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Variant interpretation report

CDC73 c.237+29_237+32del, p.?

NM_024529.5:c.237+29_237+32del NP_078805.3:p.? View identifiers
Classification
Benign

Variant description:

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.

In plain language

Gene-level background from the recorded interpretation.

About CDC73

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: 0 Benign evidence criteria: 5
Pathogenic criteria applied · 0

No pathogenic criterion marked as applied in the recorded assessment.

Benign criteria applied · 5
BA1Stand alone
BA1 · stand alone

This variant has an allele frequency of 7.99% in gnomAD v2.1 (22,520/281,690 alleles, 2,860 homozygotes) and 4.74% in gnomAD v4.1 (63,137/1,331,598 alleles, 5,691 homozygotes), with a highest subpopulation frequency of 49.26% in East Asians. These frequencies far exceed the BA1 threshold of >1%. The variant is a common population polymorphism.

BS1Strong
BS1 · strong

This variant has an allele frequency of 7.99% in gnomAD v2.1, exceeding the BS1 threshold of >0.3%. This evidence is superseded by BA1 (stand-alone benign).

BS2Strong
BS2 · strong

This variant is observed in 2,860 homozygotes in gnomAD v2.1 and 5,691 homozygotes in gnomAD v4.1. CDC73 is associated with autosomal dominant hyperparathyroidism-jaw tumor syndrome (HPT-JT) and parathyroid carcinoma, disorders with high penetrance. The observation of thousands of apparently healthy homozygous adults is incompatible with a pathogenic role.

BP4Supporting
BP4 · supporting

Multiple lines of computational evidence suggest no impact on splicing. SpliceAI predicts no splice impact (max delta score = 0.00) for this intronic deletion. No in silico predictors suggest a deleterious effect on gene or gene product.

BP6Supporting
BP6 · supporting

ClinVar reports this variant as Benign by two clinical laboratories (GeneDx and Center for Genomic Medicine, Rigshospitalet). Both submissions used criteria-based assessment in a clinical testing context.

Recorded classification: Benign

gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BA1 stand-alone benign, BS1 strong benign, BS2 strong benign, BP4 supporting benign, BP6 supporting benign; combination = 1 stand-alone benign + 2 strong benign + 2 supporting benign, which maps to Benign.

02The sources

Evidence at a glance

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

gnomAD v4.1
gnomAD v2.1
Population frequency
63,137 / 1,331,598 alleles

gnomAD v4.1: 63,137 / 1,331,598 alleles. Recorded AF 0.0474145. Recorded homozygote count 5691.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.079946; MAF= 7.99460%, 22520/281690 alleles, homozygotes = 2860) and has highest observed frequency in the East Asian population (AF= 0.492607; MAF= 49.26068%, 9728/19748 alleles, homozygotes = 2388); grpmax FAF= 0.483021.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.07179320082545888, 1322/18414 alleles, homozygotes = 174).

SpliceAI score
0.000 maximum delta

Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.

ClinVar submissions
2 reported laboratory submissions

2 Benign. ClinVar API review status: criteria provided, multiple submitters, no conflicts.

No screenshot for this evidence
Functional evidence
Not recorded

No standalone functional evidence summary is recorded in evidence_summary.functional.

No listed criterion applied OncoKB ↗
Somatic evidence
3 recorded samples

This variant has previously been reported in somatic cancers (COSMIC; COSV66464797, n = 3 times).

Context only COSMIC ↗
For specialists

Technical detail

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

28 criteria with recorded statuses: 5 met · 2 not met · 0 not assessed · 21 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

This variant has an allele frequency of 7.99% in gnomAD v2.1 (22,520/281,690 alleles, 2,860 homozygotes) and 4.74% in gnomAD v4.1 (63,137/1,331,598 alleles, 5,691 homozygotes), with a highest subpopulation frequency of 49.26% in East Asians, far exceeding the BA1 stand-alone benign threshold of >1%.

The variant is observed in 2,860 homozygotes in gnomAD v2.1 and 5,691 homozygotes in gnomAD v4.1. CDC73 is associated with autosomal dominant hyperparathyroidism-jaw tumor syndrome with high penetrance; the presence of thousands of homozygous individuals in population databases is incompatible with pathogenicity (BS2).

