ClinVar Miner

Submissions for variant NM_004333.6(BRAF):c.740T>C (p.Phe247Ser)

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Total submissions: 1
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
ClinGen RASopathy Variant Curation Expert Panel RCV000788011 SCV000927043 likely pathogenic Noonan syndrome and Noonan-related syndrome 2019-05-10 reviewed by expert panel curation The c.740T>C (p.Phe247Ser) variant in BRAF has been reported in the literature as an unconfirmed de novo occurrence in a patient with clinical features of a RASopathy (PM6, PS4_Supporting; GeneDx internal data; GTR Lab ID: 26957; NOT SUBMITTED TO CLINVAR YET). A different pathogenic missense variant has been previously identified at this codon of BRAF which may indicate that this residue is critical to the function of the protein (PM5 not applied due to PM1 application; ClinVar 55793, 180784). This variant was absent from large population studies (PM2; gnomAD, http://gnomad.broadinstitute.org). Furthermore, the variant is in a location that has been defined by the ClinGen RASopathy Expert Panel to be a mutational hotspot or domain of BRAF (PM1; PMID 29493581). The variant is located in the BRAF gene, which has been defined by the ClinGen RASopathy Expert Panel as a gene with a low rate of benign missense variants and pathogenic missense variants are common (PP2; PMID: 29493581). Computational prediction tools and conservation analysis suggest that the p.Phe247Ser variant may impact the protein (PP3). In summary, this variant meets criteria to be classified as likely pathogenic for RASopathies in an autosomal dominant manner. RASopathy-specific ACMG/AMP criteria applied (PMID:29493581): PM6, PS4_Supporting, PM2, PM1, PP2, PP3.

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