2-214752454-C-G
Variant summary
Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2
The NM_000465.4(BARD1):c.1670G>C(p.Cys557Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0206 in 1,606,188 control chromosomes in the GnomAD database, including 419 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Consequence
NM_000465.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -20 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0142 AC: 2158AN: 152146Hom.: 12 Cov.: 32
GnomAD3 exomes AF: 0.0152 AC: 3811AN: 251258Hom.: 55 AF XY: 0.0158 AC XY: 2139AN XY: 135800
GnomAD4 exome AF: 0.0213 AC: 30939AN: 1453924Hom.: 407 Cov.: 30 AF XY: 0.0212 AC XY: 15368AN XY: 723714
GnomAD4 genome AF: 0.0142 AC: 2159AN: 152264Hom.: 12 Cov.: 32 AF XY: 0.0134 AC XY: 994AN XY: 74446
ClinVar
Submissions by phenotype
not specified Benign:6
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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Familial cancer of breast Benign:6
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This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
This variant is considered benign. This variant has been observed at a population frequency that is significantly greater than expected given the associated disease prevalence and penetrance. This variant is strongly associated with less severe personal and family histories of cancer, typical for individuals without pathogenic variants in this gene [PMID: 25085752]. -
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Hereditary cancer-predisposing syndrome Benign:3
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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. -
not provided Benign:1
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Malignant tumor of breast Benign:1
The BARD1 p.Cys557Ser variant was identified in 466 of 24464 proband chromosomes (frequency: 0.019) from individuals or families with breast and ovarian (hereditary and sporadic) cancers, and was identified in 263 of 16634 chromosomes (frequency: 0.016) from healthy individuals (Ding 2011, Ghimenti 2002, Gonzalez_Hormazabal 2012). A meta-analysis done to assess if this variant was associated with increased risk of breast cancer found no evidence to support this association except in women with a strong family history where carriers were found to have a 3.4-fold increase of breast cancer risk (Gonzalez_Hormazabal 2012). In an Italian study looking at BRCA1 and BRCA2 negative HBOC families, the variant segregated with disease in 1 family, and through linkage anlaysis both BARD1 and BRCA2 were linked to disease in the family (Ghimenti 2002). Analysis of unselected breast and ovarian tumors identified the variant in an ovarian tumour in hemizyous state, with functional assays indicating it may contribute to cancer phenotype (Sauer 2005). The variant was also identified in dbSNP (ID: rs rs28997576) as “Other”, ClinVar (classification benign by GeneDx, Ambry Genetics, Invitae, Color Genomics Inc., likely benign by Illumina, and as risk factor by OMIM), and Zhejiang Colon Cancer Database (9X) and not in Cosmic and MutDB databases. The variant was identified in control databases in 4197 of 277016 (55 homozygous) chromosomes at a frequency of 0.015 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Consortium Feb 27, 2017), seen in the following populations at a frequency greater than 1%: Ashkenazi Jewish* in 238 of 10146 chromosomes (freq: 0.023), European (Non-Finnish) in 2914 of 126608 chromosomes (freq: 0.023), Other in 98 of 6456 chromosomes (freq: 0.015), and South Asian in 414 of 30782 chromosomes (freq: 0.013). The p.Cys557 residue is not conserved in mammals 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. 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. 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. -
Hereditary breast ovarian cancer syndrome Benign:1
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Breast cancer, susceptibility to Other:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at