rs140833277

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 2P and 9B. PM1BP4_StrongBP6BS2

The NM_152743.4(BRAT1):​c.434C>T​(p.Ala145Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00112 in 1,566,410 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict 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. A145T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00090 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0011 ( 2 hom. )

Consequence

BRAT1
NM_152743.4 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 1.30

Publications

5 publications found
Variant links:
Genes affected
BRAT1 (HGNC:21701): (BRCA1 associated ATM activator 1) The protein encoded by this ubiquitously expressed gene interacts with the tumor suppressing BRCA1 (breast cancer 1) protein and and the ATM (ataxia telangiectasia mutated) protein. ATM is thought to be a master controller of cell cycle checkpoint signalling pathways that are required for cellular responses to DNA damage such as double-strand breaks that are induced by ionizing radiation and complexes with BRCA1 in the multi-protein complex BASC (BRAC1-associated genome surveillance complex). The protein encoded by this gene is thought to play a role in the DNA damage pathway regulated by BRCA1 and ATM. [provided by RefSeq, Mar 2012]
BRAT1 Gene-Disease associations (from GenCC):
  • neonatal-onset encephalopathy with rigidity and seizures
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, ClinGen, G2P, Labcorp Genetics (formerly Invitae)
  • neurodevelopmental disorder with cerebellar atrophy and with or without seizures
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 3 benign, 10 uncertain in NM_152743.4
BP4
Computational evidence support a benign effect (MetaRNN=0.020778626).
BP6
Variant 7-2543959-G-A is Benign according to our data. Variant chr7-2543959-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 540180.
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BRAT1NM_152743.4 linkc.434C>T p.Ala145Val missense_variant Exon 5 of 14 ENST00000340611.9 NP_689956.2 Q6PJG6-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BRAT1ENST00000340611.9 linkc.434C>T p.Ala145Val missense_variant Exon 5 of 14 1 NM_152743.4 ENSP00000339637.4 Q6PJG6-1

Frequencies

GnomAD3 genomes
AF:
0.000902
AC:
136
AN:
150716
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000147
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00198
Gnomad ASJ
AF:
0.00290
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000191
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00121
Gnomad OTH
AF:
0.00290
GnomAD2 exomes
AF:
0.000818
AC:
178
AN:
217476
AF XY:
0.000746
show subpopulations
Gnomad AFR exome
AF:
0.000291
Gnomad AMR exome
AF:
0.00108
Gnomad ASJ exome
AF:
0.00214
Gnomad EAS exome
AF:
0.0000604
Gnomad FIN exome
AF:
0.000863
Gnomad NFE exome
AF:
0.00107
Gnomad OTH exome
AF:
0.000196
GnomAD4 exome
AF:
0.00114
AC:
1620
AN:
1415576
Hom.:
2
Cov.:
33
AF XY:
0.00109
AC XY:
762
AN XY:
697840
show subpopulations
African (AFR)
AF:
0.000247
AC:
8
AN:
32372
American (AMR)
AF:
0.000888
AC:
37
AN:
41666
Ashkenazi Jewish (ASJ)
AF:
0.00283
AC:
69
AN:
24368
East Asian (EAS)
AF:
0.0000262
AC:
1
AN:
38174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81948
European-Finnish (FIN)
AF:
0.000413
AC:
21
AN:
50908
Middle Eastern (MID)
AF:
0.000179
AC:
1
AN:
5588
European-Non Finnish (NFE)
AF:
0.00131
AC:
1421
AN:
1082380
Other (OTH)
AF:
0.00107
AC:
62
AN:
58172
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
78
156
233
311
389
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
62
124
186
248
310
<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:
0.000902
AC:
136
AN:
150834
Hom.:
0
Cov.:
31
AF XY:
0.00107
AC XY:
79
AN XY:
73722
show subpopulations
African (AFR)
AF:
0.000147
AC:
6
AN:
40892
American (AMR)
AF:
0.00198
AC:
30
AN:
15144
Ashkenazi Jewish (ASJ)
AF:
0.00290
AC:
10
AN:
3452
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5116
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4796
European-Finnish (FIN)
AF:
0.000191
AC:
2
AN:
10490
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00121
AC:
82
AN:
67666
Other (OTH)
AF:
0.00287
AC:
6
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
6
12
18
24
30
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00117
Hom.:
0
Bravo
AF:
0.000922
ESP6500AA
AF:
0.000230
AC:
1
ESP6500EA
AF:
0.000947
AC:
8
ExAC
AF:
0.000782
AC:
94

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Nov 01, 2017
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 03, 2019
Athena Diagnostics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 18, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

BRAT1-related disorder Benign:1
Oct 18, 2022
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

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). -

Neonatal-onset encephalopathy with rigidity and seizures Benign:1
Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
20
DANN
Benign
0.22
DEOGEN2
Benign
0.0023
T
Eigen
Benign
-0.82
Eigen_PC
Benign
-0.76
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.64
T
M_CAP
Benign
0.046
D
MetaRNN
Benign
0.021
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.7
L
PhyloP100
1.3
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.028
Sift
Benign
0.25
T
Sift4G
Benign
0.80
T
Polyphen
0.033
B
Vest4
0.29
MVP
0.26
MPC
0.048
ClinPred
0.0061
T
GERP RS
3.3
Varity_R
0.023
gMVP
0.23
Mutation Taster
=97/3
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.12
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: rs140833277; hg19: chr7-2583593; COSMIC: COSV100500406; COSMIC: COSV100500406; API