rs45589637
Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 0P and 3B. BP4_ModerateBP6
The NM_032043.3(BRIP1):c.2220G>T(p.Gln740His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000575 in 1,613,890 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 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_032043.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -3 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000506 AC: 77AN: 152100Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.000537 AC: 135AN: 251286Hom.: 0 AF XY: 0.000434 AC XY: 59AN XY: 135822
GnomAD4 exome AF: 0.000582 AC: 851AN: 1461672Hom.: 0 Cov.: 31 AF XY: 0.000556 AC XY: 404AN XY: 727138
GnomAD4 genome AF: 0.000506 AC: 77AN: 152218Hom.: 0 Cov.: 32 AF XY: 0.000511 AC XY: 38AN XY: 74434
ClinVar
Submissions by phenotype
not provided Uncertain:1Benign:5
BRIP1: BP4, BS1 -
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This variant is associated with the following publications: (PMID: 28202063, 31159747, 25980754, 24728327, 26534844, 27547810, 26315354, 28528518, 26921362, 27978560, 28678401, 28767289, 31822495, 32039725, 31658756, 33115781) -
Variant summary: The BRIP1 c.2220G>T (p.Gln740His) variant involves the alteration of a non-conserved nucleotide. 3/4 in silico tools predict a damaging outcome for this variant (SNPs&GO not captured due to low reliability index). This variant was found in 58/133810 control chromosomes at a frequency of 0.0004335, which is approximately 7 times the estimated maximal expected allele frequency of a pathogenic BRIP1 variant (0.0000625), suggesting this variant is likely a benign polymorphism. This variant has been reported in multiple cancer patients, however, a case-control study showed that this variant was not associated with breast cancer (OR=0.638, P=0.49, Haiman_2013). In addition, two patients carry the variant of interest and a pathogenic variant, homozygous MUTYH c.1187G>A/p.Gly396Asp and PALB2 c.3113G>A/W1038X, respectively (Yurgelun_2015, Kahn_2016), suggesting the variant of interest may be benign. On the other hand, multiple clinical diagnostic laboratories/reputable databases classified this variant as uncertain significance. Taken together, this variant is classified as likely benign. -
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Hereditary cancer-predisposing syndrome Uncertain:2Benign:3
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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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Fanconi anemia complementation group J Uncertain:3
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This variant was classified as: Uncertain significance. The available evidence on this variant's pathogenicity is insufficient or conflicting. The following ACMG criteria were applied in classifying this variant: PP3,BP1. -
This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
Familial cancer of breast Uncertain:3
This variant is classified as a variant of uncertain significance as there is insufficient evidence to determine its impact on protein function and/or cancer risk. -
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ACMG classification criteria: BS1 strong -
not specified Uncertain:2Other:1
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Familial cancer of breast;C1836860:Fanconi anemia complementation group J Benign:1Other:1
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Variant interpreted as Likely benign and reported on 10-31-2019 by Lab Invitae. GenomeConnect-Invitae Patient Insights Network assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. Registry team members make no attempt to reinterpret the clinical significance of the variant. Phenotypic details are available under supporting information. -
Malignant tumor of breast Uncertain:1
The BRIP1 p.Gln740His variant was identified in 32 of 48608 proband chromosomes (frequency: 0.0007) from individuals or families with breast, ovarian cancer or Lynch syndrome and was present in 7 of 14818 control chromosomes (frequency: 0.0006) from healthy individuals (Easton 2016, Jalkh 2017, Li 2015, Penkert 2018, Ramus 2015, Tung 2015, Yurgelun 2015). The variant was also identified in dbSNP (ID: rs45589637) as "With other allele", ClinVar (classified as uncertain significance by Invitae, Ambry Genetics and nine other submitters; as likely benign by Integrated Genetics/Laboratory Corporation of America and GeneDx). The variant was identified in control databases in 144 of 277004 chromosomes at a frequency of 0.0005 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: African in 2 of 24024 chromosomes (freq: 0.00008), Other in 4 of 6460 chromosomes (freq: 0.0006), Latino in 48 of 34414 chromosomes (freq: 0.001), European in 82 of 126532 chromosomes (freq: 0.0007), Ashkenazi Jewish in 2 of 10148 chromosomes (freq: 0.0002), Finnish in 6 of 25780 chromosomes (freq: 0.0002); it was not observed in the East Asian, and South Asian populations. The p.Gln740 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 2 of 4 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer) predict a greater than 10% difference in splicing; this is not very predictive of 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. -
Ovarian neoplasm Uncertain:1
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Breast and/or ovarian cancer Benign:1
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BRIP1-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). -
Hereditary cancer Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at