Evidence map›Paper›PMID 40496714›Full record

ArticleGenetics in medicine open2025

Updated ACMG/AMP specifications for variant interpretation and gene curations from the ClinGen RASopathy expert panels.

Emma H Wilcox, Ryan F Webb, Kezang C Tshering, Madeline Y Hughes, Hélène Cavé, Marina T DiStefano, Hannah Dziadzio, Kate Garber, Bruce D Gelb, Karen W Gripp and 9 more

Abstract read
In one paragraph

Article in Genetics in medicine open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Association ofBiomedicines · 2025
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  14. Case Report:Frontiers in endocrinology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Emma H WilcoxMedical and Population Genetics Program, Broad Institute of MIT and Harvard, Cambridge, MA.
Ryan F WebbMedical and Population Genetics Program, Broad Institute of MIT and Harvard, Cambridge, MA.
Kezang C TsheringMedical and Population Genetics Program, Broad Institute of MIT and Harvard, Cambridge, MA.
Madeline Y HughesMedical and Population Genetics Program, Broad Institute of MIT and Harvard, Cambridge, MA.
Hélène CavéDépartement de Génétique, Hôpital Robert Debré (AP-HP), and Université Paris-Cité, Paris, France.
Marina T DiStefanoMedical and Population Genetics Program, Broad Institute of MIT and Harvard, Cambridge, MA.
Hannah DziadzioMedical and Population Genetics Program, Broad Institute of MIT and Harvard, Cambridge, MA.
Kate GarberDepartment of Human Genetics, Emory School of Medicine, Atlanta, GA.
Bruce D GelbMindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Karen W GrippDivision of Medical Genetics, Nemours Children's Hospital, Wilmington, DE.
Shoji IchikawaAmbry Genetics, Aliso Viejo, CA.
Jennifer A LeeGreenwood Genetic Center, Greenwood, SC.
Hannah McCurryMedical and Population Genetics Program, Broad Institute of MIT and Harvard, Cambridge, MA.
Marco TartagliaOspedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy.
Bradley WilliamsGeneDx, Gaithersburg, MD.
Martin ZenkerInstitute of Human Genetics, University Hospital Magdeburg, Magdeburg, Germany.
Lisa M VincentNatera Inc, Austin, TX.
Heather Mason-SuaresMass General Brigham, Laboratory for Molecular Medicine, Cambridge, MA.
ClinGen RASopathy Expert Panel

Funding

Resource ProjectU41HG006834 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI REHM, HEIDI L · 2013 to 2020
$26.9M
ClinGen AI Data Delivery SupplementU24HG006834 · NHGRI · BROAD INSTITUTE, INC. · PI Marina DiStefano, CHRISTA LESE MARTIN · 2021 to 2026
$26.7M
The Future of PharmGKB Funding Under NHGRIU41HG009649 · NHGRI · STANFORD UNIVERSITY · PI BUSTAMANTE, CARLOS DANIEL · 2017 to 2020
$13.4M
The Clinical Genome Resource - Expert Curation and EHR IntegrationU41HG009650 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S · 2017 to 2020
$13.3M
Primary Mitochondrial Disease Expert Curation PanelU24HD093483 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI FALK, MARNI J, GAI, XIAOWU · 2017 to 2023
$2.2M
Curation of genetic defects causing combined immunodeficiency and infections in childrenU24HD104590 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI CHINN, IVAN KINGYUE, TORGERSON, TROY R · 2021 to 2025
$2.1M
ClinGen Expert Curation Panel for the EpilepsiesU24NS120854 · NINDS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Ingo Helbig, HEATHER C. MEFFORD · 2021 to 2026
$2.0M
Integrative Curation of Clinically Relevant Variants in X-Linked Inherited Retinal Disease GenesU24EY032451 · NEI · BAYLOR COLLEGE OF MEDICINE · PI KIM C WORLEY · 2022 to 2026
$1.7M
Myeloid Malignancy Variant Curation Expert PanelU24CA258118 · NCI · UNIVERSITY OF CHICAGO · PI LUCY Ann GODLEY, David Wu · 2021 to 2026
$1.7M
Gene Curation Expert Panel for Syndromic DisordersU24HD104591 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Anne O'Donnell-Luria · 2022 to 2026
$1.5M
Prenatal Gene Curation Expert Panel for Severe Structural Anomalies and StillbirthU24HD104588 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Wendy K Chung, IGNATIA B VAN DEN VEYVER · 2021 to 2026
$1.4M
Curation Expert Panels for BRCA1/2 and Hereditary Breast, Ovarian and Pancreatic (HBOP) Cancer GenesU24CA258058 · NCI · MAYO CLINIC ROCHESTER · PI Fergus Joseph Couch · 2022 to 2026
$1.3M
NCI NIH HHS U24 CA258058NCI NIH HHS U24 CA258115NCI NIH HHS U24 CA258118NCI NIH HHS U24 CA258119NEI NIH HHS U24 EY032451NEI NIH HHS U24 EY033699NHGRI NIH HHS U24 HG006834NHGRI NIH HHS U41 HG006834NHGRI NIH HHS U41 HG009649NHGRI NIH HHS U41 HG009650NICHD NIH HHS U24 HD093483NICHD NIH HHS U24 HD104588NICHD NIH HHS U24 HD104590NICHD NIH HHS U24 HD104591NICHD NIH HHS U24 HD104592NICHD NIH HHS U24 HD108087NINDS NIH HHS U24 NS120854NINDS NIH HHS U24 NS120858
6 · The paper itself

Abstract

Purpose: The ClinGen RASopathy (RAS) Variant Curation Expert Panel (VCEP) previously established RASopathy specifications to the American College of Medical Genetics and Genomics (ACMG) and Association of Molecular Pathology (AMP) variant classification framework for more consistent and accurate variant classification. Advances in the understanding of RASopathies and new clinical genetic testing algorithms required updated specifications. Methods: The RAS Gene Curation Expert Panel recurated 6 gene-disease relationships, and the RAS VCEP evaluated the previous specifications to develop updated RASopathy specifications for the ACMG/AMP framework. The performance of these updated specifications was tested by reassessing 59 previously classified variants and 88 new pilot variants. Results: Five gene-disease relationships were upgraded to Definitive, whereas 1 was upgraded to Moderate. Updated specifications were applied to 11 ACMG/AMP criteria for disorders with a dominant inheritance, 3 criteria for recessive inheritance, and 4 criteria to align with recommendations from the ClinGen Sequence Variant Interpretation Working Group. Assessment of variants demonstrated no major shifts in classifications compared with previous RAS VCEP or ClinVar classifications. Conclusion: Updated RASopathy specifications improve the classification of variants associated with recessive disease and observed in exome/genome cases. Most of these specifications may also be used as a baseline for other rare Mendelian disorders.

Indexed as

ClinGenNoonanRas/MAPKRASopathyVariant interpretation

Identifiers

PMID40496714
PMCPMC12151217

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.