rs575910805

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 2P and 3B. PM1BP4_ModerateBS2_Supporting

The NM_007194.4(CHEK2):​c.480A>G​(p.Ile160Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000638 in 1,614,166 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I160L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000067 ( 0 hom. )

Consequence

CHEK2
NM_007194.4 missense

Scores

2
10
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:20B:2

Conservation

PhyloP100: 0.0140

Publications

14 publications found
Variant links:
Genes affected
CHEK2 (HGNC:16627): (checkpoint kinase 2) In response to DNA damage and replication blocks, cell cycle progression is halted through the control of critical cell cycle regulators. The protein encoded by this gene is a cell cycle checkpoint regulator and putative tumor suppressor. It contains a forkhead-associated protein interaction domain essential for activation in response to DNA damage and is rapidly phosphorylated in response to replication blocks and DNA damage. When activated, the encoded protein is known to inhibit CDC25C phosphatase, preventing entry into mitosis, and has been shown to stabilize the tumor suppressor protein p53, leading to cell cycle arrest in G1. In addition, this protein interacts with and phosphorylates BRCA1, allowing BRCA1 to restore survival after DNA damage. Mutations in this gene have been linked with Li-Fraumeni syndrome, a highly penetrant familial cancer phenotype usually associated with inherited mutations in TP53. Also, mutations in this gene are thought to confer a predisposition to sarcomas, breast cancer, and brain tumors. This nuclear protein is a member of the CDS1 subfamily of serine/threonine protein kinases. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2012]
CHEK2 Gene-Disease associations (from GenCC):
  • CHEK2-related cancer predisposition
    Inheritance: AD Classification: DEFINITIVE Submitted by: Ambry Genetics
  • hereditary breast carcinoma
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen
  • Li-Fraumeni syndrome 2
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • acute myeloid leukemia
    Inheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
  • hereditary nonpolyposis colon cancer
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • familial ovarian cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

PM1
In a hotspot region, there are 6 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 68 uncertain in NM_007194.4
BP4
Computational evidence support a benign effect (MetaRNN=0.17039022).
BS2
High AC in GnomAd4 at 5 AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CHEK2NM_007194.4 linkc.480A>G p.Ile160Met missense_variant Exon 4 of 15 ENST00000404276.6 NP_009125.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CHEK2ENST00000404276.6 linkc.480A>G p.Ile160Met missense_variant Exon 4 of 15 1 NM_007194.4 ENSP00000385747.1

Frequencies

GnomAD3 genomes
AF:
0.0000328
AC:
5
AN:
152230
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000119
AC:
30
AN:
251414
AF XY:
0.000155
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000528
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000670
AC:
98
AN:
1461818
Hom.:
0
Cov.:
32
AF XY:
0.0000811
AC XY:
59
AN XY:
727210
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26132
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39680
South Asian (SAS)
AF:
0.000707
AC:
61
AN:
86256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000261
AC:
29
AN:
1111968
Other (OTH)
AF:
0.0000828
AC:
5
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
7
15
22
30
37
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000328
AC:
5
AN:
152348
Hom.:
0
Cov.:
32
AF XY:
0.0000537
AC XY:
4
AN XY:
74502
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41590
American (AMR)
AF:
0.00
AC:
0
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68034
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.545
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000437
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.000165
AC:
20
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:20Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:7
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Aug 02, 2023
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Published functional studies are inconclusive: partial to no impact on response to DNA damage and growth rate, expression levels similar to wild type, and phosphorylation of Thr68 when irradiated similar to wild type (Roeb et al., 2012; Delimitsou et al., 2019; Wagener et al., 2022); Observed in individuals with breast cancer (Dufault et al., 2004; Mohamad et al., 2015; Tsai et al., 2019; Akcay et al., 2020; da Costa e Silva Carvalho et al., 2020; Moradian et al., 2021; Andrikopoulou et al., 2022; Zografos et al., 2022); Not observed at significant frequency in large population cohorts (gnomAD); Also known as c.609A>G or p.Ile203Met; In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 22419737, 15095295, 25629968, 28553140, 30303537, 32546565, 27153395, 30851065, 31159747, 31296309, 30374176, 32039725, 32900738, 33558524, 32658311, 33471991, 35127508, 28779002, 35772246, 36468172, 25186627, 19782031, 36011273) -

Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

The CHEK2 p.Ile160Met variant was identified in 4 of 2906 proband chromosomes (frequency: 0.001) from German and Malaysian individuals or families with BRCA1/2 negative HBOC or breast cancer and was identified in 1 of 1540 control chromosomes (freq: 0.001) from healthy individuals (Dufault 2004, Mohamad 2015). Functional analyses using a yeast based assay to assess in vivo CHEK2 mediated response to DNA damage showed the variant had a partial response to DNA damage (Roeb 2012). In this study, the variant co-occurred with CHEK2 p.G167R which was found to have no response to DNA damage; further, segregation studies showed the p.Ile160Met was carried by the affected father diagnosed with breast cancer and his elderly unaffected sister. The variant was also identified in the following databases: dbSNP (ID: rs575910805) “With Uncertain significance allele”, ClinVar (classified with conflicting interpretations of pathogenicity; submitters: uncertain significance by GeneDx and Ambry Genetics, and likely benign by Invitae), Clinvitae (3x), Cosmic (1x in a Ewings sarcoma tumour), and was not identified in MutDB or the Zhejiang Colon Cancer Database. The variant was identified in control databases in 31 of 277194 chromosomes at a frequency of 0.0001 increasing the likelihood that this may be a low frequency variant in certain populations of origin (Genome Aggregation Consortium Feb 27, 2017). Observations by population include, European Non-Finnish in 7 of 126678 chromosomes (freq. 0.00006) and South Asian in 24 of 30782 chromosomes (freq. 0.0008); it was not seen in the East Asian, Other, Latino, Ashkenazi Jewish, and European Finnish populations. The p.Ile160 residue is not conserved in mammals and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) provide inconsistent predictions regarding the impact of Met to the protein; this information is not very predictive of pathogenicity. The variant occurs outside of the splicing consensus sequence and 1 of 5 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) predict a greater than 10% difference in splicing; this is not very predictive of pathogenicity. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as a variant of uncertain significance. -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 10, 2021
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary cancer-predisposing syndrome Uncertain:3Benign:1
Aug 12, 2024
Color Diagnostics, LLC DBA Color Health
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This missense variant replaces isoleucine with methionine at codon 160 of the CHEK2 protein. Computational prediction suggests that this variant may have deleterious impact on protein structure and function. Functional studies showed the variant has intermediate to wild-type ability to complement yeast rad53 mutant (PMID:22419737, 30851065). This variant has been reported in individuals affected with breast and/or ovarian cancer (PMID: 15095295, 22419737, 25629968, 27153395, 32039725, 33558524, 35127508, 36011273). This variant has been identified in 31/282820 chromosomes (24/30612 South Asian chromosomes) in the general population by the Genome Aggregation Database (gnomAD). In a large breast cancer case-control study, this variant has been observed in 7/60466 cases, 4/53461 unaffected controls (OR=1.547; 95%CI 0.453 to 5.286; p-value=0.557; Leiden Open Variation Database DB-ID CHEK2_000203 (PMID: 33471991). In summary, this is a variant of unknown impact on function that has been observed in affected individuals as well as in the general population. The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -

Aug 01, 2018
GeneKor MSA
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 19, 2021
Sema4, Sema4
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Jul 20, 2022
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

not specified Uncertain:3
Mar 04, 2025
Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 01, 2017
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 28, 2023
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: CHEK2 c.480A>G (p.Ile160Met) results in a conservative amino acid change located in the Forkhead-associated (FHA) domain (IPR000253) of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00012 in 252594 control chromosomes, predominantly at a frequency of 0.00078 within the South Asian subpopulation in the gnomAD database. The observed variant frequency within South Asian control individuals in the gnomAD database is approximately 2.5 fold of the estimated maximal expected allele frequency for a pathogenic variant in CHEK2 causing Hereditary Breast And Ovarian Cancer Syndrome phenotype (0.00031), however this data must be interpreted with caution as the sequencing techology utalized does not distinguish between CHEK2 and highly homologous pseudogenes.. c.480A>G has been reported in the literature in individuals affected with Hereditary Breast And Ovarian Cancer Syndrome (e.g. Dufault_2004, Roeb_2012, Mohamad_2015, Tung_2015, Maxwell_2016, Delimitsou_2019, Girard_2019, Tsai_2019, Carvalho_2020, Akcay_2021, Dorling_2021, Moradian_2021, Andrikopoulou_2022, Zografos_2022) but it was also reported in controls (e.g. Mohamad_2015, Dorling_2021). Co-occurrences with a likely pathogenic variant were reported in two of these studies (CHEK2 c.499G>A, p.Gly167Arg; Roeb_2012, Tung_2015). Segregation analysis in one of these studies (Roeb_2012) detected the two variants in compound heterozygosity in two affected sisters and c.480A>G alone in two of their unaffected sisters (ages 51 and 53yrs), their affected father and their elderly unaffected aunt (96yrs). These reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. Experimental evidence evaluating an impact on protein function demonstrated the variant has a partial DNA damage response through usage of an in vivo yeast-based assay (Roeb_2012). However, a more recent study also utilizing an in vivo yeast-based assay, concluded the variant to be benign/functional (Delimitsou_2019). The following publications have been ascertained in the context of this evaluation (PMID: 22419737, 25186627, 15095295, 25629968, 27153395, 30851065, 30374176, 30303537, 31159747, 32039725, 32658311, 33471991, 33558524, 35127508, 36011273). Multiple clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation and classified as VUS (n=12) and likely benign (n=2). Based on the evidence outlined above, the variant was classified as VUS-possibly benign. -

