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Variant interpretation report

CDK12 c.162del, p.(Leu55TrpfsTer2)

NM_016507.4:c.162del NP_057591.2:p.(Leu55TrpfsTer2) View identifiers
Classification
Likely pathogenic

Variant description:

No variant summary was recorded for this case.

Five-step scale from benign to pathogenic. This variant is likely pathogenic. Select a step to read what it means.

Likely pathogenic.A likely pathogenic classification under the recorded framework.

In plain language

Gene-level background from the recorded interpretation.

About CDK12

No gene-level summary was recorded for this case.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 3 Benign evidence criteria: 0
Pathogenic criteria applied · 3
PVS1Strong
PVS1 · strong

NM_016507.4:c.162del is a frameshift variant predicted to cause premature termination at codon 56 (p.Leu55TrpfsTer2) in exon 1 of 14, with predicted nonsense-mediated decay. CDK12 loss of function is established as a germline disease mechanism. Under ClinGen SVI PVS1 recommendations (PMC6185798), frameshift variants with predicted NMD in genes where LoF is a known disease mechanism qualify for PVS1 at strong strength.

PM1Supporting
PM1 · supporting

NM_016507.4:c.162del produces a frameshift at codon 55 (p.Leu55TrpfsTer2), truncating the protein at position 56 and removing the well-characterized CDK12 kinase domain (aa 719–1051) and all other functional regions. CDK12 kinase domain function in DNA damage response and homologous recombination repair is established in the literature. Applied at supporting strength to avoid double-counting with PVS1.

PM2Supporting
PM2 · supporting

NM_016507.4:c.162del is absent from gnomAD v2.1, v4.1, and gnomAD-Canada v1.0, meeting the PM2 allele frequency threshold of <0.1% for a non-VCEP assessment.

Benign criteria applied · 0

No benign criterion marked as applied in the recorded assessment.

Recorded classification: Likely pathogenic

gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PVS1 strong, PM1 supporting, PM2 supporting; combination = 1 strong + 2 supporting, which maps to Likely Pathogenic.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

SpliceAI score
0.020 maximum delta

Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.

No listed criterion applied SpliceAI ↗
ClinVar submissions
Not recorded

A ClinVar laboratory submission summary was not recorded.

Context only ClinVar ↗
Functional evidence
Statement recorded

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.

No listed criterion applied OncoKB ↗
COSMIC
Cancer Hotspots
Somatic evidence
No matching record reported

This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under Not recorded, with the data and sources behind each one.

28 criteria with recorded statuses: 3 met · 15 not met · 0 not assessed · 10 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

NM_016507.4:c.162del (p.Leu55TrpfsTer2) is a frameshift variant in CDK12 predicted to undergo nonsense-mediated decay, meeting PVS1 at strong strength.

The frameshift at codon 55 truncates the protein at position 56, removing the well-characterized CDK12 kinase domain (aa 719-1051), meeting PM1 at supporting strength.

This variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada population databases, meeting PM2 at supporting strength.

No variant-specific functional studies, de novo reports, segregation data, or ClinVar entries exist for this variant. OncoKB classifies this variant as Likely Oncogenic in a somatic context.

Applying the ACMG/AMP 2015 classification rules: PVS1 (strong) + PM1 (supporting) + PM2 (supporting) yields Likely Pathogenic.

Met · 3

PVS1 StrongNM_016507.4:c.162del is a frameshift variant predicted to cause premature termination at codon 56 (p.Leu55TrpfsTer2) in exon 1 of 14, with predicted nonsense-mediated decay. CDK12 loss of function is established as a germline disease mechanism. Under ClinGen SVI PVS1 recommendations (PMC6185798), frameshift variants with predicted NMD in genes where LoF is a known disease mechanism qualify for PVS1 at strong strength. Details ▾Hide ▴
Evidence considered
  • Frameshift variant p.Leu55TrpfsTer2 with predicted NMD
  • CDK12 LoF established as germline disease mechanism in prostate cancer
  • MANE select transcript NM_016507.4
Sources
PM1 SupportingNM_016507.4:c.162del produces a frameshift at codon 55 (p.Leu55TrpfsTer2), truncating the protein at position 56 and removing the well-characterized CDK12 kinase domain (aa 719–1051) and all other functional regions. CDK12 kinase domain function in DNA damage response and homologous recombination repair is established in the literature. Applied at supporting strength to avoid double-counting with PVS1. Details ▾Hide ▴
Evidence considered
  • Frameshift removes CDK12 kinase domain (aa 719-1051) and all downstream functional domains
  • CDK12 kinase domain is critical for DNA damage response and homologous recombination repair
Sources
PM2 SupportingNM_016507.4:c.162del is absent from gnomAD v2.1, v4.1, and gnomAD-Canada v1.0, meeting the PM2 allele frequency threshold of <0.1% for a non-VCEP assessment. Details ▾Hide ▴
Evidence considered
  • Absent from gnomAD v2.1 (exomes)
  • Absent from gnomAD v4.1 (exomes)
  • Absent from gnomAD-Canada v1.0 (genomes)
Sources

