17-35106488-C-T
Variant summary
Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2
The NM_002878.4(RAD51D):c.481-7G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000295 in 1,607,826 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Consequence
NM_002878.4 splice_region, intron
Scores
Clinical Significance
Conservation
Publications
- breast-ovarian cancer, familial, susceptibility to, 4Inheritance: AD Classification: STRONG, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
- hereditary breast ovarian cancer syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- hereditary breast carcinomaInheritance: AD Classification: LIMITED Submitted by: ClinGen
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ACMG classification
Our verdict: Benign. The variant received -20 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| RAD51D | NM_002878.4 | c.481-7G>A | splice_region_variant, intron_variant | Intron 5 of 9 | ENST00000345365.11 | NP_002869.3 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| RAD51D | ENST00000345365.11 | c.481-7G>A | splice_region_variant, intron_variant | Intron 5 of 9 | 1 | NM_002878.4 | ENSP00000338790.6 | |||
| ENSG00000267618 | ENST00000593039.5 | c.4-7G>A | splice_region_variant, intron_variant | Intron 1 of 6 | 2 | ENSP00000466834.1 |
Frequencies
GnomAD3 genomes AF: 0.00156 AC: 238AN: 152116Hom.: 1 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000346 AC: 84AN: 242490 AF XY: 0.000252 show subpopulations
GnomAD4 exome AF: 0.000161 AC: 235AN: 1455592Hom.: 0 Cov.: 30 AF XY: 0.000131 AC XY: 95AN XY: 723822 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00158 AC: 240AN: 152234Hom.: 1 Cov.: 32 AF XY: 0.00150 AC XY: 112AN XY: 74426 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 4 Benign:4
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This variant is considered benign. This variant is intronic and is not expected to impact mRNA splicing. This variant is strongly associated with less severe personal and family histories of cancer, typical for individuals without pathogenic variants in this gene [PMID: 25085752]. -
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This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -
not specified Benign:3
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This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
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not provided Benign:3
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RAD51D: BP4, BS1 -
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Hereditary cancer-predisposing syndrome Benign:3
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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. -
Breast and/or ovarian cancer Benign:1
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Malignant tumor of breast Benign:1
The RAD51D c.481-7G>A variant was identified in 2 of 6082 proband chromosomes (frequency: 0.0003) from individuals or families with breast cancer or Lynch syndrome (Tung 2015, Yurgelun 2015). The variant was also identified in dbSNP (ID: rs145832514 as "With other allele") and ClinVar (3x as benign by GeneDx, Invitae, and Integrated Genetics/Laboratory Corporation of America and 4x as likely benign by Counsyl, Color Genomics, EGL Genetic Diagnostics, and Quest Diagnostics Nichols Institute). The variant was not identified in Cosmic. The variant was identified in control databases in 134 of 268084 chromosomes at a frequency of 0.0005, increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: African in 124 of 22892 chromosomes (freq: 0.005), Other in 1 of 6294 chromosomes (freq: 0.0002), Latino in 6 of 33736 chromosomes (freq: 0.0002), European in 1 of 121706 chromosomes (freq: 0.000008), East Asian in 1 of 18750 chromosomes (freq: 0.00005), and South Asian in 1 of 29640 chromosomes (freq: 0.00003), while the variant was not observed in the Ashkenazi Jewish or Finnish populations. The c.481-7G>A variant is located in the 3' splice region but does not affect the invariant -1 and -2 positions. However, positions -3 and -5 to -12 are part of the splicing consensus sequence and variants involving these positions sometimes affect splicing. However, 5 of 5 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) do not predict a difference in splicing; however, this information is not predictive enough to rule out pathogenicity. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at