rs759031349

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 0P and 3B. BP4_ModerateBP6

The NM_032043.3(BRIP1):​c.689C>T​(p.Ser230Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000322 in 1,613,672 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S230P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000029 ( 0 hom. )

Consequence

BRIP1
NM_032043.3 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:8B:7

Conservation

PhyloP100: 1.64
Variant links:
Genes affected
BRIP1 (HGNC:20473): (BRCA1 interacting helicase 1) The protein encoded by this gene is a member of the RecQ DEAH helicase family and interacts with the BRCT repeats of breast cancer, type 1 (BRCA1). The bound complex is important in the normal double-strand break repair function of breast cancer, type 1 (BRCA1). This gene may be a target of germline cancer-inducing mutations. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.07737577).
BP6
Variant 17-61808696-G-A is Benign according to our data. Variant chr17-61808696-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 186643.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=6, Uncertain_significance=8}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
BRIP1NM_032043.3 linkuse as main transcriptc.689C>T p.Ser230Leu missense_variant 7/20 ENST00000259008.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
BRIP1ENST00000259008.7 linkuse as main transcriptc.689C>T p.Ser230Leu missense_variant 7/201 NM_032043.3 P2Q9BX63-1

Frequencies

GnomAD3 genomes
AF:
0.0000592
AC:
9
AN:
152072
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000524
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000956
AC:
24
AN:
251036
Hom.:
0
AF XY:
0.0000516
AC XY:
7
AN XY:
135658
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000665
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000294
AC:
43
AN:
1461600
Hom.:
0
Cov.:
31
AF XY:
0.0000234
AC XY:
17
AN XY:
727094
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000827
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000592
AC:
9
AN:
152072
Hom.:
0
Cov.:
32
AF XY:
0.0000673
AC XY:
5
AN XY:
74270
show subpopulations
Gnomad4 AFR
AF:
0.0000242
Gnomad4 AMR
AF:
0.000524
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000416
ExAC
AF:
0.0000577
AC:
7

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:8Benign:7
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hereditary cancer-predisposing syndrome Benign:4
Likely benign, criteria provided, single submittercurationSema4, Sema4Nov 01, 2021- -
Benign, no assertion criteria providedclinical testingInstitute for Biomarker Research, Medical Diagnostic Laboratories, L.L.C.Sep 15, 2021- -
Likely benign, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthOct 01, 2016- -
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 20, 2018This 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 provided Uncertain:3
Uncertain significance, criteria provided, single submitterclinical testingQuest Diagnostics Nichols Institute San Juan CapistranoFeb 15, 2022- -
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesDec 30, 2016- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxMar 21, 2023In silico analysis supports that this missense variant does not alter protein structure/function; Observed in individuals with a personal and/or family history of ovarian, breast, and other cancers (Ramus et al., 2015; Ring et al., 2016; Quezada Urban et al., 2018; Weitzel et al., 2019; Dharwadkar et al., 2020); This variant is associated with the following publications: (PMID: 26315354, 26921362, 27443514, 30262796, 31658756, 30374176, 31206626, 27535533, 33359728) -
Familial cancer of breast Uncertain:2Benign:1
Likely benign, criteria provided, single submitterresearchUniversity of Washington Department of Laboratory Medicine, University of WashingtonMar 28, 2018The BRIP1 variant designated as NM_032043.2:c.689C>T (p.Ser230Leu) is classified as likely benign. Cosegregation analysis of one observed family was performed using analyze.myvariant.org (Rañola et al, 2018, PMID:28965303) and gives a likelihood ratio of 1.1 to 1 (Thompson et al, 2003, PMID:12900794), which gives very weak support for this allele being associated with cancer risk. The genomic position is not evolutionarily conserved. The variant is reported to be present in approximately 1 in 800 individuals with Latin American ancestry (exac.broadinstitute.org), which is considered too common in the population to cause high cancer risk. This variant has been classified as likely benign by other laboratories (ClinVar Variation ID: 186643). Bayesian analysis integrating all of this data (Tavtigian et al, 2018, PMID:29300386) gives less than 1% probability of pathogenicity, which is consistent with a classification of likely benign. This variant is not predicted to alter BRIP1 function or modify cancer risk. A modest (less than 2 fold) increase in cancer risk due to this variant cannot be entirely excluded. This reclassification analysis was performed in conjunction with the family studies project as part of the University of Washington Find My Variant Study. -
Uncertain significance, criteria provided, single submitterclinical testingMyriad Genetics, Inc.Feb 28, 2023This 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. -
Uncertain significance, criteria provided, single submitterclinical testingBaylor GeneticsJan 07, 2020This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
Fanconi anemia complementation group J Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityJan 29, 2020- -
Uncertain significance, criteria provided, single submitterclinical testingCounsylSep 19, 2016- -
Ovarian neoplasm Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCounsylSep 19, 2016- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 19, 2024Variant summary: BRIP1 c.689C>T (p.Ser230Leu) results in a non-conservative amino acid change located in the Helicase-like, DEXD box c2 type domain (IPR006554) of the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 9.6e-05 in 251036 control chromosomes, predominantly at a frequency of 0.00067 within the Latino subpopulation in the gnomAD database. The observed variant frequency within Latino control individuals in the gnomAD database is approximately 11 fold of the estimated maximal expected allele frequency for a pathogenic variant in BRIP1 causing Breast Cancer phenotype (6.3e-05), strongly suggesting that the variant is a benign polymorphism found primarily in populations of Latino origin. c.689C>T has been reported in the literature as a VUS in individuals undergoing multigene cancer panel testing (e.g. Ramus_2015, Ring_2016, Weitzel_2019). These report(s) do not provide unequivocal conclusions about association of the variant with Breast and/or BRIP1-related Cancer. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 33471991, 26315354, 27443514, 30374176, 31206626). ClinVar contains an entry for this variant (Variation ID: 186643). Based on the evidence outlined above, the variant was classified as likely benign. -
Familial cancer of breast;C1836860:Fanconi anemia complementation group J Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
18
DANN
Benign
0.86
DEOGEN2
Benign
0.16
T;.
Eigen
Benign
-0.53
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.63
T;T
M_CAP
Benign
0.042
D
MetaRNN
Benign
0.077
T;T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
1.7
L;L
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-1.3
N;.
REVEL
Benign
0.086
Sift
Benign
0.38
T;.
Sift4G
Benign
0.36
T;T
Polyphen
0.0
B;.
Vest4
0.14
MutPred
0.20
Loss of relative solvent accessibility (P = 0.0186);Loss of relative solvent accessibility (P = 0.0186);
MVP
0.85
MPC
0.14
ClinPred
0.027
T
GERP RS
3.2
Varity_R
0.019
gMVP
0.40

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs759031349; hg19: chr17-59886057; API