Not met · 15 · evaluated, threshold not reached

PS2 No de novo data are available for this variant. No publications report de novo occurrence of NM_016507.4:c.162del. Details ▾Hide ▴
Still missing
  • No de novo testing data available
PS3 No variant-specific functional data exist for NM_016507.4:c.162del. The four publications reviewed discuss CDK12 gene-level functions and characterize other CDK12 mutations (missense and truncating variants in the kinase domain), but none tested or reported functional data for this specific variant. Domain-level inference from characterization of other CDK12 mutations does not satisfy PS3's requirement for variant-specific functional evidence. Details ▾Hide ▴
Evidence considered
  • PMID:24554720 established that CDK12 kinase domain mutations disable catalytic activity and impair HR
  • but did not test c.162del
  • PMID:25712099 showed CDK12 mutations disrupt Cdk12/CycK complex formation
  • but c.162del was not among tested mutations
Still missing
  • No variant-specific functional studies for NM_016507.4:c.162del
PS4 No case-control or prevalence data are available for NM_016507.4:c.162del. The variant is absent from population databases, and no affected vs. control enrichment data exist. Details ▾Hide ▴
Still missing
  • No case-control data available
PM6 No de novo data are available for NM_016507.4:c.162del. No publication reports a de novo occurrence of this variant. Details ▾Hide ▴
Still missing
  • No de novo testing data available
PP1 No segregation data are available for NM_016507.4:c.162del. Details ▾Hide ▴
Still missing
  • No family segregation data available
PP3 SpliceAI predicts no significant splice impact (max delta score = 0.02). REVEL and BayesDel scores are not available as they apply only to single-nucleotide substitutions. No in silico tool supports a pathogenic effect for this variant. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta score = 0.02 (no splice impact predicted)
  • REVEL and BayesDel not applicable to non-SNV variants
Still missing
  • No in silico prediction tools applicable to frameshift variants
Sources
PP4 No patient-specific phenotype data are available for this case. The variant has been flagged by OncoKB as Likely Oncogenic in a somatic context, but no germline phenotype correlation data exist. Details ▾Hide ▴
Still missing
  • No patient phenotype data provided
BA1 NM_016507.4:c.162del is absent from gnomAD v2.1, v4.1, and gnomAD-Canada. BA1 requires an allele frequency >1%, which is not met. Details ▾Hide ▴
Evidence considered
  • Absent from gnomAD v2.1
  • Absent from gnomAD v4.1
  • Absent from gnomAD-Canada v1.0
Sources
BS1 NM_016507.4:c.162del is absent from gnomAD population databases. BS1 requires an allele frequency >0.3% for non-VCEP assessment, which is not met. Details ▾Hide ▴
Evidence considered
  • Absent from gnomAD v2.1
  • Absent from gnomAD v4.1
Sources
BS2 No data on observation in healthy adult controls are available. BS2 cannot be applied without evidence that the variant has been observed in a healthy adult. Details ▾Hide ▴
Still missing
  • No healthy adult control data
BS3 No functional data are available demonstrating a benign or neutral effect for NM_016507.4:c.162del. The publications reviewed characterize CDK12 loss-of-function effects as damaging, not benign. Details ▾Hide ▴
Still missing
  • No benign functional data available
BS4 No segregation data demonstrating lack of cosegregation with disease are available. Details ▾Hide ▴
Still missing
  • No family segregation data available
BP2 No data are available on observation of NM_016507.4:c.162del in trans with a known pathogenic variant in CDK12. Details ▾Hide ▴
Still missing
  • No trans phase data available
BP4 SpliceAI predicts no significant splice impact (max delta = 0.02), but this is neutral rather than benign. No in silico tool provides a benign prediction for this frameshift variant. BP4 requires positive in silico evidence of a benign effect. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta = 0.02 (neutral
  • not benign-predictive)
  • No REVEL/BayesDel available for non-SNV variant
Still missing
  • No in silico tools applicable for benign prediction of frameshift variants
Sources
BP5 No data are available demonstrating an alternate molecular basis for disease in a case harboring NM_016507.4:c.162del. Details ▾Hide ▴
Still missing
  • No alternate molecular basis data available
Not applicable · 10· recorded as not applicable Show reasons ▾Hide reasons ▴
PS1 N/APS1 applies to nucleotide substitutions at a position where a different pathogenic substitution has been previously reported. This variant is a single-nucleotide deletion causing a frameshift, not a nucleotide substitution. Details ▾Hide ▴

