NM_007294.4:c.2077G>A

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_007294.4(BRCA1):​c.2077G>A​(p.Asp693Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0698 in 1,613,950 control chromosomes in the GnomAD database, including 4,445 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 Benign (★★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D693E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.057 ( 338 hom., cov: 32)
Exomes 𝑓: 0.071 ( 4107 hom. )

Consequence

BRCA1
NM_007294.4 missense

Scores

2
15

Clinical Significance

Benign reviewed by expert panel B:34O:1

Conservation

PhyloP100: 0.205

Publications

148 publications found
Variant links:
Genes affected
BRCA1 (HGNC:1100): (BRCA1 DNA repair associated) This gene encodes a 190 kD nuclear phosphoprotein that plays a role in maintaining genomic stability, and it also acts as a tumor suppressor. The BRCA1 gene contains 22 exons spanning about 110 kb of DNA. The encoded protein combines with other tumor suppressors, DNA damage sensors, and signal transducers to form a large multi-subunit protein complex known as the BRCA1-associated genome surveillance complex (BASC). This gene product associates with RNA polymerase II, and through the C-terminal domain, also interacts with histone deacetylase complexes. This protein thus plays a role in transcription, DNA repair of double-stranded breaks, and recombination. Mutations in this gene are responsible for approximately 40% of inherited breast cancers and more than 80% of inherited breast and ovarian cancers. Alternative splicing plays a role in modulating the subcellular localization and physiological function of this gene. Many alternatively spliced transcript variants, some of which are disease-associated mutations, have been described for this gene, but the full-length natures of only some of these variants has been described. A related pseudogene, which is also located on chromosome 17, has been identified. [provided by RefSeq, May 2020]
BRCA1 Gene-Disease associations (from GenCC):
  • BRCA1-related cancer predisposition
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • breast-ovarian cancer, familial, susceptibility to, 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • Fanconi anemia, complementation group S
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, LIMITED Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • pancreatic cancer, susceptibility to, 4
    Inheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
  • hereditary breast ovarian cancer syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Fanconi anemia
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0017115176).
BP6
Variant 17-43093454-C-T is Benign according to our data. Variant chr17-43093454-C-T is described in ClinVar as Benign. ClinVar VariationId is 41808.Status of the report is reviewed_by_expert_panel, 3 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0749 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_007294.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BRCA1
NM_007294.4
MANE Select
c.2077G>Ap.Asp693Asn
missense
Exon 10 of 23NP_009225.1P38398-1
BRCA1
NM_001407581.1
c.2077G>Ap.Asp693Asn
missense
Exon 10 of 24NP_001394510.1A0A2R8Y7V5
BRCA1
NM_001407582.1
c.2077G>Ap.Asp693Asn
missense
Exon 10 of 24NP_001394511.1A0A2R8Y7V5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BRCA1
ENST00000357654.9
TSL:1 MANE Select
c.2077G>Ap.Asp693Asn
missense
Exon 10 of 23ENSP00000350283.3P38398-1
BRCA1
ENST00000471181.7
TSL:1
c.2077G>Ap.Asp693Asn
missense
Exon 10 of 24ENSP00000418960.2P38398-7
BRCA1
ENST00000470026.6
TSL:1
c.2077G>Ap.Asp693Asn
missense
Exon 10 of 23ENSP00000419274.2P38398-1

