About DICER1
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 likely benign. Select a step to read what it means.
Likely benign.A likely 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 DICER1 VCEP v1.4.0. 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.
No pathogenic criterion marked as applied in the recorded assessment.
The DICER1 VCEP BP4_Supporting requires REVEL score <0.500 and agreement in splicing predictors that no splicing effects are predicted for missense variants. REVEL score is 0.142 (<0.500 threshold satisfied). SpliceAI max delta is 0.12, indicating no predicted splicing impact. Both conditions are met.
Expert panel ClinGen DICER1 and miRNA-Processing Gene Variant Curation Expert Panel, ClinGen classified as Likely benign.
ClinGen DICER1 and miRNA-Processing Gene Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for DICER1 Version 1.4.0 v1.4.0 point-based framework: BP4 supporting (-1) + BP6 supporting benign (-1) = -2 points, which maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 76 / 1,612,760 alleles. Recorded AF 4.71242e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 2.79682e-05; MAF= 0.00280%, 7/250284 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 9.92457e-05; MAF= 0.00992%, 1/10076 alleles, homozygotes = 0); grpmax FAF= 1.687e-05.
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.120. Refer to the recorded PP3/BP4 rationale for interpretation.
4 Uncertain significance · 2 Likely benign.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. DICER1, an endoribonuclease, 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 DICER1 VCEP v1.4.0, with the data and sources behind each one.
29 criteria with recorded statuses: 2 met · 16 not met · 0 not assessed · 11 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_177438.2:c.4199A>G (p.Asp1400Gly) is a missense variant in exon 22 of DICER1.
This variant is present in gnomAD v4.1 at an allele frequency of 4.71e-05 (76/1,612,760 alleles, 0 homozygotes), with a grpmax filtering allele frequency of 4.511e-05. It has been observed across multiple subpopulations, including 7 alleles in the South Asian population (AF=7.69e-05). These frequencies exceed the DICER1 VCEP PM2_Supporting threshold of <5e-06.
This variant has been reported in ClinVar as Likely Benign following review by the ClinGen DICER1 and miRNA-Processing Gene Variant Curation Expert Panel (ClinVar Variation ID: 412173). Individual clinical laboratory submissions include Uncertain Significance (4 laboratories) and Likely Benign (2 laboratories).
In silico predictors support a benign interpretation: REVEL score is 0.142, well below the DICER1 VCEP BP4_Supporting threshold of <0.500. SpliceAI predicts no splicing impact (max delta = 0.12). These findings meet BP4_Supporting per DICER1 VCEP criteria.
The variant has been observed in two siblings with pleuropulmonary blastoma (Leckey et al. 2019, PMID:30665929). However, both siblings also carried a pathogenic DICER1 splice variant (c.2437-2A>G), and the authors explicitly state that c.4199A>G 'has not been associated with DICER1-associated phenotypic features.' In silico algorithms reportedly suggest the variant 'is likely to be tolerated.' No functional studies have been performed.
Residue Asp1400 lies outside the RNase IIIb domain (p.Y1682–S1846) and is not one of the seven metal ion-binding residues defined by the DICER1 VCEP for PM1. No pathogenic variant at the same residue is known for PS1 or PM5 application. No functional, segregation, de novo, or case-control data support application of any pathogenic criterion.
Applying the DICER1 VCEP (version 1.4.0) point-based Tavtigian framework: only BP4_Supporting (−1 point) is met. All other applicable criteria are not met. Total point value = −1, which falls within the Uncertain Significance range (Rule 3: ≥−1 and ≤5).
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in DICER1, mapped onto the exon structure of NM_177438.2. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| South Asian7 / 91,066 | 7.7e-05 |
| European (non-Finnish)66 / 1,179,824 | 5.6e-05 |
| Ashkenazi Jewish1 / 29,588 | 3.4e-05 |
| Remaining individuals2 / 62,450 | 3.2e-05 |
| Ashkenazi Jewish1 / 10,076 | 9.9e-05 |
| European (non-Finnish)5 / 113,570 | 4.4e-05 |
| South Asian1 / 30,606 | 3.3e-05 |
This variant is present in gnomAD v4.1 (AF= 4.71242e-05; MAF= 0.00471%, 76/1612760 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 7.68673e-05; MAF= 0.00769%, 7/91066 alleles, homozygotes = 0); grpmax FAF= 4.511e-05.
This variant is present in gnomAD v2.1 (AF= 2.79682e-05; MAF= 0.00280%, 7/250284 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 9.92457e-05; MAF= 0.00992%, 1/10076 alleles, homozygotes = 0); grpmax FAF= 1.687e-05.
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.12). REVEL score = 0.142. BayesDel score = -0.0837422.
8 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
In addition, the variant of uncertain significance, c.4199A>G (p.Asp1400Gly) (NM_177438.2), has been reported in the literature, but it has not been associated with DICER1-associated phenotypic features.
Outcome and follow-up section; Discussion paragraph 4
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= 4.71242e-05; MAF= 0.00471%, 76/1612760 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 7.68673e-05; MAF= 0.00769%, 7/91066 alleles, homozygotes = 0); grpmax FAF= 4.511e-05.
This variant is present in gnomAD v2.1 (AF= 2.79682e-05; MAF= 0.00280%, 7/250284 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 9.92457e-05; MAF= 0.00992%, 1/10076 alleles, homozygotes = 0); grpmax FAF= 1.687e-05.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (4 clinical laboratories) and as Likely benign (2 clinical laboratories) and as Likely Benign by ClinGen DICER1 and miRNA-Processing Gene Variant Curation Expert Panel, ClinGen (expert panel). (ClinVarID = 412173)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.12). REVEL score = 0.142. BayesDel score = -0.0837422.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. DICER1, an endoribonuclease, 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.