SpliceAI predicts no splice impact (max delta score = 0.00), consistent with a benign intronic variant (BP4).

ClinVar reports this variant as Benign by two clinical laboratories using criteria-based assessment (BP6).

Met · 5

BA1 Stand aloneThis variant has an allele frequency of 7.99% in gnomAD v2.1 (22,520/281,690 alleles, 2,860 homozygotes) and 4.74% in gnomAD v4.1 (63,137/1,331,598 alleles, 5,691 homozygotes), with a highest subpopulation frequency of 49.26% in East Asians. These frequencies far exceed the BA1 threshold of >1%. The variant is a common population polymorphism. Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1: overall AF = 7.99% (22
  • 520/281
  • 690 alleles
  • 2
  • 860 homozygotes)
  • gnomAD v4.1: overall AF = 4.74% (63
  • 137/1
  • 331
  • 598 alleles
  • 5
  • 691 homozygotes)
  • Highest subpopulation: East Asian AF = 49.26% (v2.1)
  • 44.30% (v4.1)
  • BA1 threshold of >1% is exceeded by >7-fold.
Sources
BS1 StrongThis variant has an allele frequency of 7.99% in gnomAD v2.1, exceeding the BS1 threshold of >0.3%. This evidence is superseded by BA1 (stand-alone benign). Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1 overall AF = 7.99%
  • exceeding BS1 threshold of >0.3%.
  • Superseded by BA1.
Sources
BS2 StrongThis variant is observed in 2,860 homozygotes in gnomAD v2.1 and 5,691 homozygotes in gnomAD v4.1. CDC73 is associated with autosomal dominant hyperparathyroidism-jaw tumor syndrome (HPT-JT) and parathyroid carcinoma, disorders with high penetrance. The observation of thousands of apparently healthy homozygous adults is incompatible with a pathogenic role. Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1: 2
  • 860 homozygotes
  • gnomAD v4.1: 5
  • 691 homozygotes
  • CDC73-associated disorders are autosomal dominant with high penetrance.
  • Observation of thousands of homozygous individuals in population databases is incompatible with pathogenicity.
Sources
BP4 SupportingMultiple lines of computational evidence suggest no impact on splicing. SpliceAI predicts no splice impact (max delta score = 0.00) for this intronic deletion. No in silico predictors suggest a deleterious effect on gene or gene product. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta = 0.00
  • no predicted donor/acceptor gain or loss.
  • No in silico evidence supporting a deleterious effect.
Sources
BP6 SupportingClinVar reports this variant as Benign by two clinical laboratories (GeneDx and Center for Genomic Medicine, Rigshospitalet). Both submissions used criteria-based assessment in a clinical testing context. Details ▾Hide ▴
Evidence considered
  • ClinVar classification: Benign (ClinVar ID 21684).
  • Two clinical laboratories: GeneDx (SCV001836945) and Center for Genomic Medicine
  • Rigshospitalet (SCV005090886).
  • Both submissions: criteria provided
  • clinical testing.
Sources