No further detail was recorded.

PM4 N/APM4 applies to non-frameshift in-frame deletions/insertions. NM_016507.4:c.162del is a single-nucleotide deletion causing a frameshift; PVS1 addresses the null variant effect. Details ▾Hide ▴

No further detail was recorded.

PM5 N/APM5 requires a different pathogenic missense change at the same amino acid residue. NM_016507.4:c.162del is a frameshift deletion with no missense comparator. Candidate harvesting was attempted but no same-residue comparators were identified. Details ▾Hide ▴
Evidence considered
  • Frameshift variant has no missense comparator at this residue
Sources
pm5_candidates
PP2 N/APP2 applies to missense variants in genes with a low rate of benign missense variation. NM_016507.4:c.162del is a frameshift deletion. Details ▾Hide ▴

No further detail was recorded.

PP5 N/APP5 requires a ClinVar assertion from a reputable source. NM_016507.4:c.162del is absent from ClinVar. Details ▾Hide ▴
Evidence considered
  • Variant absent from ClinVar
BP1 N/ABP1 applies to missense variants where a different pathogenic missense change at the same position is known. NM_016507.4:c.162del is a frameshift deletion. Details ▾Hide ▴

No further detail was recorded.

BP3 N/ABP3 applies to in-frame deletions/insertions in repetitive regions without a known function. NM_016507.4:c.162del is a frameshift deletion. Details ▾Hide ▴

No further detail was recorded.

BP6 N/ABP6 requires a ClinVar assertion from a reputable source. NM_016507.4:c.162del is absent from ClinVar. Details ▾Hide ▴
Evidence considered
  • Variant absent from ClinVar
BP7 N/ABP7 applies to synonymous variants with no predicted splice impact. NM_016507.4:c.162del is a frameshift deletion. Details ▾Hide ▴

No further detail was recorded.

PS5 N/APS5 relies on ClinVar assertions from a reputable source. This variant is absent from ClinVar; there is no assertion to evaluate. Details ▾Hide ▴

No further detail was recorded.

Identifiers

Gene
CDK12
Transcript
NM_016507.4
Coding (HGVS c.)
NM_016507.4:c.162del
Protein (HGVS p.)
NP_057591.2:p.(Leu55TrpfsTer2)
GRCh38
chr17:39462229 TG>T
GRCh37
chr17:37618482 TG>T

Gene diagram

Every interpreted variant in CDK12, mapped onto the exon structure of NM_016507.4. Select a row to find it on the plot.

CDK12NM_016507.4
Fetching transcript structure from UCSC…
gnomAD v4.1 Allele count data not recorded
gnomAD v2.1 Allele count data not recorded
gnomAD-Canada v1.0 Allele count data not recorded

Statements

gnomAD v4.1

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

Absent from gnomAD-Canada v1.0.

