rs587782555
Variant summary
Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2
The NM_000465.4(BARD1):āc.2075T>Cā(p.Ile692Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000254 in 1,614,092 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 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_000465.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -7 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152224Hom.: 0 Cov.: 32
GnomAD4 exome AF: 0.0000274 AC: 40AN: 1461868Hom.: 0 Cov.: 32 AF XY: 0.0000330 AC XY: 24AN XY: 727234
GnomAD4 genome AF: 0.00000657 AC: 1AN: 152224Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74380
ClinVar
Submissions by phenotype
not specified Uncertain:2
Variant summary: BARD1 c.2075T>C (p.Ile692Thr) results in a non-conservative amino acid change located in the BRCT domain (IPR001357) of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant was absent in 251276 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.2075T>C has been reported in the literature in individuals affected with perosonal or family history of Breast Cancer (e.g. Gorringe_2008). This report does not provide unequivocal conclusions about association of the variant with Breast Cancer. At least one publication reports experimental evidence evaluating an impact on protein function with HDR assay showing no damaging effect of this variant (e.g. Lee_2015). The following publications have been ascertained in the context of this evaluation (PMID: 26350354, 17972171). ClinVar contains an entry for this variant (Variation ID: 142571). Based on the evidence outlined above, the variant was classified as uncertain significance. -
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not provided Uncertain:2
Published functional studies demonstrate no damaging effect: homology-directed repair and protein expression similar to wildtype (PMID: 26350354); Observed in individuals with breast cancer but does not segregate with disease in one family (PMID: 17972171); Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis indicates that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 26350354, 23056176, 17550235, 17972171, 35650591) -
The BARD1 c.2075T>C (p.Ile692Thr) variant has been reported in the published literature in an affected individual with breast cancer (PMID: 17972171 (2008)), as well as in a breast cancer case and control individuals in a large scale breast cancer association study (PMID: 33471991 (2021), see also LOVD (http://databases.lovd.nl/shared/genes/BARD1)). A functional study demonstrated that this variant was not damaging to protein function (PMID: 26350354 (2015)). This variant has not been reported in large, multi-ethnic general populations (Genome Aggregation Database, http://gnomad.broadinstitute.org). Analysis of this variant using bioinformatics tools for the prediction of the effect of amino acid changes on protein structure and function yielded predictions that this variant is benign. Based on the available information, we are unable to determine the clinical significance of this variant. -
Familial cancer of breast Uncertain:2
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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. Experimental studies have shown that this missense change does not substantially affect BARD1 function (PMID: 26350354). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Not Available"; PolyPhen-2: "Benign"; Align-GVGD: "Not Available". The threonine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. ClinVar contains an entry for this variant (Variation ID: 142571). This missense change has been observed in individual(s) with breast cancer (PMID: 17972171). This variant is present in population databases (rs587782555, gnomAD 0.0009%). This sequence change replaces isoleucine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 692 of the BARD1 protein (p.Ile692Thr). -
Hereditary cancer-predisposing syndrome Benign:2
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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. -
BARD1-related disorder Uncertain:1
The BARD1 c.2075T>C variant is predicted to result in the amino acid substitution p.Ile692Thr. This variant has been reported in an individual with breast cancer, however didn't segregate with the incidence of the breast cancer in the family and was assessed as non-pathogenic polymorphism (Gorringe KL et al 2007. PubMed ID: 17972171). Functional studies show that this variant does not impact DNA repair function (Lee et al. 2015. PubMed ID: 26350354). This variant has not been reported in a large population database, indicating this variant is rare. Although we suspect that this variant may be benign, 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