Not met · 2 · evaluated, threshold not reached

PM2 This variant is present at high frequency in population databases: gnomAD v2.1 AF = 7.99% (22,520/281,690 alleles, 2,860 homozygotes) and gnomAD v4.1 AF = 4.74% (63,137/1,331,598 alleles, 5,691 homozygotes). PM2 requires absence or very low frequency in population databases. Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1 overall AF = 7.99%
  • far exceeding PM2 threshold of <0.1%.
  • gnomAD v4.1 overall AF = 4.74%
  • far exceeding PM2 threshold.
Sources
PP3 Multiple lines of computational evidence do not support a deleterious effect. SpliceAI predicts no splice impact (max delta score = 0.00). REVEL and BayesDel are not available for this non-SNV variant. The computational evidence does not support pathogenicity. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta = 0.00
  • no predicted splice impact.
  • REVEL and BayesDel not applicable (variant is not a single nucleotide substitution).
Sources
Not applicable · 21· recorded as not applicable Show reasons ▾Hide reasons ▴
PVS1 N/AThis variant is an intronic deletion (c.237+29_237+32del, deep intronic, +29 to +32 of intron 2) and does not fall into the default generic PVS1 null-variant buckets (nonsense, frameshift, or canonical ±1,2 splice consensus). SpliceAI predicts no splice impact (max delta = 0.00). PVS1 cannot be applied to this variant. Details ▾Hide ▴
Evidence considered
  • Variant is intronic (c.237+29_237+32del)
  • not in canonical splice consensus.
  • SpliceAI max delta score = 0.00
  • no predicted splice impact.
  • pvs1_variant_assessment: apply_generic_pvs1_framework = false
  • suggested_default_strength = null.
Sources
pvs1_variant_assessmentpvs1_gene_contextspliceai ↗
PS1 N/ANo pathogenic variant has been identified at the same nucleotide position with a different change. This criterion requires a same-site comparator variant with established pathogenicity. Details ▾Hide ▴
Evidence considered
  • No same-site pathogenic comparator variant identified in ClinVar or published literature.
PS2 N/ANo de novo data are available for this variant. PS2 requires a confirmed de novo observation in a patient with the disease and no family history. Details ▾Hide ▴
Evidence considered
  • No de novo reports identified in ClinVar or literature.
Still missing
  • No de novo testing data available.
PS3 N/ANo well-established in vitro or in vivo functional studies have been identified for this specific intronic variant. PS3 requires functional evidence supporting a damaging effect. Details ▾Hide ▴
Evidence considered
  • No functional studies identified for this specific variant.
Still missing
  • No functional studies available.
PS4 N/ANo case-control or cohort studies comparing variant prevalence in affected vs. unaffected individuals are available. The variant is observed at high frequency in population databases, making it unlikely to be enriched in affected populations. Details ▾Hide ▴
Evidence considered
  • Variant is common in population controls (gnomAD v2.1 AF = 7.99%).
Sources
PM1 N/AThis variant is located in intron 2 (c.237+29_237+32del), not in a known functional domain or mutational hotspot. No critical functional domain or established hotspot encompasses this deep intronic position. Details ▾Hide ▴
Evidence considered
  • Variant is deep intronic
  • not in a functional domain or established mutational hotspot.
PM4 N/APM4 applies to in-frame deletions/insertions in non-repeat regions causing protein length changes. This is an intronic deletion (c.237+29_237+32del) that does not alter the protein coding sequence. Details ▾Hide ▴
Evidence considered
  • Variant is intronic
  • not a protein-coding in-frame deletion/insertion.
PM5 N/AThis variant is an intronic deletion without a defined protein residue; no amino acid change is predicted (p.?). PM5 requires a same-residue missense comparator with established pathogenicity. Per pm5_candidates.json: eligible_for_classic_pm5_search = false. Details ▾Hide ▴
Evidence considered
  • No protein residue context available for PM5 comparator search (p.?).
Sources
pm5_candidates
PM6 N/ANo de novo observation has been reported for this variant. PM6 requires a confirmed de novo event with confirmed maternity and paternity. Details ▾Hide ▴
Evidence considered
  • No de novo reports identified for this variant.
Still missing
  • No de novo data available.
PP1 N/ANo segregation data are available for this variant. PP1 requires cosegregation with disease in multiple affected family members. Details ▾Hide ▴
Evidence considered
  • No segregation studies identified.
Still missing
  • No family segregation data available.
PP2 N/AThis variant is an intronic deletion, not a missense variant. PP2 applies specifically to missense variants in genes with a low rate of benign missense variation. Details ▾Hide ▴
Evidence considered
  • Variant type is intronic deletion
  • not missense.
PP4 N/ANo patient phenotype or clinical data are available for this variant. PP4 requires that the variant is found in a patient whose phenotype or family history is highly specific for the disease. Details ▾Hide ▴
Evidence considered
  • No patient clinical data available.
Still missing
  • No patient phenotype data available.
PP5 N/AClinVar classifies this variant as Benign, not Pathogenic. PP5 requires a reputable source to have recently reported the variant as pathogenic. Details ▾Hide ▴
Evidence considered
  • ClinVar classification: Benign (not Pathogenic).
Sources
BS3 N/ANo well-established in vitro or in vivo functional studies have been performed on this specific variant demonstrating no damaging effect on protein function or splicing. BS3 requires functional evidence, not solely computational predictions. Details ▾Hide ▴
Evidence considered
  • No functional studies identified for this variant. SpliceAI prediction (BP4) is computational
  • not a functional study.
Still missing
  • No functional studies available.
BS4 N/ANo segregation data are available to assess lack of segregation with disease. BS4 requires non-segregation in affected family members. Details ▾Hide ▴
Evidence considered
  • No family segregation data available.
Still missing
  • No segregation data available.
BP1 N/AThis variant is an intronic deletion, not a missense variant. BP1 applies specifically to missense variants in genes where a truncating mechanism is the primary cause of disease. Details ▾Hide ▴
Evidence considered
  • Variant type is intronic deletion
  • not missense.
BP2 N/ANo data are available on whether this variant has been observed in trans with a known pathogenic variant. BP2 requires observation in trans with a pathogenic variant for a fully penetrant dominant disorder. Details ▾Hide ▴
Evidence considered
  • No phase or co-occurrence data available.
Still missing
  • No trans-phase data available.
BP3 N/AThis variant is an intronic deletion, not an in-frame deletion/insertion in a repetitive region. BP3 applies to in-frame deletions/insertions in repetitive regions without known function. Details ▾Hide ▴
Evidence considered
  • Variant is intronic
  • not an in-frame deletion in a repetitive coding region.
BP5 N/ANo data are available on whether this variant is found in cases with an alternate molecular basis for disease. BP5 requires observation in a case with a clear alternate genetic cause. Details ▾Hide ▴
Evidence considered
  • No data on alternate molecular diagnosis in carriers.
Still missing
  • No data on alternate molecular diagnoses.
BP7 N/AThis variant is an intronic deletion (c.237+29_237+32del), not a synonymous (silent) variant. BP7 applies specifically to synonymous variants with no predicted splice impact. While the variant has no predicted splice impact (SpliceAI delta = 0.00), the strict definition of BP7 requires a synonymous coding change. Details ▾Hide ▴
Evidence considered
  • Variant is intronic
  • not synonymous. SpliceAI shows no splice impact but BP7 criterion definition is for synonymous variants specifically.
Sources
PS5 N/AThis variant has not been classified as Pathogenic by an expert panel or reputable source. ClinVar reports it as Benign. Details ▾Hide ▴
Evidence considered
  • ClinVar classification: Benign (2 clinical laboratories).
Sources

