chr2-214728927-C-T
Variant summary
Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2
The NM_000465.4(BARD1):c.2083G>A(p.Val695Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000018 in 1,613,964 control chromosomes in the GnomAD database, with no homozygous occurrence. 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_000465.4 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: 0.0000197 AC: 3AN: 152104Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.00000796 AC: 2AN: 251252Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135796
GnomAD4 exome AF: 0.0000178 AC: 26AN: 1461860Hom.: 0 Cov.: 32 AF XY: 0.0000220 AC XY: 16AN XY: 727230
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152104Hom.: 0 Cov.: 32 AF XY: 0.0000404 AC XY: 3AN XY: 74298
ClinVar
Submissions by phenotype
Hereditary cancer-predisposing syndrome Uncertain:1Benign:2
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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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Familial cancer of breast Uncertain:2
This sequence change replaces valine, which is neutral and non-polar, with isoleucine, which is neutral and non-polar, at codon 695 of the BARD1 protein (p.Val695Ile). This variant is present in population databases (rs111367604, gnomAD 0.01%). This missense change has been observed in individual(s) with breast cancer and individuals undergoing clinical testing for hereditary breast and ovarian cancer (HBOC) (PMID: 26350354, 28709830, 34326862). ClinVar contains an entry for this variant (Variation ID: 141937). An algorithm developed to predict the effect of missense changes on protein structure and function outputs the following: PolyPhen-2: "Benign". The isoleucine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. Experimental studies have shown that this missense change does not substantially affect BARD1 function (PMID: 26350354). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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not provided Uncertain:1Benign:1
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Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis indicates that this missense variant does not alter protein structure/function; Published functional studies demonstrate no damaging effect: DNA repair activity comparable to wild type in a homology-directed repair (HDR) assay (PMID: 26350354); Reported in a patient with early onset breast cancer who also harbored a truncating variant in RAD51C and in an individual with ovarian cancer (PMID: 34326862, 28709830); This variant is associated with the following publications: (PMID: 17550235, 26350354, 34326862, 28709830) -
BARD1-related disorder Uncertain:1
The BARD1 c.2083G>A variant is predicted to result in the amino acid substitution p.Val695Ile. This variant has been reported in an individual with breast cancer that harbored variants in other genes (Schoolmeester et al. 2017. PubMed ID: 28709830, Table 1). Functional analysis using a homology-directed repair assay suggests this allele is functional (Lee et al.2015. PubMed ID: 26350354). This variant is reported in 0.0096% of alleles in individuals of Ashkenazi Jewish descent in gnomAD (http://gnomad.broadinstitute.org/variant/2-215593651-C-T) and has conflicting interpretations of likely benign and uncertain significance in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/141937/). Although we suspect that this variant may be benign, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at