rs768555161
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PP3_Moderate
The NM_032043.3(BRIP1):c.2329C>T(p.Arg777Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00000889 in 1,461,572 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. R777P) 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 2 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_032043.3. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRIP1 | NM_032043.3 | MANE Select | c.2329C>T | p.Arg777Cys | missense | Exon 16 of 20 | NP_114432.2 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRIP1 | ENST00000259008.7 | TSL:1 MANE Select | c.2329C>T | p.Arg777Cys | missense | Exon 16 of 20 | ENSP00000259008.2 | ||
| BRIP1 | ENST00000682453.1 | c.2329C>T | p.Arg777Cys | missense | Exon 17 of 21 | ENSP00000506943.1 | |||
| BRIP1 | ENST00000683039.1 | c.2329C>T | p.Arg777Cys | missense | Exon 17 of 21 | ENSP00000508303.1 |
Frequencies
GnomAD3 genomes AF: 0.00 AC: 0AN: 152054Hom.: 0 Cov.: 32
GnomAD2 exomes AF: 0.0000119 AC: 3AN: 251302 AF XY: 0.00000736 show subpopulations
GnomAD4 exome AF: 0.00000889 AC: 13AN: 1461572Hom.: 0 Cov.: 31 AF XY: 0.00000963 AC XY: 7AN XY: 727104 show subpopulations
Age Distribution
GnomAD4 genome Data not reliable, filtered out with message: AC0 AF: 0.00 AC: 0AN: 152054Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74268
ClinVar
Submissions by phenotype
not provided Uncertain:2
In the published literature, this variant has been reported in individuals with breast cancer (PMID: 33471991 (2021), 31822495 (2020), see also LOVD (http://databases.lovd.nl/shared/genes/BRIP1)). This variant has been reported to have a deleterious effect on BRIP1 protein function, however further studies are required to validate this finding (PMID: 31822495 (2020)). The frequency of this variant in the general population, 0.000012 (3/251302 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 predictions that this variant is damaging. Based on the available information, we are unable to determine the clinical significance of this variant.
Observed in individuals with breast or ovarian cancer (Moyer 2020); Published functional studies suggest a damaging effect: unable to rescue DNA damage repair in BRIP1-null cells (Moyer 2020); Not observed at a significant frequency in large population cohorts (Lek 2016); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 25344691, 31822495)
Hereditary cancer-predisposing syndrome Uncertain:2
This missense variant replaces arginine with cysteine at codon 777 of the BRIP1 protein. Computational prediction suggests that this variant may have deleterious impact on protein structure and function (internally defined REVEL score threshold >= 0.7, PMID: 27666373). Splice site prediction tools suggest that this variant may not impact RNA splicing. To our knowledge, functional studies have not been performed for this variant. This variant has not been reported in individuals affected with hereditary cancer in the literature. This variant has been identified in 3/251302 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.
The p.R777C variant (also known as c.2329C>T), located in coding exon 15 of the BRIP1 gene, results from a C to T substitution at nucleotide position 2329. The arginine at codon 777 is replaced by cysteine, an amino acid with highly dissimilar properties. In one study, the p.R777C alteration was detected in 1/101,759 breast cancer cases and 0/15,587 ovarian cancer cases, and in an inter-strand cross link damage survival assay, the p.R777C alteration was found to be functionally abnormal (Moyer CL et al. Cancer Res. 2020 Feb;80:857-867). This alteration was identified in an individual diagnosed with Fanconi anemia (George M et al. Hum Mutat, 2021 Dec;42:1648-1665). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the available evidence, the clinical significance of this variant remains unclear.
not specified Uncertain:1
Familial cancer of breast;C1836860:Fanconi anemia complementation group J Uncertain:1
This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 777 of the BRIP1 protein (p.Arg777Cys). This variant is present in population databases (rs768555161, gnomAD 0.003%). This missense change has been observed in individual(s) with breast cancer, Fanconi anemia (PMID: 31822495, 34585473). ClinVar contains an entry for this variant (Variation ID: 185165). 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) indicates that this missense variant is expected to disrupt BRIP1 protein function with a positive predictive value of 95%. Experimental studies have shown that this missense change affects BRIP1 function (PMID: 31822495). 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.
Familial cancer of breast Uncertain:1
Hereditary breast ovarian cancer syndrome Uncertain:1
According to the ACMG SVI adaptation criteria we chose these criteria: PS3 (medium pathogenic): Moyer et al. damaging /reduced protein stability (number of controls to low for strong), PM2 (supporting pathogenic): gnomAD v.3.1.2 (non-cancer): 0 , PP3 (medium pathogenic): laut Pejaver: PP3-mod
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at