Identifiers

Gene
CDC73
Transcript
NM_024529.5
Coding (HGVS c.)
NM_024529.5:c.237+29_237+32del
Protein (HGVS p.)
NP_078805.3:p.?
GRCh38
chr1:193125238 TTATC>T
GRCh37
chr1:193094368 TTATC>T
ClinVar
21684
COSMIC
COSV66464797

Gene diagram

Every interpreted variant in CDC73, mapped onto the exon structure of NM_024529.5. Select a row to find it on the plot.

CDC73NM_024529.5
Fetching transcript structure from UCSC…
gnomAD v4.1 63,137 / 1,331,598 alleles AF 0.0474 · 5691 homozygotes · FAF 0.438
gnomAD v2.1 22,520 / 281,690 alleles AF 0.0799 · 2860 homozygotes · FAF 0.483
gnomAD-Canada v1.0 Allele count data not recorded

By genetic ancestry

gnomAD v4.1

AF 0.047 · 63137 / 1,331,598 alleles · 5691 hom · FAF 0.44
East Asian19116 / 43,150 0.444351 hom
Admixed American6484 / 59,628 0.11389 hom
South Asian5902 / 85,206 0.069265 hom
European (Finnish)3568 / 63,846 0.056110 hom
Remaining individuals2952 / 53,218 0.055202 hom
Middle Eastern233 / 5,504 0.0427 hom
Ashkenazi Jewish888 / 27,898 0.0329 hom
European (non-Finnish)23360 / 922,740 0.025353 hom
African/African American634 / 69,496 0.00915 hom
0 alternate alleles recorded in 1 other group: Amish.

