rs587780021
Variant summary
Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_000465.4(BARD1):c.1690C>T(p.Gln564*) variant causes a stop gained change. The variant allele was found at a frequency of 0.0000248 in 1,613,824 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_000465.4 stop_gained
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 16 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152092Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000239 AC: 6AN: 251300Hom.: 0 AF XY: 0.00000736 AC XY: 1AN XY: 135824
GnomAD4 exome AF: 0.0000246 AC: 36AN: 1461732Hom.: 0 Cov.: 31 AF XY: 0.0000234 AC XY: 17AN XY: 727168
GnomAD4 genome AF: 0.0000263 AC: 4AN: 152092Hom.: 0 Cov.: 32 AF XY: 0.0000404 AC XY: 3AN XY: 74282
ClinVar
Submissions by phenotype
not provided Pathogenic:9
Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Published functional studies demonstrate a damaging effect: significantly reduced homology-directed repair and may result in abnormal splicing (Ratajska 2015, Adamovich 2019); Case control studies suggest this variant is associated with breast cancer (Suszynska 2019); Observed in multiple individuals with personal and/or family history of breast, ovarian, colorectal, or endometrial cancer (Ratajska 2012, Blazer 2015, De Brakeleer 2015, Klonowska 2015, Ramus 2015, Maxwell 2016, Ring 2016, Weber-Lassalle 2019); This variant is associated with the following publications: (PMID: 25330149, 26075229, 26083025, 27443514, 31371347, 26681312, 31589614, 29922827, 28888541, 32726901, 21344236, 26010302, 25994375, 25980754, 26539620, 26738429, 26315354, 28030839, 27153395, 26329992, 30925164, 31036035, 28008555, 30675285, 31173646, 31142030, 29506128, 30947698, 31159747, 29625052, 26689913) -
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This variant results in the creation of a premature translational stop signal at codon 564 of the BARD1 protein (p.Gln564*). It is expected to result in absent or disrupted protein product. This variant has been described in the literature in patients with a strong family or personal history of breast and/or ovarian cancer (PMID: 21344236, PMID: 25994375, PMID: 26010302).The mutation database ClinVar contains an entry for this variant (Variation ID: 127720). -
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BARD1: PVS1, PS4 -
The BARD1 c.1690C>T (p.Gln564*) variant causes the premature termination of BARD1 protein synthesis. This variant has been reported in the published literature in patients with breast/ovarian cancer (PMIDs: 21344236 (2012), 26315354 (2015), 26329992 (2015), 26010302 (2016), 27153395 (2016), 30947698 (2019), 31036035 (2019), 37239058 (2023), and 37563628 (2023)), male breast cancer (PMID: 28008555 (2017)), endometrial cancer (PMID: 27443514 (2016)), and in a cohort of individuals tested for Lynch syndrome (PMID: 25980754 (2015)). The frequency of this variant in the general population, 0.000054 (7/129052 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is consistent with pathogenicity. Based on the available information, this variant is classified as pathogenic. -
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Familial cancer of breast Pathogenic:9
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Criteria applied: PVS1,PS4 -
This sequence change creates a premature translational stop signal (p.Gln564*) in the BARD1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in BARD1 are known to be pathogenic (PMID: 20077502, 21344236). This variant is present in population databases (rs587780021, gnomAD 0.005%). This premature translational stop signal has been observed in individual(s) with breast and ovarian cancer (PMID: 21344236, 25994375, 26010302, 26315354, 26329992, 26681312, 27443514). ClinVar contains an entry for this variant (Variation ID: 127720). For these reasons, this variant has been classified as Pathogenic. -
This variant is considered pathogenic. This variant creates a termination codon and is predicted to result in premature protein truncation. -
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PVS1, PS3, PS4_STR -
