Our verdict is Uncertain significance. Variant got 3 ACMG points: 5P and 2B. PM2PM5PP3BP6_Moderate
The NM_007294.4(BRCA1):c.536A>T(p.Tyr179Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Y179C) has been classified as Benign.
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]
Verdict is Uncertain_significance. Variant got 3 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr17-43099786-T-C is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.749
BP6
Variant 17-43099786-T-A is Benign according to our data. Variant chr17-43099786-T-A is described in ClinVar as [Likely_benign]. Clinvar id is 1687140.Status of the report is criteria_provided_single_submitter, 1 stars.
Center for Precision Medicine, Meizhou People's Hospital
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: curation
- -
Hereditary breast ovarian cancer syndrome Benign:1
Feb 24, 2025
Breast Care Center, Daerim St. Mary`s Hospital
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing
This c.536A>T (p.Tyr179Phe) variant is a missense variant located in coding exon 7 of the BRCA1 gene. Although multiple computational prediction tools support a deleterious effect on the BRCA1 or its product, well-established functional studies have shown no damaging effect on protein function or splicing (PMID:33087888). This variant is not reported in the gnomAD genomes and exomes database. However, we identified 52 cases (2.32%) among 2,242 individuals at high risk for hereditary breast and ovarian cancer syndrome. Of these, 40 cases (2.29%) were found in affected individuals, including those with breast cancer (n = 1,673), ovarian cancer (n = 11), and other cancers such as prostate and pancreatic cancer. The remaining 12 cases (2.41%) were observed in unaffected individuals with a family history of breast and/or ovarian cancer (n = 498). In particular, eight individuals were co-detected with pathogenic variants in BRCA1 (three cases) or BRCA2 (five cases), including five individuals with breast cancer. The cis/trans status could not be determined for the BRCA1 cases. Based on the available evidence, this variant is classified as likely benign. -
Loss of phosphorylation at Y179 (P = 0.0493);Loss of phosphorylation at Y179 (P = 0.0493);Loss of phosphorylation at Y179 (P = 0.0493);Loss of phosphorylation at Y179 (P = 0.0493);.;Loss of phosphorylation at Y179 (P = 0.0493);.;.;.;.;Loss of phosphorylation at Y179 (P = 0.0493);Loss of phosphorylation at Y179 (P = 0.0493);Loss of phosphorylation at Y179 (P = 0.0493);.;Loss of phosphorylation at Y179 (P = 0.0493);.;