rs71579841
Variant summary
Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4BP6BS2
The NM_000465.4(BARD1):c.119C>T(p.Ala40Val) variant causes a missense change. The variant allele was found at a frequency of 0.0000285 in 1,611,538 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts 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
Genome browser will be placed here
ACMG classification
Verdict is Likely_benign. Variant got -6 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000657 AC: 10AN: 152200Hom.: 0 Cov.: 34
GnomAD3 exomes AF: 0.0000292 AC: 7AN: 239990Hom.: 0 AF XY: 0.0000531 AC XY: 7AN XY: 131938
GnomAD4 exome AF: 0.0000247 AC: 36AN: 1459338Hom.: 0 Cov.: 76 AF XY: 0.0000275 AC XY: 20AN XY: 726038
GnomAD4 genome AF: 0.0000657 AC: 10AN: 152200Hom.: 0 Cov.: 34 AF XY: 0.0000538 AC XY: 4AN XY: 74352
ClinVar
Submissions by phenotype
Familial cancer of breast Uncertain:3Benign:1
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]. -
- -
This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 40 of the BARD1 protein (p.Ala40Val). This variant is present in population databases (rs71579841, gnomAD 0.03%). This missense change has been observed in individual(s) with breast and/or gastric cancer (PMID: 28202063, 30680046, 32658311). ClinVar contains an entry for this variant (Variation ID: 142910). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. Experimental studies have shown that this missense change does not substantially affect BARD1 function (PMID: 26350354). 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. -
The BARD1 c.119C>T (p.Ala40Val) missense change has a maximum non-founder subpopulation frequency of 0.011% in gnomAD v2.1.1 (https://gnomad.broadinstitute.org/). The in silico tool REVEL is inconclusive about a pathogenic or benign effect of this variant on protein function, and a functional assay measuring homology-directed repair (HDR) activity indicates that this variant showed function similar to the wild-type (PMID: 26350354). This variant has been reported in individuals with a personal and/or family history of breast cancer (PMID: 28202063, 32658311). It has also been reported in one individual in a database of women older than 70 years of age who have never had cancer (FLOSSIES database, https://whi.color.com/). In summary, the evidence currently available is insufficient to determine the clinical significance of this variant. It has therefore been classified as of uncertain significance. -
not provided Uncertain:3
In silico analysis supports that this missense variant does not alter protein structure/function; Published functional studies demonstrate homology-directed repair activity comparable to wild-type (PMID: 26350354); Observed in individuals with breast and other cancers, as well as in unaffected controls (PMID: 30680046, 28202063, 28873162, 31036035); This variant is associated with the following publications: (PMID: 11573085, 23056176, 28202063, 26315354, 28873162, 30680046, 30613976, 18480049, 31036035, 26350354) -
In the published literature, this variant has been reported in individuals with breast cancer (PMID: 28202063 (2017), 30613976 (2019), 32658311 (2021)), and gastric cancer (PMID: 30680046 (2019)). This variant has also been reported in unaffected individual (PMID: 26315354 (2015)). A homology-directed repair functional assay indicates that this variant is functional (PMID: 26350354 (2015)). The frequency of this variant in the general population, 0.00011 (4/35032 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. -
- -
Hereditary cancer-predisposing syndrome Uncertain:1Benign:1
This missense variant replaces alanine with valine at codon 40 of the BARD1 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). A functional study has shown that this variant does not impact homology-directed DNA repair in a cell line-based assay (PMID: 26350354). This variant has been reported in two individuals affected with breast cancer and one individual affected with gastric cancer (PMID: 28202063, 30680046, 30613976) and also in an unaffected individual from an ovarian cancer case-control study (PMID: 26315354). This variant has been identified in 10/271360 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. -
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. -
not specified Uncertain:1
Variant summary: BARD1 c.119C>T (p.Ala40Val) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 3.2e-05 in 246852 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.119C>T has been reported in the literature in individuals affected with breast cancer or gastric cancer (Jalkh_2017, Henn_2019, Rizzolo_2019). These reports do 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 in vitro (Lee_2015). These results showed no damaging effect of this variant. Four clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at