ACMG Criterion Value Set

The ACMG-AMP IVS variant pathogenicity rule or criterion codes including extended codes used in domain specific derivatives of the original guideline. (e.g. BA1, PS2, PM3, PVS1, ...)

SEPIO:0000395

Summary

IRI
SEPIO:0000395
Name
ACMG Criterion Value Set
Description
The ACMG-AMP IVS variant pathogenicity rule or criterion codes including extended codes used in domain specific derivatives of the original guideline. (e.g. BA1, PS2, PM3, PVS1, ...)

Included Codes

This value set includes codes from the following identifier systems:

  • Include any concept from http://purl.obolibrary.org/obo/sepio-clingen# ( ClinGen extensions to SEPIO )

Expansion

This value set is extensible and therefore can be extended to include concepts from the listed identifier systems by adding on the fly concepts defined by a sending system if no viable option from any of the identifier systems is acceptable.

This value set contains 28 concepts.

IRI Label Description
SEPIO-CG:99022 PVS1 null variant (nonsense, frameshift, canonical ±1 or 2 splice sites, initiation codon, single or multiexon deletion) in a gene where LOF is a known mechanism of disease
SEPIO-CG:99023 PS1 Same amino acid change as a previously established pathogenic variant regardless of nucleotide change
SEPIO-CG:99024 PS2 De novo (both maternity and paternity confirmed) in a patient with the disease and no family history
SEPIO-CG:99025 PS3 Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product
SEPIO-CG:99026 PS4 The prevalence of the variant in affected individuals is significantly increased compared with the prevalence in controls
SEPIO-CG:99027 PM1 Located in a mutational hot spot and/or critical and well-established functional domain (e.g., active site of an enzyme) without benign variation
SEPIO-CG:99028 PM2 Absent from controls (or at extremely low frequency if recessive) (Table 6) in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium
SEPIO-CG:99029 PM3 For recessive disorders, detected in trans with a pathogenic variant
SEPIO-CG:99030 PM4 Protein length changes as a result of in-frame deletions/insertions in a nonrepeat region or stop-loss variants
SEPIO-CG:99031 PM5 Novel missense change at an amino acid residue where a different missense change determined to be pathogenic has been seen before
SEPIO-CG:99032 PM6 Assumed de novo, but without confirmation of paternity and maternity
SEPIO-CG:99033 PP1 Cosegregation with disease in multiple affected family members in a gene definitively known to cause the disease
SEPIO-CG:99034 PP2 Missense variant in a gene that has a low rate of benign missense variation and in which missense variants are a common mechanism of disease
SEPIO-CG:99035 PP3 Multiple lines of computational evidence support a deleterious effect on the gene or gene product (conservation, evolutionary, splicing impact, etc.)
SEPIO-CG:99036 PP4 Patient’s phenotype or family history is highly specific for a disease with a single genetic etiology
SEPIO-CG:99037 PP5 Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratory to perform an independent evaluation
SEPIO-CG:99038 BA1 Allele frequency is >5% in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium
SEPIO-CG:99039 BS1 Allele frequency is greater than expected for disorder
SEPIO-CG:99040 BS2 Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age
SEPIO-CG:99041 BS3 Well-established in vitro or in vivo functional studies show no damaging effect on protein function or splicing
SEPIO-CG:99042 BS4 Lack of segregation in affected members of a family
SEPIO-CG:99043 BP1 Missense variant in a gene for which primarily truncating variants are known to cause disease
SEPIO-CG:99044 BP2 Observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder or observed in cis with a pathogenic variant in any inheritance pattern
SEPIO-CG:99045 BP3 In-frame deletions/insertions in a repetitive region without a known function
SEPIO-CG:99046 BP4 Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary, splicing impact, etc.)
SEPIO-CG:99047 BP5 Variant found in a case with an alternate molecular basis for disease
SEPIO-CG:99048 BP6 Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation
SEPIO-CG:99049 BP7 A synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence nor the creation of a new splice site AND the nucleotide is not highly conserved