3-52403293-C-T
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP6BS2
The NM_004656.4(BAP1):c.1735G>A(p.Gly579Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000688 in 1,613,896 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G579E) has been classified as Uncertain significance.
Frequency
Consequence
NM_004656.4 missense
Scores
Clinical Significance
Conservation
Publications
- BAP1-related tumor predisposition syndromeInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Ambry Genetics, G2P, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
- Kury-Isidor syndromeInheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, G2P
- renal cell carcinomaInheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
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ACMG classification
Our verdict: Likely_benign. The variant received -5 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| BAP1 | NM_004656.4 | c.1735G>A | p.Gly579Arg | missense_variant | Exon 14 of 17 | ENST00000460680.6 | NP_004647.1 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000112 AC: 17AN: 152206Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.0000438 AC: 11AN: 251074 AF XY: 0.0000516 show subpopulations
GnomAD4 exome AF: 0.0000636 AC: 93AN: 1461572Hom.: 4 Cov.: 32 AF XY: 0.0000536 AC XY: 39AN XY: 727080 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000118 AC: 18AN: 152324Hom.: 0 Cov.: 33 AF XY: 0.0000403 AC XY: 3AN XY: 74498 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:2Benign:2
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The BAP1 p.G579R variant was identified in the literature in a squamous cell lung cancer tumor, mucosal melanoma tumor tissue and a patient with uterine corpus endometrial carcinoma (Paik_2015_PMID:25929848; Cosgarea_2017_PMID:28380455; Lu_2015_PMID:26689913). The variant was identified in dbSNP (ID: rs370004702) and ClinVar (classified as uncertain significance by GeneDx, Illumina and Invitae, and as likely benign by Color and Ambry Genetics) but was not identified in Cosmic or LOVD 3.0. The variant was identified in control databases in 14 of 282440 chromosomes at a frequency of 0.00004957 (Genome Aggregation Database March 6, 2019, v2.1.1). The variant was observed in the following populations: East Asian in 9 of 19952 chromosomes (freq: 0.000451), Other in 1 of 7220 chromosomes (freq: 0.000139), African in 2 of 24956 chromosomes (freq: 0.00008), Latino in 1 of 35428 chromosomes (freq: 0.000028) and European (non-Finnish) in 1 of 129076 chromosomes (freq: 0.000008), but was not observed in the Ashkenazi Jewish, European (Finnish), or South Asian populations. The p.Gly579 residue is conserved in mammals and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) provide inconsistent predictions regarding the impact to the protein; this information is not very predictive of pathogenicity. The variant occurs outside of the splicing consensus sequence and three of four in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) predict a greater than 10% difference in splicing. However, this information is not predictive enough to assume pathogenicity. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as a variant of uncertain significance. -
In silico analysis supports that this missense variant does not alter protein structure/function; While protein-based in silico analysis supports that this variant does not alter protein structure/function, splice predictors suggest this variant may impact gene splicing. In the absence of RNA or functional studies, the actual effect of this sequence change is unknown.; This variant is associated with the following publications: (PMID: 27153395, 29684080, 25929848, 28380455, 26689913, 24728327) -
The BAP1 c.1735G>A; p.Gly579Arg variant (rs370004702) is reported in the literature in an individual with endometrial carcinoma (Lu 2015, supplemental data 12), as well as an individual with Cowden syndrome/Bannayan-Riley-Ruvalcaba syndrome (Yehia 2018, supplemental table 9). This variant is reported in ClinVar (Variation ID: 133666). It is found in the general population with an overall allele frequency of 0.005% (14/282440 alleles) in the Genome Aggregation Database. The glycine at codon 579 is highly conserved, but computational analyses (SIFT, PolyPhen-2) predict that this variant is tolerated. Due to limited information, the clinical significance of this variant is uncertain at this time. REFERENCES Lu C et al. Patterns and functional implications of rare germline variants across 12 cancer types. Nat Commun. 2015 Dec 22;6:10086. Yehia L et al. Unexpected cancer-predisposition gene variants in Cowden syndrome and Bannayan-Riley-Ruvalcaba syndrome patients without underlying germline PTEN mutations. PLoS Genet. 2018 Apr 23;14(4):e1007352. -
BAP1-related tumor predisposition syndrome Benign:3
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. -
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This variant is considered likely benign. Homozygosity has been confirmed in one or more individuals. As homozygosity for pathogenic variants in this gene is generally assumed to result in embryonic lethality, this variant is unlikely to be pathogenic. -
Hereditary cancer-predisposing syndrome Benign:3
This alteration is classified as likely 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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not specified Uncertain:1Other:1
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BAP1-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). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at