rs587781321
Variant summary
Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM1PP3
The NM_032043.3(BRIP1):c.1871C>T(p.Ser624Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000242 in 1,610,912 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 Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S624W) has been classified as Uncertain significance.
Frequency
Consequence
NM_032043.3 missense
Scores
Clinical Significance
Conservation
Publications
- familial ovarian cancerInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- Fanconi anemiaInheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Illumina
- Fanconi anemia complementation group JInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, ClinGen, Ambry Genetics, Labcorp Genetics (formerly Invitae)
- hereditary breast carcinomaInheritance: AD Classification: STRONG, LIMITED, NO_KNOWN Submitted by: ClinGen, Genomics England PanelApp, Ambry Genetics, Labcorp Genetics (formerly Invitae)
- colorectal adenomaInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
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ACMG classification
Our verdict: Uncertain_significance. The variant received 3 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152022Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000159 AC: 4AN: 251444 AF XY: 0.0000221 show subpopulations
GnomAD4 exome AF: 0.0000247 AC: 36AN: 1458890Hom.: 0 Cov.: 34 AF XY: 0.0000262 AC XY: 19AN XY: 725952 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152022Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74248 show subpopulations
ClinVar
Submissions by phenotype
not provided Uncertain:6
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Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Observed in individuals with colorectal, breast, and other cancers (Ballinger 2016, Easton 2016, Pearlman 2017, Yurgelun 2017, Hampel 2018, Martin-Morales 2018; Ticha et al., 2019; Guindalini et al., 2022); This variant is associated with the following publications: (PMID: 26921362, 26315354, 27498913, 27978560, 28135145, 26205736, 29596542, 30256826, 33471991, 35264596, 35451682, 33773808, 31745173) -
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The BRIP1 c.1871C>T (p.Ser624Leu) variant has been reported in the published literature in in individuals with breast cancer (PMID: 35264596 (2022), 26921362 (2016)), colorectal cancer (PMID: 30256826 (2018), 29596542 (2018), 28135145 (2017), 27978560 (2016)) as well as in an unaffected individual (PMID: 26315354 (2015)). In a large scale breast cancer association study, the variant was observed in individuals with breast cancer as well as in an unaffected individuals (PMID: 33471991 (2021), see also LOVD (http://databases.lovd.nl/shared/genes/BRIP1)). The frequency of this variant in the general population, 0.000071 (3/42214 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Analysis of this variant using bioinformatics tools for the prediction of the effect of amino acid changes on protein structure and function yielded conflicting predictions that this variant is benign or damaging. Based on the available information, we are unable to determine the clinical significance of this variant. -
Familial cancer of breast Uncertain:5
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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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Hereditary cancer-predisposing syndrome Uncertain:3
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The p.S624L variant (also known as c.1871C>T), located in coding exon 12 of the BRIP1 gene, results from a C to T substitution at nucleotide position 1871. The serine at codon 624 is replaced by leucine, an amino acid with dissimilar properties. This alteration has been identified in multiple individuals diagnosed with breast cancer (Easton DF et al. J. Med. Genet. 2016 05;53:298-309; Guindalini RSC et al. Sci Rep, 2022 Mar;12:4190). This alteration has also been reported in an individual from a colorectal cancer cohort and an individual from a high-risk colorectal cancer family (Pearlman R et al. JAMA Oncol, 2017 Apr;3:464-471; Martin-Morales L et al. PLoS One, 2018 Sep;13:e0203885). This amino acid position is highly conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Based on the available evidence, the clinical significance of this alteration remains unclear. -
This missense variant replaces serine with leucine at codon 624 of the BRIP1 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function. To our knowledge, functional studies have not been reported for this variant. This variant has been reported in an individual affected with breast cancer (PMID: 26921362) and in a control individual in a ovarian cancer case-control study (PMID: 26315354). This variant has also been identified in 4/251444 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
Fanconi anemia complementation group J Uncertain:2
This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -
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Familial cancer of breast;C1836860:Fanconi anemia complementation group J Uncertain:1
This sequence change replaces serine, which is neutral and polar, with leucine, which is neutral and non-polar, at codon 624 of the BRIP1 protein (p.Ser624Leu). This variant is present in population databases (rs587781321, gnomAD 0.004%). This missense change has been observed in individual(s) with breast cancer (PMID: 26921362). ClinVar contains an entry for this variant (Variation ID: 186440). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed for this missense variant. However, the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on BRIP1 protein function. Studies have shown that this missense change is associated with inconclusive levels of altered splicing (internal data). 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. -
Ovarian cancer Uncertain:1
This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at