rs771028677
Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1_StrongPP5_Very_Strong
The NM_032043.3(BRIP1):c.2990_2993delCAAA(p.Thr997fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000341 in 1,613,572 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000035 ( 0 hom. )
Consequence
BRIP1
NM_032043.3 frameshift
NM_032043.3 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.735
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]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 12 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.203 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
PP5
Variant 17-61684052-CTTTG-C is Pathogenic according to our data. Variant chr17-61684052-CTTTG-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 234281.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-61684052-CTTTG-C is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
BRIP1 | NM_032043.3 | c.2990_2993delCAAA | p.Thr997fs | frameshift_variant | 20/20 | ENST00000259008.7 | NP_114432.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BRIP1 | ENST00000259008.7 | c.2990_2993delCAAA | p.Thr997fs | frameshift_variant | 20/20 | 1 | NM_032043.3 | ENSP00000259008.2 |
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152114Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000319 AC: 8AN: 250982Hom.: 0 AF XY: 0.0000369 AC XY: 5AN XY: 135644
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GnomAD4 exome AF: 0.0000349 AC: 51AN: 1461458Hom.: 0 AF XY: 0.0000330 AC XY: 24AN XY: 727040
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GnomAD4 genome AF: 0.0000263 AC: 4AN: 152114Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74296
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ClinVar
Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:23
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Pathogenic:7
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Aug 16, 2024 | Frameshift variant predicted to result in protein truncation, as the last 253 amino acids are replaced with 60 different amino acids, and other loss-of-function variants have been reported downstream in HGMD; Disrupts a critical functional domain: BRCA1 binding domain and TOPBP1 interaction domain (PMID: 11301010, 20159562, 21127055); Observed in individuals with a personal or family history of breast, ovarian, and other cancers (PMID: 26315354, 26921362, 26786923, 28135145, 28888541, 32963463, 32885271); This variant is associated with the following publications: (PMID: 26786923, 30675318, 26315354, 26921362, 18628483, 29478780, 28135145, 31214711, 32963463, 29922827, 28888541, 32885271, 34697415, 33804961, MilanoL2023[preprint], 34308104, 35273153, 35753512, 29368626, 30254378, 32676327, 32191290, 34887416, 11301010, 20159562, 21127055, 35534704, 35980532) - |
Pathogenic, criteria provided, single submitter | clinical testing | Greenwood Genetic Center Diagnostic Laboratories, Greenwood Genetic Center | Jan 26, 2021 | PVS1, PS4_Moderate, PM2 - |
Pathogenic, no assertion criteria provided | clinical testing | Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC) | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital | Jul 31, 2024 | - - |
Pathogenic, no assertion criteria provided | clinical testing | Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+ | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Quest Diagnostics Nichols Institute San Juan Capistrano | Sep 16, 2023 | The BRIP1 c.2990_2993del (p.Thr997Argfs*61) variant alters the translational reading frame of the BRIP1 mRNA and causes the premature termination of BRIP1 protein synthesis. This variant has been reported in the published literature in individuals with ovarian cancer (PMID: 26315354 (2015)), breast cancer (PMID: 26786923 (2016), 26921362 (2016), 36551643 (2022)), colorectal cancer (PMID: 28135145 (2017), 29478780 (2018)), pancreatic cancer (PMID: 29922827 (2018), 32885271 (2021)), a Lynch syndrome-associated cancer (PMID: 30254378 (2019)), prostate cancer (PMID: 31214711 (2020)), and gastric adenocarcinoma (PMID: 32963463 (2020)). This variant is also reported in unaffected individuals (PMID: 26786923 (2016), 26921362 (2016), 30254378 (2019)). Based on the available information, this variant is classified as pathogenic. - |
Likely pathogenic, criteria provided, single submitter | clinical testing | Mayo Clinic Laboratories, Mayo Clinic | Jan 24, 2023 | PS4_moderate, PVS1 - |
Familial cancer of breast Pathogenic:5
Likely pathogenic, criteria provided, single submitter | clinical testing | MGZ Medical Genetics Center | Aug 01, 2022 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 06, 2024 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | KCCC/NGS Laboratory, Kuwait Cancer Control Center | Jun 01, 2023 | A known pathogenic mutation was detected in the BRIPI gene (c.2990_2993delCAAA).This sequence change creates a premature translational stop signal (p.Thr997Argfs*61) in the BRIPI gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 253 amino acid(s) of the BRIPI protein. This variant is present in population databases (rs771028677, gnomAD 0.006%). It has been reported in the literature in individuals affected with Breast and Ovarian, Pancreatic and Prostate Cancer (Thompson 2016, Ramus 2015, Easton 2016, Lerner-ElIis_202I, Nguyen-Dumont_2021). ClinVar contains an entry for this variant (Variation ID: 234281). This variant disrupts a region of the BRIPI protein in which other variant(s) (p.Lys998Glufs*60) have been determined to be pathogenic (PMID: 18628483). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be diseasecausing. For these reasons, this variant has been classified as Pathogenic. - |
