rs587781979
Variant summary
Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM4BS2_Supporting
The ENST00000260947.9(BARD1):c.26_40del(p.Asn9_Arg13del) variant causes a inframe deletion change. The variant allele was found at a frequency of 0.0000448 in 1,585,944 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. N9N) has been classified as Likely benign.
Frequency
Consequence
ENST00000260947.9 inframe_deletion
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 1 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
BARD1 | NM_000465.4 | c.26_40del | p.Asn9_Arg13del | inframe_deletion | 1/11 | ENST00000260947.9 | NP_000456.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BARD1 | ENST00000260947.9 | c.26_40del | p.Asn9_Arg13del | inframe_deletion | 1/11 | 1 | NM_000465.4 | ENSP00000260947 | P2 |
Frequencies
GnomAD3 genomes AF: 0.0000526 AC: 8AN: 152180Hom.: 0 Cov.: 34
GnomAD3 exomes AF: 0.0000400 AC: 8AN: 200152Hom.: 0 AF XY: 0.0000360 AC XY: 4AN XY: 111056
GnomAD4 exome AF: 0.0000439 AC: 63AN: 1433646Hom.: 0 AF XY: 0.0000464 AC XY: 33AN XY: 711440
GnomAD4 genome AF: 0.0000525 AC: 8AN: 152298Hom.: 0 Cov.: 34 AF XY: 0.0000537 AC XY: 4AN XY: 74474
ClinVar
Submissions by phenotype
Familial cancer of breast Uncertain:3Benign:1
Uncertain significance, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 01, 2024 | - - |
Likely benign, criteria provided, single submitter | clinical testing | Myriad Genetics, Inc. | Jul 18, 2024 | This variant is considered likely benign. This variant is strongly associated with less severe personal and family histories of cancer, typical for individuals without pathogenic variants in this gene [PMID: 25085752]. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 07, 2024 | This variant, c.26_40del, results in the deletion of 5 amino acid(s) of the BARD1 protein (p.Asn9_Arg13del), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (rs587781979, gnomAD 0.01%). This variant has been observed in individual(s) with clinical features of Lynch syndrome, and in an individual with acute lymphoblastic leukemia and personal or family history of breast and/or ovarian cancer, in an individual with clinical features of Lynch syndrome, and in an individual with acute lymphoblastic leukemia (PMID: 25980754, 26580448, 31159747). This variant is also known as R5_N9del. ClinVar contains an entry for this variant (Variation ID: 141745). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. - |
Uncertain significance, criteria provided, single submitter | clinical testing | MGZ Medical Genetics Center | Dec 23, 2021 | - - |
not specified Uncertain:3
Uncertain significance, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Dec 18, 2020 | Variant summary: BARD1 c.26_40del15 (p.Asn9_Arg13del) results in an in-frame deletion that is predicted to remove 5 amino acids from the encoded protein. The variant allele was found at a frequency of 4e-05 in 200152 control chromosomes (gnomAD). The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.26_40del15 has been reported in the literature in individuals affected colorectal cancer and/or polyps or with personal or family history of breast and/or ovarian cancer (Yurgelun_2015, Tsaousis_2019). These reports however, do not provide unequivocal conclusions about association of the variant with Hereditary Breast and Ovarian Cancer Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Five other ClinVar submitters (evaluation after 2014) cite the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital | Aug 15, 2023 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Genetic Services Laboratory, University of Chicago | Oct 08, 2021 | DNA sequence analysis of the BARD1 gene demonstrated a 15 base pair deletion in exon 1, c.26_40del. This in-frame deletion is predicted to result in the deletion of five amino acid residues, p.Asn9_Arg13del. This deletion has been previously described in an individual with a personal or family history of breast and/or ovarian cancer (PMID: 311597470). This sequence change has been described in the gnomAD database with a frequency of 0.011% in the South Asian subpopulation (dbSNP rs587781979). The functional significance of this sequence change is not known at present and its contribution to this individual's disease phenotype cannot definitively be determined. - |
not provided Uncertain:3
Uncertain significance, criteria provided, single submitter | clinical testing | Clinical Genetics Laboratory, Skane University Hospital Lund | Jul 11, 2022 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Oct 23, 2023 | In-frame deletion of 5 amino acids in a non-repeat region; In silico analysis supports that this variant does not alter protein structure/function; Observed in an individual with a Lynch syndrome-associated cancer and/or colon polyps, as well as individuals undergoing a multigene panel test for hereditary cancer risk and unaffected controls in a study of biliary tract cancer (PMID: 27720647, 31159747, 25980754, 36243179); This variant is associated with the following publications: (PMID: 27720647, 25980754, 31159747, 36243179) - |
Uncertain significance, criteria provided, single submitter | clinical testing | Quest Diagnostics Nichols Institute San Juan Capistrano | Aug 28, 2023 | In the published literature, this variant has been reported in affected individuals with hereditary breast and/or ovarian cancer (PMID: 31159747 (2019)), colorectal cancer and/or Lynch Syndrome (PMID:25980754 (2015)), biliary tract cancer (PMID: 36243179 (2022)), and pediatric cancer (PMID:26580448 (2015)). The frequency of this variant in the general population, 0.00011 (3/27484 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Based on the available information, we are unable to determine the clinical significance of this variant. - |
Hereditary cancer-predisposing syndrome Uncertain:3
Uncertain significance, criteria provided, single submitter | clinical testing | Color Diagnostics, LLC DBA Color Health | Nov 13, 2023 | This variant causes an in-frame deletion of five amino acids from the BARD1 protein, in a region that is not known to encode important functional domains. To our knowledge, functional studies have not been reported for this variant. This variant has been reported in an individual affected with Lynch syndrome-associated cancer and/or polyps (PMID: 25980754). This variant has also been identified in 10/231508 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. - |
Uncertain significance, criteria provided, single submitter | clinical testing | GeneKor MSA | Aug 01, 2018 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Dec 12, 2022 | The c.26_40del15 variant (also known as p.N9_R13del) is located in coding exon 1 of the BARD1 gene. This variant results from an in-frame deletion of 15 nucleotides at positions 26 to 40 and causes the deletion of five amino acid residues at codons 9 through 13. This alteration has been reported in 1/1197 individuals from Greece, Romania, and Turkey undergoing evaluation for inherited cancer predisposition. (Tsaousis GN et al. BMC Cancer, 2019 Jun;19:535). This deleted region is not well conserved in available vertebrate species. In addition, this alteration is predicted to be neutral by in silico analysis (Choi Y et al. PLoS ONE. 2012; 7(10):e46688). Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. - |
BARD1-related disorder Uncertain:1
Uncertain significance, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Feb 14, 2024 | The BARD1 c.26_40del15 variant is predicted to result in an in-frame deletion (p.Asn9_Arg13del). This variant has been reported in individuals undergoing hereditary cancer testing (example: Yurgelun et al. 2015. PubMed ID: 25980754, Subject ID 1086153107; Tsaousis et al. 2019. PubMed ID: 31159747, Table S5). This variant has been reported in the gnomAD public population database in 10 of ~232,000 alleles and is interpreted as uncertain significance in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/141745/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. - |
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at