17-61799220-C-T
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PP3_Moderate
The NM_032043.3(BRIP1):c.1220G>A(p.Ser407Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00000496 in 1,613,516 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. S407G) 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 2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.0000329  AC: 5AN: 152088Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 251090 AF XY:  0.00000737   show subpopulations 
GnomAD4 exome  AF:  0.00000205  AC: 3AN: 1461428Hom.:  0  Cov.: 32 AF XY:  0.00  AC XY: 0AN XY: 727034 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000329  AC: 5AN: 152088Hom.:  0  Cov.: 32 AF XY:  0.0000269  AC XY: 2AN XY: 74286 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Hereditary cancer-predisposing syndrome    Uncertain:3 
This missense variant replaces serine with asparagine at codon 407 of the BRIP1 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function (internally defined REVEL score threshold 0.5 < inconclusive < 0.7, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has not been reported in individuals affected with hereditary cancer in the literature. This variant has been identified in 1/251090 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. -
The p.S407N variant (also known as c.1220G>A), located in coding exon 8 of the BRIP1 gene, results from a G to A substitution at nucleotide position 1220. The serine at codon 407 is replaced by asparagine, an amino acid with highly similar properties. 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. -
PM2_Supporting, PP3 c.1220G>A, located in exon 9 of the BRIP1 gene, is predicted to result in the substitution of serine by asparagine at codon 407, p.(Ser407Asn). This variant is found in 1/267950 alleles at a frequency of 0.0007% in the gnomAD v2.1.1 database, non-cancer dataset (PM2_supporting). The SpliceAI algorithm predicts no significant impact on splicing. The REVEL meta-predictor score for this variant (0.647) suggests a deleterious effect on protein function according to Pejaver 2022 thresholds (PMID: 36413997) (PP3). To our knowledge, neither relevant clinical data nor well-stablished functional studies have been reported for this variant. In addition, the variant has been identified in the ClinVar database (5x uncertain significance), but it is not present in the LOVD database. Based on currently available information, the variant c.1220G>A should be considered an uncertain significance variant. -
Familial cancer of breast;C1836860:Fanconi anemia complementation group J    Uncertain:1 
This sequence change replaces serine, which is neutral and polar, with asparagine, which is neutral and polar, at codon 407 of the BRIP1 protein (p.Ser407Asn). This variant is present in population databases (rs759835916, gnomAD 0.007%). 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: 232552). 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. -
not provided    Uncertain:1 
Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Familial cancer of breast    Uncertain:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at