17-61686147-C-T
Variant summary
Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP3
The NM_032043.3(BRIP1):c.2594G>A(p.Arg865Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000155 in 1,613,958 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R865W) has been classified as Uncertain significance.
Frequency
Consequence
NM_032043.3 missense
Scores
Clinical Significance
Conservation
Publications
- familial ovarian cancerInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- Fanconi anemiaInheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Illumina
- Fanconi anemia complementation group JInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, ClinGen, Ambry Genetics, Labcorp Genetics (formerly Invitae)
- hereditary breast carcinomaInheritance: AD Classification: STRONG, LIMITED, NO_KNOWN Submitted by: ClinGen, Genomics England PanelApp, Ambry Genetics, Labcorp Genetics (formerly Invitae)
- colorectal adenomaInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
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ACMG classification
Our verdict: Uncertain_significance. The variant received 1 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152080Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.00000799 AC: 2AN: 250442 AF XY: 0.00000737 show subpopulations
GnomAD4 exome AF: 0.0000151 AC: 22AN: 1461760Hom.: 0 Cov.: 34 AF XY: 0.0000179 AC XY: 13AN XY: 727186 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152198Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74398 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Hereditary cancer-predisposing syndrome Uncertain:3
The p.R865Q variant (also known as c.2594G>A), located in coding exon 18 of the BRIP1 gene, results from a G to A substitution at nucleotide position 2594. The arginine at codon 865 is replaced by glutamine, an amino acid with highly similar properties. In one study, this alteration was identified in 0/1313 cases of breast cancer and 1/1123 controls (Easton DF et al. J Med Genet, 2016 05;53:298-309). This amino acid position is highly conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
This missense variant replaces arginine with glutamine at codon 865 of the BRIP1 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function. To our knowledge, functional studies have not been reported for this variant. This variant has been reported in an individual affected with breast cancer (PMID: 34326862). In a breast cancer case-control study, this variant was absent in 1313 breast cancer cases and observed in 1/1123 controls (PMID: 26921362). This variant has been identified in 2/250442 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
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Familial cancer of breast Uncertain:3
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variant of uncertain significance was detected in the BRIP1 gene (c.2594G>A). This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 865 of the BRIP1 protein (p.Arg865Gln). This variant is present in population databases (rs781609846, gnomAD 0.01%). This amino acid position is moderate conserved ( PhyloP= 5.58 . This variant has not been reported in the literature in individuals affected with BRIP1-related conditions. ClinVar contains an entry for this variant (Variation ID: 186015). t In silico analysis supports that this missense variant has a deleterious effect on protein structure/function. 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. BRIP1 gene cause susceptibility to breast cancer (OMIM 114480). -
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not specified Uncertain:2
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Variant summary: BRIP1 c.2594G>A (p.Arg865Gln) results in a conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 1.5e-05 in 1613958 control chromosomes, predominantly at a frequency of 0.00012 within the African or African-American subpopulation in the gnomAD database. This exceeds the expected maximum pathogenic allele frequency for Hereditary Breast and Ovarian Cancer syndrome (0.00006) in the African or African-American subpopulation, however an insufficient number of control alleles were found to apply benign evidence. An additional control individual heterozygous for this variant was reported (Easton_2016). c.2594G>A has been reported in the literature in individuals affected with Hereditary Breast And Ovarian Cancer Syndrome and/or Adult acute lymphoblastic leukemia (examples, Bhai_2021, Douglas_2022). These report(s) do not provide unequivocal conclusions about association of the variant with BRIP1-related conditions. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 34326862, 35739278, 26921362). ClinVar contains an entry for this variant (Variation ID: 186015). Based on the evidence outlined above, the variant was classified as VUS-possibly benign. -
not provided Uncertain:2
Not observed at a significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Absent from breast cancer cases but observed in cancer-free controls in case-control study (Easton 2016); This variant is associated with the following publications: (PMID: 26921362) -
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Familial cancer of breast;C1836860:Fanconi anemia complementation group J Uncertain:1
This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 865 of the BRIP1 protein (p.Arg865Gln). This variant is present in population databases (rs781609846, gnomAD 0.01%). This missense change has been observed in individual(s) with BRIP1-related conditions (PMID: 34326862, 35739278). This missense change has been observed to be homozygous, hemizygous or homoplasmic in an individual who did not have the expected clinical features for that genetic result (internal data). ClinVar contains an entry for this variant (Variation ID: 186015). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed for this missense variant. However, the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on BRIP1 protein function. 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. -
BRIP1-related disorder Uncertain:1
The BRIP1 c.2594G>A (p.Arg865Gln) variant is a missense variant. A literature search was performed for the gene, cDNA change, and amino acid change. No publications were found based on this search. This variant is found at a frequency of 0.000205 in the African population of the Genome Aggregation Database but this is based on two alleles only in a region of good sequence coverage so the variant is presumed to be rare. Based on the limited evidence, the p.Arg865Gln variant is classified as a variant of uncertain significance for BRIP1-related disorders. -
Fanconi anemia complementation group J Uncertain:1
This variant was classified as: Uncertain significance. The available evidence on this variant's pathogenicity is insufficient or conflicting. The following ACMG criteria were applied in classifying this variant: PP3,BP1. -
Familial ovarian cancer Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at