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.
The variant alters residue Ile251 in the CHEK2 kinase domain (residues ~220–500), a well-established critical functional domain essential for CHEK2 kinase activity and DNA damage signaling. Missense substitutions in the kinase domain have been shown to abolish CHEK2 function.
The variant is present at an extremely low frequency in population databases: gnomAD v2.1 AF=0.00177% (5/282,756 alleles), gnomAD v4.1 AF=0.00328% (53/1,613,926 alleles), and absent from gnomAD-Canada. These frequencies are well below the PM2 threshold of 0.1%.
In the familial prostate cancer family reported by Dong et al. (PMID:12533788), the c.751A>T variant was detected in only 1 of 2 affected brothers, demonstrating lack of segregation with disease. This represents a non-segregation event in affected family members supporting a benign interpretation.
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: PM1 moderate, PM2 supporting, BS4 supporting benign; combination = 1 moderate + 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: 53 / 1,613,926 alleles. Recorded AF 3.28392e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.76831e-05; MAF= 0.00177%, 5/282756 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.87177e-05; MAF= 0.00387%, 5/129140 alleles, homozygotes = 0); grpmax FAF= 5.239e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00016286644951140066, 3/18420 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
15 Uncertain significance · 2 Likely pathogenic · 1 likely pathogenic. 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: 3 met · 21 not met · 0 not assessed · 5 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
PM1 (moderate) is met: the variant alters Ile251 in the CHEK2 kinase domain, a well-established critical functional domain.
PM2 (supporting) is met: the variant is present at extremely low frequency in population databases (gnomAD v2.1 AF=0.00177%, gnomAD v4.1 AF=0.00328%).
BS4 (supporting benign) is met: the variant demonstrated lack of segregation in a familial prostate cancer family, where it was detected in only 1 of 2 affected brothers.
The variant has been observed in individual cases of familial prostate cancer (1/298) and hereditary breast cancer (1/507) but has not demonstrated statistically significant case-control enrichment.
No variant-specific functional studies have been performed for p.Ile251Phe. In silico predictions are mixed: REVEL=0.426, BayesDel=0.178, PolyPhen-2=Probably damaging, SIFT=Tolerated.
ClinVar classification is Uncertain significance (15 VUS, 3 Likely pathogenic submissions). No expert panel review has been performed.
With one moderate pathogenic criterion (PM1), one supporting pathogenic criterion (PM2), and one supporting benign criterion (BS4), the evidence is equivocal and the variant remains a Variant of Uncertain Significance (VUS).
No criteria match.
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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 |
|---|
| European (non-Finnish)53 / 1,179,970 | 4.5e-05 |
| European (non-Finnish)5 / 129,140 | 3.9e-05 |
This variant is present in gnomAD v4.1 (AF= 3.28392e-05; MAF= 0.00328%, 53/1613926 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.49164e-05; MAF= 0.00449%, 53/1179970 alleles, homozygotes = 0); grpmax FAF= 3.503e-05.
This variant is present in gnomAD v2.1 (AF= 1.76831e-05; MAF= 0.00177%, 5/282756 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.87177e-05; MAF= 0.00387%, 5/129140 alleles, homozygotes = 0); grpmax FAF= 5.239e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00016286644951140066, 3/18420 alleles, homozygotes = 0).
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.426. BayesDel score = 0.177609.
8 paper records listed. 2 cited in the classification.
three were missense mutations—one in exon 3 (T470C, Ile157Thr) and two in exon 5 (G715A, Glu239Lys and A751T, Ile251Phe)
Location Table 1 (mutation #13); Results paragraphs 1, 3, 5; Figure 3C
Context DHPLC mutation screening followed by Sanger sequencing; western blot analysis in EBV-transformed lymphoblastoid cell lines
751A > T [ 23 ] Ile251Phe 6 Kinase - C0 2.04 Tolerated Probably damaging Probably deleterious
Location Table 1 (case population mutations); Results paragraph 1
Context In silico prediction only; variant was not among the 11 variants tested in the Omnia in vitro kinase activity assay using recombinant Flag-CHEK2 expressed in E. coli
c.751A.T (p.Ile251Phe)
Appendix Table A4 (variants of uncertain significance), line 3752
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= 3.28392e-05; MAF= 0.00328%, 53/1613926 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.49164e-05; MAF= 0.00449%, 53/1179970 alleles, homozygotes = 0); grpmax FAF= 3.503e-05.
This variant is present in gnomAD v2.1 (AF= 1.76831e-05; MAF= 0.00177%, 5/282756 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.87177e-05; MAF= 0.00387%, 5/129140 alleles, homozygotes = 0); grpmax FAF= 5.239e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.00016286644951140066, 3/18420 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Uncertain significance (15 clinical laboratories) and as Likely pathogenic (2 clinical laboratories) and as likely pathogenic (1 clinical laboratory). (ClinVarID = 128086)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.426. BayesDel score = 0.177609.
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.