SpliceAI and Pangolin

SpliceAI acceptor lossat -172 bp
0.020
SpliceAI acceptor gainat +117 bp
0.000
SpliceAI donor lossat -44 bp
0.000
SpliceAI donor gainat -251 bp
0.000
Pangolin splice lossmagnitude shown
-0.110
Pangolin splice gain
0.010

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

PP3 SpliceAI predicts no significant splice impact (max delta score = 0.02). REVEL and BayesDel scores are not available as they apply only to single-nucleotide substitutions. No in silico tool supports a pathogenic effect for this variant. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta score = 0.02 (no splice impact predicted)
  • REVEL and BayesDel not applicable to non-SNV variants
Still missing
  • No in silico prediction tools applicable to frameshift variants
Sources
BP4 SpliceAI predicts no significant splice impact (max delta = 0.02), but this is neutral rather than benign. No in silico tool provides a benign prediction for this frameshift variant. BP4 requires positive in silico evidence of a benign effect. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta = 0.02 (neutral
  • not benign-predictive)
  • No REVEL/BayesDel available for non-SNV variant
Still missing
  • No in silico tools applicable for benign prediction of frameshift variants
Sources
BP7 N/ABP7 applies to synonymous variants with no predicted splice impact. NM_016507.4:c.162del is a frameshift deletion. Details ▾Hide ▴

No further detail was recorded.

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02).

4 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.

Recorded publications

  • Integrated genomic analyses of ovarian carcinoma.
    The TCGA integrated genomic analysis of 316 high-grade serous ovarian carcinomas identified CDK12 as one of nine recurrently mutated genes. Five of nine CDK12 mutations were nonsense or indel, suggesting loss of function; four missense mutations (R882L, Y901C, K975E, L996F) clustered in the kinase domain.
    Does not name this variant
    PMID 21720365 ↗
    Quoted passage
    Five of the nine CDK12 mutations were either nonsense or indel, suggesting potential loss of function, while the four missense mutations (R882L, Y901C, K975E, and L996F) were clustered in its protein kinase domain.

    Results, Mutation analysis; Table 2

  • Ovarian cancer-associated mutations disable catalytic activity of CDK12, a kinase that promotes homologous recombination repair and resistance to cisplatin and poly(ADP-ribose) polymerase inhibitors.
    Ovarian cancer-associated CDK12 mutations disable catalytic activity of the kinase. Frameshift or point mutations introducing premature stop codons preceding the kinase domain produce truncated proteins without kinase activity. CDK12 depletion reduced BRCA1 levels and disrupted homologous recombination repair in ovarian cancer cell lines. The kinase-dead K756R mutant and tumor-associated G909R mutant failed to restore RAD51 foci formation.
    Does not name this variant
    PMID 24554720 ↗
    Quoted passage
    In one group, frameshift or point mutations introduce premature stop codons that precede the kinase domain such that the predicted protein would not have kinase activity (Fig. 1A).

    Figure 1A; Results, paragraph 1

  • Ovarian carcinoma CDK12 mutations misregulate expression of DNA repair genes via deficient formation and function of the Cdk12/CycK complex.
    CDK12 mutations in high-grade serous ovarian carcinoma prevent formation of the Cdk12/CycK complex or abrogate kinase activity. Examined mutations include L122fs4*, Q602*, W719*, E928fs27*, R882L, Y901C, K975E, L996F, and T1014_Q1016del. Most mutations either ablated CycK binding or inactivated the kinase. Patient samples with CDK12 mutations showed downregulation of HR DNA repair genes including ATM, ATR, CHEK1, FANCI, MDC1, and RAD51D.
    Does not name this variant
    PMID 25712099 ↗
    Quoted passage
    Among the nonsense mutations, the L122fs*4 and Q602* are the most drastic, since they yield the mutant Cdk12 proteins without most predicted regions.

    Results, Figures 1-6; Supplementary Table S1

  • Comprehensive Immune Profiling of Lung Adenocarcinomas Reveals Four Immunosubtypes with Plasma Cell Subtype a Negative Indicator.
    Comprehensive immune profiling of 111 lung adenocarcinomas identifies four immunosubtypes based on infiltrating immune cell profiles. The plasma cell subtype is an independent negative prognostic factor. No CDK12 mutations or variant-level data are discussed.
    Does not name this variant
    PMID 26787825 ↗

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

Absent from gnomAD-Canada v1.0.

ClinVar

This variant is absent from ClinVar.

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02).

Functional

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.

Somatic

This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.