Frequencies

GnomAD3 genomes
AF:
0.0569
AC:
8658
AN:
152126
Hom.:
338
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0231
Gnomad AMI
AF:
0.0471
Gnomad AMR
AF:
0.0536
Gnomad ASJ
AF:
0.0862
Gnomad EAS
AF:
0.000577
Gnomad SAS
AF:
0.0323
Gnomad FIN
AF:
0.0960
Gnomad MID
AF:
0.0791
Gnomad NFE
AF:
0.0767
Gnomad OTH
AF:
0.0608
GnomAD2 exomes
AF:
0.0584
AC:
14674
AN:
251126
AF XY:
0.0596
show subpopulations
Gnomad AFR exome
AF:
0.0234
Gnomad AMR exome
AF:
0.0336
Gnomad ASJ exome
AF:
0.0941
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.0898
Gnomad NFE exome
AF:
0.0772
Gnomad OTH exome
AF:
0.0658
GnomAD4 exome
AF:
0.0711
AC:
103938
AN:
1461706
Hom.:
4107
Cov.:
34
AF XY:
0.0697
AC XY:
50660
AN XY:
727150
show subpopulations
African (AFR)
AF:
0.0234
AC:
782
AN:
33480
American (AMR)
AF:
0.0360
AC:
1609
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.0922
AC:
2408
AN:
26130
East Asian (EAS)
AF:
0.000101
AC:
4
AN:
39688
South Asian (SAS)
AF:
0.0359
AC:
3100
AN:
86240
European-Finnish (FIN)
AF:
0.0862
AC:
4598
AN:
53364
Middle Eastern (MID)
AF:
0.0742
AC:
428
AN:
5768
European-Non Finnish (NFE)
AF:
0.0782
AC:
86992
AN:
1111924
Other (OTH)
AF:
0.0665
AC:
4017
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
5912
11823
17735
23646
29558
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3170
6340
9510
12680
15850
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0568
AC:
8651
AN:
152244
Hom.:
338
Cov.:
32
AF XY:
0.0566
AC XY:
4215
AN XY:
74440
show subpopulations
African (AFR)
AF:
0.0230
AC:
954
AN:
41540
American (AMR)
AF:
0.0534
AC:
817
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.0862
AC:
299
AN:
3468
East Asian (EAS)
AF:
0.000578
AC:
3
AN:
5190
South Asian (SAS)
AF:
0.0319
AC:
154
AN:
4830
European-Finnish (FIN)
AF:
0.0960
AC:
1017
AN:
10598
Middle Eastern (MID)
AF:
0.0782
AC:
23
AN:
294
European-Non Finnish (NFE)
AF:
0.0767
AC:
5214
AN:
68004
Other (OTH)
AF:
0.0601
AC:
127
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
413
825
1238
1650
2063
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
96
192
288
384
480
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0685
Hom.:
1334
Bravo
AF:
0.0536
TwinsUK
AF:
0.0836
AC:
310
ALSPAC
AF:
0.0890
AC:
343
ESP6500AA
AF:
0.0232
AC:
102
ESP6500EA
AF:
0.0702
AC:
604
ExAC
AF:
0.0568
AC:
6894
Asia WGS
AF:
0.0160
AC:
54
AN:
3478
EpiCase
AF:
0.0778
EpiControl
AF:
0.0835

ClinVar

ClinVar submissions
Significance:Benign
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
10
Breast-ovarian cancer, familial, susceptibility to, 1 (10)
-
-
7
not specified (8)
-
-
5
not provided (5)
-
-
4
Hereditary breast ovarian cancer syndrome (4)
-
-
4
Hereditary cancer-predisposing syndrome (4)
-
-
2
Familial cancer of breast (2)
-
-
1
BRCA1-related cancer predisposition (1)
-
-
1
Familial cancer of breast;C2676676:Breast-ovarian cancer, familial, susceptibility to, 1;C3280442:Pancreatic cancer, susceptibility to, 4;C4554406:Fanconi anemia, complementation group S (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
7.1
DANN
Uncertain
0.99
DEOGEN2
Benign
0.14
T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.81
T
MetaRNN
Benign
0.0017
T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
0.34
N
PhyloP100
0.20
PrimateAI
Benign
0.23
T
PROVEAN
Benign
0.030
N
REVEL
Benign
0.13
Sift
Uncertain
0.012
D
Sift4G
Benign
0.18
T
Polyphen
0.0
B
Vest4
0.21
MPC
0.080
ClinPred
0.0054
T
GERP RS
1.2
Varity_R
0.046
gMVP
0.077
Mutation Taster
=99/1
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
Splicevardb
1.0
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs4986850; hg19: chr17-41245471; COSMIC: COSV58789708; COSMIC: COSV58789708; API