gnomAD v2.1

AF 0.08 · 22520 / 281,690 alleles · 2860 hom · FAF 0.48
East Asian9728 / 19,748 0.492388 hom
Admixed American4389 / 35,352 0.12269 hom
South Asian2116 / 30,570 0.06983 hom
European (Finnish)1504 / 25,040 0.0651 hom
Remaining individuals420 / 7,198 0.05812 hom
Ashkenazi Jewish339 / 10,366 0.0336 hom
European (non-Finnish)3779 / 128,552 0.02947 hom
African/African American245 / 24,864 0.00994 hom

gnomAD-Canada

AF not recorded · ? / ? alleles

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.0474145; MAF= 4.74145%, 63137/1331598 alleles, homozygotes = 5691) and has highest observed frequency in the East Asian population (AF= 0.443013; MAF= 44.30127%, 19116/43150 alleles, homozygotes = 4351); grpmax FAF= 0.437755.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.079946; MAF= 7.99460%, 22520/281690 alleles, homozygotes = 2860) and has highest observed frequency in the East Asian population (AF= 0.492607; MAF= 49.26068%, 9728/19748 alleles, homozygotes = 2388); grpmax FAF= 0.483021.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.07179320082545888, 1322/18414 alleles, homozygotes = 174).

Open the gnomAD-Canada detail page →

SpliceAI and Pangolin

Pangolin splice lossmagnitude shown
-0.050
Pangolin splice gain
0.000

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

BP4 SupportingMultiple lines of computational evidence suggest no impact on splicing. SpliceAI predicts no splice impact (max delta score = 0.00) for this intronic deletion. No in silico predictors suggest a deleterious effect on gene or gene product. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta = 0.00
  • no predicted donor/acceptor gain or loss.
  • No in silico evidence supporting a deleterious effect.
Sources
PP3 Multiple lines of computational evidence do not support a deleterious effect. SpliceAI predicts no splice impact (max delta score = 0.00). REVEL and BayesDel are not available for this non-SNV variant. The computational evidence does not support pathogenicity. Details ▾Hide ▴
Evidence considered
  • SpliceAI max delta = 0.00
  • no predicted splice impact.
  • REVEL and BayesDel not applicable (variant is not a single nucleotide substitution).
Sources
BP7 N/AThis variant is an intronic deletion (c.237+29_237+32del), not a synonymous (silent) variant. BP7 applies specifically to synonymous variants with no predicted splice impact. While the variant has no predicted splice impact (SpliceAI delta = 0.00), the strict definition of BP7 requires a synonymous coding change. Details ▾Hide ▴
Evidence considered
  • Variant is intronic
  • not synonymous. SpliceAI shows no splice impact but BP7 criterion definition is for synonymous variants specifically.
Sources

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

1 paper record 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

  • Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.
    Richards S et al. · 2015
    The ACMG/AMP 2015 standards and guidelines for variant interpretation. This paper provides the classification framework and methodology used in this assessment but does not mention the specific variant NM_024529.5:c.237+29_237+32del or the CDC73 gene.
    Does not name this variant
    PMID 25741868 ↗

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

This variant is present in gnomAD v4.1 (AF= 0.0474145; MAF= 4.74145%, 63137/1331598 alleles, homozygotes = 5691) and has highest observed frequency in the East Asian population (AF= 0.443013; MAF= 44.30127%, 19116/43150 alleles, homozygotes = 4351); grpmax FAF= 0.437755.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.079946; MAF= 7.99460%, 22520/281690 alleles, homozygotes = 2860) and has highest observed frequency in the East Asian population (AF= 0.492607; MAF= 49.26068%, 9728/19748 alleles, homozygotes = 2388); grpmax FAF= 0.483021.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.07179320082545888, 1322/18414 alleles, homozygotes = 174).

ClinVar

This variant has been reported in ClinVar as Benign (2 clinical laboratories). (ClinVarID = 21684)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

Somatic

This variant has previously been reported in somatic cancers (COSMIC; COSV66464797, n = 3 times).