Our verdict is Uncertain significance. Variant got 0 ACMG points: 0P and 0B.
The NM_007294.4(BRCA1):c.290C>G(p.Thr97Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00000496 in 1,613,494 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. T97T) has been classified as Likely benign.
BRCA1 (HGNC:1100): (BRCA1 DNA repair associated) This gene encodes a 190 kD nuclear phosphoprotein that plays a role in maintaining genomic stability, and it also acts as a tumor suppressor. The BRCA1 gene contains 22 exons spanning about 110 kb of DNA. The encoded protein combines with other tumor suppressors, DNA damage sensors, and signal transducers to form a large multi-subunit protein complex known as the BRCA1-associated genome surveillance complex (BASC). This gene product associates with RNA polymerase II, and through the C-terminal domain, also interacts with histone deacetylase complexes. This protein thus plays a role in transcription, DNA repair of double-stranded breaks, and recombination. Mutations in this gene are responsible for approximately 40% of inherited breast cancers and more than 80% of inherited breast and ovarian cancers. Alternative splicing plays a role in modulating the subcellular localization and physiological function of this gene. Many alternatively spliced transcript variants, some of which are disease-associated mutations, have been described for this gene, but the full-length natures of only some of these variants has been described. A related pseudogene, which is also located on chromosome 17, has been identified. [provided by RefSeq, May 2020]
Breast-ovarian cancer, familial, susceptibility to, 1 Uncertain:2Other:1
Sep 20, 2016
Counsyl
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing
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May 01, 2012
Sharing Clinical Reports Project (SCRP)
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing
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Brotman Baty Institute, University of Washington
Significance: not provided
Review Status: no classification provided
Collection Method: in vitro
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not provided Uncertain:1
Feb 06, 2023
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing
Published functional studies are inconclusive: partial reduction in BARD1 binding ability, ubiquitine ligase activity, and cell survival (Starita et al., 2015; Findlay et al., 2018); Not observed in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Also known as 409C>G; This variant is associated with the following publications: (PMID: 30209399, 25823446, 30219179, 29884841, 24389207, 20104584, 32377563) -
Review Status: criteria provided, single submitter
Collection Method: clinical testing
The p.T97R variant (also known as c.290C>G), located in coding exon 4 of the BRCA1 gene, results from a C to G substitution at nucleotide position 290. The threonine at codon 97 is replaced by arginine, an amino acid with similar properties. This alteration was partially functional in a high-throughput, genome editing, haploid cell survival assay (Findlay GM et al. Nature, 2018 10;562:217-222; Starita LM et al. Am J Hum Genet, 2018 10;103:498-508). This amino acid position is well conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Hereditary breast ovarian cancer syndrome Uncertain:1
Sep 23, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing
This sequence change replaces threonine, which is neutral and polar, with arginine, which is basic and polar, at codon 97 of the BRCA1 protein (p.Thr97Arg). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with BRCA1-related conditions. ClinVar contains an entry for this variant (Variation ID: 96909). Invitae Evidence Modeling incorporating data from in vitro experimental studies (PMID: 30209399) did not meet the statistical confidence thresholds required to predict the impact of this variant on BRCA1 function. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on BRCA1 function (PMID: 25823446, 30209399). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Loss of catalytic residue at T97 (P = 0.0397);Loss of catalytic residue at T97 (P = 0.0397);Loss of catalytic residue at T97 (P = 0.0397);Loss of catalytic residue at T97 (P = 0.0397);.;Loss of catalytic residue at T97 (P = 0.0397);.;Loss of catalytic residue at T97 (P = 0.0397);.;.;Loss of catalytic residue at T97 (P = 0.0397);Loss of catalytic residue at T97 (P = 0.0397);Loss of catalytic residue at T97 (P = 0.0397);.;Loss of catalytic residue at T97 (P = 0.0397);Loss of catalytic residue at T97 (P = 0.0397);.;.;