CHEK2-related cancer predisposition Uncertain:3
Jan 06, 2025
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This missense variant replaces isoleucine with methionine at codon 160 of the CHEK2 protein. Not observed at significant frequency in large population cohorts (gnomAD) . This variant has been reported in individuals affected with breast and/or ovarian cancer ( PMID: 22419737, 15095295, 25629968, 28553140, 30303537, 32546565, 27153395, 30851065, 31159747, 31296309, 30374176, 32039725, 32900738, 33558524, 32658311, 33471991, 35127508, 28779002, 35772246, 36468172, 25186627, 19782031, 36011273) . In silico analysis supports that this missense variant does not alter protein structure/function . In summary, this is a variant of unknown impact on function that has been observed in affected individuals as well as in the general population. The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -

Oct 30, 2023
Zotz-Klimas Genetics Lab, MVZ Zotz Klimas
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Apr 27, 2019
Genomic Research Center, Shahid Beheshti University of Medical Sciences
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Familial cancer of breast Uncertain:2Benign:1
Apr 08, 2020
Center of Medical Genetics and Primary Health Care
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

ACMG Guidelines 2015 criteria PM1 Pathogenic Moderate: FHA functional domain (Y156-218V aa) as phosphopeptide recognition site. Hot-spot has 18 non-VUS coding variants (12 pathogenic and 6 benign), pathogenicity = 66.7%, proximity score 7.639> threshold 2.472. PP2 Pathogenic Supporting: 30 out of 48 non-VUS missense variants in gene CHEK2 are pathogenic = 62.5% > threshold of 51.0%, and 308 out of 1,604 clinically reported variants in gene CHEK2 are pathogenic = 19.2% > threshold of 12.0%. PP3 Pathogenic Supporting: 8 pathogenic predictions from DANN, FATHMM-MKL, M-CAP, MVP, MutationAssessor, MutationTaster, REVEL and SIFT vs 3 benign predictions from DEOGEN2, EIGEN and PrimateAI. PP4 Pathogenic Supporting: Patient was diagnosed with BC at the age 36 yo with family history of breast cancer. Meantime, this variant has been shown to have a partial response to DNA damage in an in vivo functional assay (Roeb 2012). CHEK2 Ile160Met has been observed in individuals with breast and/or ovarian cancer (Dufault 2004, Mohamad 2015, Maxwell 2016). Therefore, this variant was classified as a Variant of Unknown Significance. -

Jan 22, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 24, 2020
Genetics and Molecular Pathology, SA Pathology
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

CHEK2-related disorder Uncertain:1
Sep 04, 2024
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

The CHEK2 c.480A>G variant is predicted to result in the amino acid substitution p.Ile160Met. This variant has been reported in individuals with suspected hereditary breast and/or ovarian cancer with conflicting interpretations of likely benign and uncertain (Dufault et al. 2004. PubMed ID: 15095295; Mohamad et al. 2015. PubMed ID: 25629968; Maxwell et al. 2016. PubMed ID: 27153395, Table S5; Girard et al. 2018. PubMed ID: 30303537, Table S3; Tsai et al. 2018. PubMed ID: 30374176; Tsaousis et al. 2019. PubMed ID: 31159747, Table S5; da Costa et al. 2020. PubMed ID: 32039725). It has been reported in at least one control individual in a cohort study (Mohamad et al. 2015. PubMed ID: 25629968). Experimental studies in yeast are conflicting (Roeb et al. 2012. PubMed ID: 22419737; Delimitsou et al. 2019. PubMed ID: 30851065). It is reported in 0.078% of alleles in individuals of South Asian descent in gnomAD and is interpreted as uncertain significance by the vast majority of laboratories in ClinVar (https://preview.ncbi.nlm.nih.gov/clinvar/variation/128077/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Breast and/or ovarian cancer Uncertain:1
Jun 25, 2020
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.43
BayesDel_addAF
Benign
-0.099
T
BayesDel_noAF
Uncertain
0.0
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.46
T;.;T;T;.;T;.;.;T;.;.
Eigen
Benign
0.13
Eigen_PC
Benign
0.029
FATHMM_MKL
Benign
0.70
D
LIST_S2
Uncertain
0.89
.;D;.;.;D;D;.;D;D;D;D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.17
T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.67
D
MutationAssessor
Pathogenic
3.3
M;M;M;M;.;M;M;.;.;.;.
PhyloP100
0.014
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.7
N;N;N;N;N;.;N;N;.;.;.
REVEL
Pathogenic
0.72
Sift
Uncertain
0.0050
D;D;D;D;D;.;D;D;.;.;.
Sift4G
Uncertain
0.0080
D;D;D;D;D;.;D;D;D;.;.
Polyphen
0.98
D;D;D;D;D;D;D;.;.;.;.
Vest4
0.58
MVP
0.95
MPC
0.14
ClinPred
0.38
T
GERP RS
-0.79
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.87
gMVP
0.60
Mutation Taster
=62/38
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs575910805; hg19: chr22-29121077; COSMIC: COSV60426818; API