NM_007294.4:c.4600G>A
Variant summary
Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBP6_Very_Strong
The NM_007294.4(BRCA1):c.4600G>A(p.Val1534Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000329 in 1,614,162 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★). Synonymous variant affecting the same amino acid position (i.e. VE1534A?) has been classified as Pathogenic.
Frequency
Consequence
NM_007294.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -12 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00134 AC: 204AN: 152200Hom.: 0 Cov.: 31
GnomAD3 exomes AF: 0.000386 AC: 97AN: 251360Hom.: 0 AF XY: 0.000287 AC XY: 39AN XY: 135838
GnomAD4 exome AF: 0.000224 AC: 327AN: 1461844Hom.: 1 Cov.: 31 AF XY: 0.000194 AC XY: 141AN XY: 727224
GnomAD4 genome AF: 0.00134 AC: 204AN: 152318Hom.: 0 Cov.: 31 AF XY: 0.00137 AC XY: 102AN XY: 74470
ClinVar
Submissions by phenotype
not specified Benign:8Other:1
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The p.Val1534Met variant has been observed in the literature in 5/5288 proband chromosomes of individuals with hereditary breast cancer, ovarian cancer and prostate cancer. It was not detected in any of the 360 control chromosomes evaluated (Abkevich 2004, Carvalho 2007, Chenevix-Trench 2006, Hondow 2011, Iversen 2011, Leongamornlert 2012, Velasco 2005, Millot 2012). The variant was also observed by our lab in one unaffected individual in a family where a different pathogenic variant was reported, increasing the likelihood this variant does not have clinical significance. The variant was also identified in ClinVar by GeneDx (benign), and by Invitae and ITMI (significance not provided). It is listed in the dbSNP database (ID#: rs55815649) as coming from a clinical source with a global minor allele frequency (MAF) of 0.001, having been observed thrice in 3,000 chromosomes. It has been reported in the UMD (x8 as neutral), BIC (x26 as VUS), and EVS (ACMG 3) databases. This residue is not conserved in mammals and the variant amino acid Methionine (Met) is present in the dog. Computational analyses (PolyPhen, SIFT, AlignGVGD) does not predict any effect on the protein function, increasing the likelihood this variant does not have functional significance. In addition, in one of the functional studies that measured the transactivation activity of BRCA1, the activity level of the variant was comparable to the wild-type protein in mammalian cells (Carvalho 2007). In summary, based on the above information, this variant is classified as benign. -
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Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: ExAC: 0.5% (52/10406) African chromosomes; ClinVar: 2 labs classify as LB; 5 papers describe as nonpathogenic -
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Breast-ovarian cancer, familial, susceptibility to, 1 Uncertain:1Benign:5
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IARC class based on posterior probability from multifactorial likelihood analysis, thresholds for class as per Plon et al. 2008 (PMID: 18951446). Class 1 based on posterior probability = 0.000000000074 -
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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. -
Hereditary breast ovarian cancer syndrome Benign:4
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Variant summary: (1) Variant is found in a non-conserved region with a high prevalence in control individuals (22/7,595), (2) Variant is reported to co-occur with other potentially pathogenic variants in BRCA1 (p.Glu1413AspfsX2, 2 - p.Gln1240X) and 1 BRCA2 (p.Ile1874ArgfsX34)(UMD), (3) Functional studies suggest comparable activity levels to wild type (Carvalho_BRCA1_CR_2007) and (4) multiple databases and publications classify variant as benign/neutral (Emory genetics, UMD, ARUP, Easton_2007, Carvalho_2007, Chenevix-Trench_2006 and Lindor_2012) . -
not provided Benign:3
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BRCA1: BP4, BS1, BS2 -
Breast and/or ovarian cancer Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at