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Hereditary cancer-predisposing syndrome Pathogenic:3
The p.Q564* pathogenic mutation (also known as c.1690C>T), located in coding exon 8 of the BARD1 gene, results from a C to T substitution at nucleotide position 1690. This changes the amino acid from a glutamine to a stop codon within coding exon 8. This alteration has been reported in numerous patients diagnosed with breast and/or ovarian cancer (Ratajska M et al. Breast Cancer Res. Treat. 2012 Jan;131:89-97; Cybulski C et al. Clin. Genet. 2015 Oct;88:366-70; Klonowska K et al. Sci. Rep. 2015 May;5:10424; Ramus SJ et al. J Natl Cancer Inst. 2015 Nov;107:; Weber-Lassalle N et al. Breast Cancer Res. 2019 04;21:55; Shahi RB et al. BMC Cancer. 2019 Apr;19:313). Additionally, this alteration has been identified in a patient with triple-negative breast cancer (De Brakeleer S et al. Clin. Genet. 2016 Mar;89(3):336-40) and a male breast cancer patient (Pritzlaff M et al. Breast Cancer Res. Treat. 2017 Feb;161:575-586). In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. -
This variant changes 1 nucleotide in exon 8 of the BARD1 gene, creating a premature translation stop signal. This variant is expected to result in an absent or non-functional protein product. This variant has been reported in over 15 individuals affected with breast or ovarian cancer (PMID: 25994375, 26010302, 26315354, 26329992, 26681312, 28008555, 29625052, 30947698, 31036035, 32679805, 37239058, 37563628) and one individual affected with endometrial cancer (PMID: 27443514). In a large breast cancer case-control meta analysis, this variant has been observed in 17/60449 cases and 6/53455 controls (PMID: 33471991; Leiden Open Variation Database DB-ID BARD1_000187). This variant has been identified in 7/282686 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Loss of BARD1 function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic. -
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Breast and/or ovarian cancer Pathogenic:1
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BARD1-related disorder Pathogenic:1
The BARD1 c.1690C>T variant is predicted to result in premature protein termination (p.Gln564*). This variant has been reported in many individuals with breast and/or ovarian cancer (Ratajska et al 2012. PubMed ID: 21344236; Yurgelun MB et al 2015. PubMed ID: 25980754; Klonowska K et al 2015. PubMed ID: 25994375; Ratajska M et al 2015. PubMed ID: 26329992; Lu C et al 2015. PubMed ID: 26689913; Maxwell KN et al 2016. PubMed ID: 27153395; Lilyquist J et al 2017. PubMed ID: 28888541; Lowery MA et al 2018. PubMed ID: 29506128; Huang KL et al 2018. PubMed ID: 29625052; Shahi RB et al 2019. PubMed ID: 30947698; Weber-Lassalle N et al 2019. PubMed ID: 31036035; Tsaousis GN et al 2019. PubMed ID: 31159747). This variant is reported in 0.0054% of alleles in individuals of European (Non-Finnish) descent in gnomAD (http://gnomad.broadinstitute.org/variant/2-215610566-G-A) and is interpreted as pathogenic (15) and uncertain significance (1) in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/127720/). Nonsense variants in BARD1 are expected to be pathogenic. This variant is interpreted as pathogenic. -
Triple-Negative Breast Cancer Finding Pathogenic:1
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Hereditary breast ovarian cancer syndrome Pathogenic:1
Variant summary: BARD1 c.1690C>T (p.Gln564X) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. 5/5 computational tools predict no significant impact on normal splicing. However, Ratajska_2015 report that this variant may have an impact on splicing alteration. The variant allele was found at a frequency of 2.4e-05 in 252390 control chromosomes (gnomAD). c.1690C>T has been reported in the literature in multiple individuals affected with breast and/or ovarian cancer patients (e.g. Cybulski_2014, Weber-Lassalle_2019). These data indicate that the variant is very likely to be associated with disease. Nine other ClinVar submitters (evaluation after 2014) cite the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -
Endometrial carcinoma Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at