17-61808495-T-C
Variant summary
Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2
The NM_032043.3(BRIP1):c.890A>G(p.Lys297Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00154 in 1,613,820 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 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_032043.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -9 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00109 AC: 166AN: 152182Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.00106 AC: 266AN: 250882Hom.: 0 AF XY: 0.00107 AC XY: 145AN XY: 135564
GnomAD4 exome AF: 0.00159 AC: 2327AN: 1461520Hom.: 3 Cov.: 31 AF XY: 0.00153 AC XY: 1112AN XY: 727086
GnomAD4 genome AF: 0.00109 AC: 166AN: 152300Hom.: 0 Cov.: 32 AF XY: 0.000953 AC XY: 71AN XY: 74470
ClinVar
Submissions by phenotype
not provided Benign:6
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not specified Benign:4Other:1
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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Hereditary cancer-predisposing syndrome Benign:4
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This alteration is classified as 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. -
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Fanconi anemia complementation group J Uncertain:2Benign:1
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This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
Familial cancer of breast Benign:3
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This variant is considered likely benign. Homozygosity for this variant has been confirmed in one or more individuals lacking clinical features consistent with gene-specific recessive disease, indicating that this variant is unlikely to be pathogenic. -
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Breast and/or ovarian cancer Benign:1
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Familial cancer of breast;C1836860:Fanconi anemia complementation group J Benign:1
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BRIP1-related disorder Benign:1
This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Malignant tumor of breast Benign:1
The BRIP1 p.Lys297Arg variant was identified in 67 of 35802 proband chromosomes (frequency: 0.002) from British, American and European individuals or families with breast, ovarian or familial prostate cancer and was present in 1 of 704 control chromosomes (frequency: 0.001) from healthy individuals (Easton 2016, Kote-Jarai 2009, Ramus 2015, Yurgelun 2015, Bodian 2014). The variant was identified in dbSNP (ID: rs28997570) “With other allele”, ClinVar (classified benign by Ambry Genetics, likely benign by Invitae, Counsyl, Institute for Biomarker Research (Medical Diagnostic Laboratories L.L.C), Genetic Services Laboratory (University of Chicago), Quest Diagnostics Nichols Institute San Juan Capistrano, and GeneDx, and classification not provided by ITMI), Clinvitae (5x), and Zhejiang Colon Cancer Database (7x, coocurring with a pathogenic BRIP1 variant (c.2392C>T/p,Arg798X). The variant was not identified in Cosmic and MutDB. The variant was also identified in control databases in 285 of 276594 chromosomes at a frequency of 0.001 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). Breakdown of the observations by population include African in 10 of 24030 chromosomes (freq: 0.0004), Other in 6 of 6450 chromosomes (freq: 0.0009), Latino in 14 of 34408 chromosomes (freq: 0.0004), European Non-Finnish in 215 of 126148 chromosomes (freq: 0.002), European Finnish in 27 of 25788 chromosomes (freq: 0.001), and South Asian in 13 of 30770 chromosomes (freq: 0.0004), and was not observed in the Ashkenazi Jewish and East Asian populations. The p.Lys297 residue is conserved in mammals but not in more distantly related organisms however four out of five computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) do not suggest a high likelihood Arg impacts the protein; this information is not predictive enough to rule out pathogenicity. The variant occurs outside of the splicing consensus sequence and 2 of 5 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) predict a greater than 10% difference in splicing; this is not very predictive of 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. -
Ovarian neoplasm Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at