.078222 hom |
| European (non-Finnish)73750 / 1,176,896 | 0.0632466 hom |
| Admixed American3717 / 59,832 | 0.062153 hom |
| European (Finnish)1679 / 63,916 | 0.02624 hom |
| South Asian1761 / 90,564 | 0.01940 hom |
| East Asian5 / 44,742 | 0.00011 |
| African/African American5097 / 24,124 | 0.21531 hom |
| Ashkenazi Jewish1360 / 10,350 | 0.1385 hom |
| Remaining individuals554 / 7,090 | 0.07827 hom |
| European (non-Finnish)8298 / 128,344 | 0.065299 hom |
| Admixed American1857 / 34,884 | 0.05365 hom |
| European (Finnish)621 / 25,020 | 0.02511 hom |
| South Asian585 / 30,324 | 0.01914 hom |
This variant is present in gnomAD v4.1 (AF= 0.0660819; MAF= 6.60819%, 106360/1609518 alleles, homozygotes = 4921) and has highest observed frequency in the African/African American population (AF= 0.211487; MAF= 21.14870%, 15815/74780 alleles, homozygotes = 1715); grpmax FAF= 0.208728.
This variant is present in gnomAD v2.1 (AF= 0.0657058; MAF= 6.57058%, 18372/279610 alleles, homozygotes = 1032) and has highest observed frequency in the African/African American population (AF= 0.211283; MAF= 21.12834%, 5097/24124 alleles, homozygotes = 531); grpmax FAF= 0.204728.
PP3 is not applicable for this VCEP because traditional prediction algorithms are not used for these GOF variants.
BP4 applies only to synonymous, intronic non-canonical splice, and UTR variants under this VCEP.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.236. BayesDel score = -0.391355.
0 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
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= 0.0660819; MAF= 6.60819%, 106360/1609518 alleles, homozygotes = 4921) and has highest observed frequency in the African/African American population (AF= 0.211487; MAF= 21.14870%, 15815/74780 alleles, homozygotes = 1715); grpmax FAF= 0.208728.
This variant is present in gnomAD v2.1 (AF= 0.0657058; MAF= 6.57058%, 18372/279610 alleles, homozygotes = 1032) and has highest observed frequency in the African/African American population (AF= 0.211283; MAF= 21.12834%, 5097/24124 alleles, homozygotes = 531); grpmax FAF= 0.204728.
This variant has been reported in ClinVar as Benign (7 clinical laboratories) and as Benign by ClinGen Brain Malformations Variant Curation Expert Panel (expert panel).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.236. BayesDel score = -0.391355.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Inconclusive; curated oncogenicity label: Inconclusive.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV55885079, n = 104 times).
This variant does not lie in a statistically significant hotspot.