About CHEK2
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 CHEK2 VCEP v1.0.0. 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 variant is extremely rare in population databases. In gnomAD v2.1, it is observed at AF=2.12×10⁻⁵ (6/282,722 alleles, 0 homozygotes) and in gnomAD v4.1 at AF=1.12×10⁻⁵ (18/1,613,968 alleles, 0 homozygotes). The highest subpopulation frequency is 4.01×10⁻⁵ in African/African American. These frequencies are well below the PM2 threshold of 0.1%.
Multiple independent in silico predictors are consistent with a benign or neutral effect. REVEL score is 0.37 (below the typical pathogenic threshold of 0.5). BayesDel score is -0.100 (negative, consistent with benign). SpliceAI max delta score is 0.01 (predicts no splicing impact). The concordance of three orthogonal computational tools supports a lack of functional effect.
Hereditary Breast, Ovarian and Pancreatic Cancer Specification v1.0.0 lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP4 supporting benign; combination = 1 supporting + 1 supporting benign, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 18 / 1,613,968 alleles. Recorded AF 1.11526e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 2.12223e-05; MAF= 0.00212%, 6/282722 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 4.00577e-05; MAF= 0.00401%, 1/24964 alleles, homozygotes = 0); grpmax FAF= 2.92e-06.
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.010. Refer to the recorded PP3/BP4 rationale for interpretation.
10 Uncertain significance · 1 Likely benign. ClinVar API review status: criteria provided, conflicting classifications.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. CHEK2, an intracellular kinase involved in control of the cell cycle, is altered in various cancer types.
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 CHEK2 VCEP v1.0.0, with the data and sources behind each one.
29 criteria with recorded statuses: 2 met · 18 not met · 0 not assessed · 9 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_007194.4:c.400G>C (p.Asp134His) in CHEK2 is a rare missense variant observed at extremely low frequency in population databases (gnomAD v2.1 AF=0.00212%, 6/282,722 alleles), meeting PM2 (supporting).
Multiple in silico predictors are consistent with a benign effect: REVEL score 0.37, BayesDel score -0.100, and SpliceAI max delta 0.01 (no predicted splicing impact), meeting BP4 (supporting).
No variant-specific functional evidence, case-control data, segregation data, or de novo reports were identified in the literature. The ENIGMA CHEK2gether functional study (PMID:37449874) assessed 430 CHEK2 missense VUS but did not include this variant.
ClinVar reports this variant as Uncertain significance (10 clinical laboratories) with one Likely benign submission. No expert panel classification is available.
With one supporting pathogenic criterion (PM2) and one supporting benign criterion (BP4), the evidence is insufficient to classify this variant as either pathogenic or benign. The variant is classified as a Variant of Uncertain Significance (VUS).
No criteria match.
Every interpreted variant in CHEK2, mapped onto the exon structure of NM_007194.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| South Asian2 / 91,082 | 2.2e-05 |
| Admixed American1 / 59,974 | 1.7e-05 |
| European (Finnish)1 / 64,038 | 1.6e-05 |
| African/African American1 / 74,932 | 1.3e-05 |
| European (non-Finnish)13 / 1,180,000 | 1.1e-05 |
| African/African American1 / 24,964 | 4e-05 |
| European (Finnish)1 / 25,120 | 4e-05 |
| South Asian1 / 30,612 | 3.3e-05 |
| European (non-Finnish)3 / 129,046 | 2.3e-05 |
This variant is present in gnomAD v4.1 (AF= 1.11526e-05; MAF= 0.00112%, 18/1613968 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 2.19582e-05; MAF= 0.00220%, 2/91082 alleles, homozygotes = 0); grpmax FAF= 6.15e-06.
This variant is present in gnomAD v2.1 (AF= 2.12223e-05; MAF= 0.00212%, 6/282722 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 4.00577e-05; MAF= 0.00401%, 1/24964 alleles, homozygotes = 0); grpmax FAF= 2.92e-06.
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.37. BayesDel score = -0.100278.
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.
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= 1.11526e-05; MAF= 0.00112%, 18/1613968 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 2.19582e-05; MAF= 0.00220%, 2/91082 alleles, homozygotes = 0); grpmax FAF= 6.15e-06.
This variant is present in gnomAD v2.1 (AF= 2.12223e-05; MAF= 0.00212%, 6/282722 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 4.00577e-05; MAF= 0.00401%, 1/24964 alleles, homozygotes = 0); grpmax FAF= 2.92e-06.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (10 clinical laboratories) and as Likely benign (1 clinical laboratory). (ClinVarID = 128072)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.37. BayesDel score = -0.100278.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. CHEK2, an intracellular kinase involved in control of the cell cycle, is altered in various cancer types.
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.