Example · DNA repairBRCA1 c.5266dupC (p.Gln1756Profs*74)
chr17:43057078 (GRCh38)
- ClinVar classification
- Pathogenic (3★ review status)
- Variation ID
- VCV000055407
- ACMG criteria
- PVS1, PM2, PP5
- Classification
- Class 5 (Pathogenic)
- gnomAD v4.1 frequency
- 0.00012% (global)
- Population context
- Founder variant in specific populations (see literature citations)
- Literature
- Struewing et al. 1997 (NEJM); Hartman et al. 2012 (BRCA1 founder mutations)
Frameshift variant in BRCA1 exon 20. Predicted to cause loss of function via nonsense-mediated decay. One of three Ashkenazi Jewish founder mutations. Flagged for physician review under ACMG guidelines.
Example · PharmacogenomicsCYP2C19*2 (rs4244285)
chr10:94781859 (GRCh38)
- PharmGKB annotation
- Level 1A
- Allele function
- No function
- Metabolizer status
- Intermediate (*1/*2) or Poor (*2/*2)
- gnomAD v4.1 frequency
- 15.1% (global)
- Population context
- 20–25% in East Asian populations
- Clinical guidelines
- CPIC (clopidogrel, PPIs, voriconazole, SSRIs)
Most common CYP2C19 loss-of-function variant. Associated with altered metabolism of multiple medications. CPIC guidelines recommend alternative therapy or dose adjustment for affected individuals. Flagged for physician awareness during prescribing decisions.
Example · Variant of limited significanceMTHFR c.665C>T (rs1801133, C677T)
chr1:11796321 (GRCh38)
- ClinVar classification
- Benign / Risk factor (conflicting interpretations, reviewed)
- gnomAD v4.1 frequency
- 32% heterozygous, 9% homozygous (global)
- Enzyme activity
- ~65% (heterozygous), ~30% (homozygous)
- Clinical relevance
- Limited evidence for most claimed associations
High-frequency common variant extensively studied but with limited clinical significance for most claimed associations. Modest effect on folate metabolism. Atlas Delphi reports population frequency context to help distinguish common variants from actionable findings. Included here to illustrate how the report handles variants that are frequently overinterpreted online.