17-43093105-T-C
Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 0P and 3B. BP4_ModerateBP6
The NM_007294.4(BRCA1):c.2426A>G(p.Glu809Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000285 in 1,613,550 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_007294.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -3 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152198Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000718 AC: 18AN: 250572Hom.: 0 AF XY: 0.0000812 AC XY: 11AN XY: 135436
GnomAD4 exome AF: 0.0000294 AC: 43AN: 1461352Hom.: 0 Cov.: 41 AF XY: 0.0000440 AC XY: 32AN XY: 726984
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152198Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74356
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 1 Uncertain:2Benign:1
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Hereditary cancer-predisposing syndrome Benign:3
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Missense variant in a coldspot region where missense variants are very unlikely to be pathogenic (PMID:31911673). -
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:1Benign:1
Variant summary: BRCA1 c.2426A>G (p.Glu809Gly) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 7.2e-05 in 250572 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in BRCA1 causing Hereditary Breast And Ovarian Cancer Syndrome, allowing no conclusion about variant significance. c.2426A>G has been reported in the literature in at least one individual affected with breast cancer (Darooei_2017). These report(s) do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication has been ascertained in the context of this evaluation (PMID: 28231738). ClinVar contains an entry for this variant (Variation ID: 37468). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Classification criteria: BP1_Strong -
not provided Benign:2
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Hereditary breast ovarian cancer syndrome Benign:2
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Malignant tumor of breast Uncertain:1
The BRCA1 p.Glu809Gly variant was not identified in the literature, but was identified in dbSNP (ID: rs397507201) “with uncertain significance allele”, the COSMIC database in one sample, and the ClinVar database where it was classified with “Uncertain significance” by the Sharing Reports Clinical Project (derived from Myriad reports). The variant was not identified in any control populations, including the Exome Variant Server ESP project, the Exome Aggregation Consortium (ExAC) database, 1000 Genomes project, or HAPMAP populations. The variant was also not identified in any other databases searched, including the HGMD, UMD, LOVD and BIC databases. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) do not predict a difference in splicing. The p.Glu809 residue conserved across most mammals but is not conserved in lower organisms, and four out of five computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) do not suggest a high likelihood of impact to the protein. 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. This variant is classified as a variant of unknown significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at