Pathogenic, criteria provided, single submitter | clinical testing | Myriad Genetics, Inc. | Feb 27, 2023 | This variant is considered pathogenic. This variant creates a frameshift predicted to result in premature protein truncation. - |
Likely pathogenic, criteria provided, single submitter | clinical testing | Genetics and Molecular Pathology, SA Pathology | Nov 24, 2020 | - - |
Hereditary cancer-predisposing syndrome Pathogenic:4
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | May 16, 2024 | The c.2990_2993delCAAA pathogenic mutation, located in coding exon 19 of the BRIP1 gene, results from a deletion of four nucleotides between nucleotide positions 2990 and 2993, causing a translational frameshift with a predicted alternate stop codon (p.T997Rfs*61). This alteration occurs at the 3' terminus of theBRIP1 gene, is not expected to trigger nonsense-mediated mRNA decay, and impacts the last 253 amino acids of the protein. Premature stop codons are typically deleterious in nature, and the C-terminal region of the protein has been shown by structural, biochemical, and mutational analysis to be relevant for the protein function (Gong Z et al. Mol. Cell, 2010 Feb;37:438-46; Leung CC et al. J. Biol. Chem. 2011 Feb; 286(6):4292-301; Xie J et al. PLoS Genet. 2012 Jul; 8(7):e1002786). This deletion has been identified in patients with a personal or family history of breast and/or ovarian cancer (Ramus SJ et al. J. Natl. Cancer Inst. 2015 Nov;107; Easton DF et al. J Med Genet, 2016 05;53:298-309; Thompson ER et al. J Clin Oncol, 2016 May;34:1455-9) and has also been identified in controls or healthy individuals (Easton DF et al. J Med Genet, 2016 05;53:298-309; Thompson ER et al. J Clin Oncol, 2016 May;34:1455-9; Rowley SM et al. Genet Med, 2019 04;21:913-922). This variant has also been reported in a Japanese patient with prostate cancer (Momozawa Y et al. J Natl Cancer Inst, 2020 04;112:369-376), a Han Chinese patient with gastric adenocarcinoma (Ji K et al. Chin J Cancer Res, 2020 Aug;32:508-515), a patient with pancreatic cancer (Hu C et al. JAMA, 2018 06;319:2401-2409), and in individuals affected with colorectal cancer (Yurgelun MB et al. J Clin Oncol, 2017 Apr;35:1086-1095; AlDubayan SH et al. Am J Hum Genet, 2018 03;102:401-414). Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation. - |
Likely pathogenic, criteria provided, single submitter | clinical testing | Color Diagnostics, LLC DBA Color Health | Jun 27, 2023 | This variant deletes 4 nucleotides in exon 20 of the BRIP1 gene, creating a frameshift and premature translation stop signal in the last exon. This variant is expected to escape nonsense-mediated decay and be expressed as a truncated protein that lacks the functional domains involved in BRCA1-binding, DNA damage and replication stress responses and attenuation of DNA damage tolerance pathway (PMID: 11301010, 14983014, 20159562, 20173781, 22792074). Although functional studies have not been reported for this variant, it is expected to impair BRIP1 protein function. This variant has been reported in individuals affected with breast cancer (PMID: 26921362, 36551643; Ma et al, 2019; Color Health internal data), in an individual with family history of breast and ovarian cancer (PMID: 26315354; Color Health internal data), in individuals affected with colorectal cancer (PMID: 28135145, 29478780, 30675318), in an individual affected with pancreatic cancer (PMID: 32885271), in an individual affected with prostate cancer (PMID: 31214711), and in individuals unaffected with breast cancer (PMID: 26921362, 30254378). This variant has been identified in 8/250982 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Loss of BRIP1 function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Likely Pathogenic. - |
Pathogenic, criteria provided, single submitter | clinical testing | Knight Diagnostic Laboratories, Oregon Health and Sciences University | Jun 07, 2019 | - - |
Likely pathogenic, criteria provided, single submitter | curation | Sema4, Sema4 | Feb 10, 2021 | - - |
Fanconi anemia complementation group J Pathogenic:3
Pathogenic, criteria provided, single submitter | clinical testing | Mendelics | Jul 02, 2018 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Revvity Omics, Revvity | Dec 06, 2023 | - - |
Likely pathogenic, criteria provided, single submitter | clinical testing | Counsyl | Sep 20, 2016 | - - |
Familial cancer of breast;C1836860:Fanconi anemia complementation group J Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 20, 2024 | This sequence change creates a premature translational stop signal (p.Thr997Argfs*61) in the BRIP1 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 253 amino acid(s) of the BRIP1 protein. This variant is present in population databases (rs771028677, gnomAD 0.006%). This premature translational stop signal has been observed in individual(s) with a family history of breast and ovarian cancer (PMID: 26315354). ClinVar contains an entry for this variant (Variation ID: 234281). This variant disrupts a region of the BRIP1 protein in which other variant(s) (p.Lys998Glufs*60) have been determined to be pathogenic (PMID: 18628483; Invitae). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. - |
Ovarian cancer Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | BRCAlab, Lund University | Aug 26, 2022 | - - |
Ovarian neoplasm Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | Counsyl | Sep 20, 2016 | - - |
Hereditary breast ovarian cancer syndrome Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Oct 24, 2022 | Variant summary: BRIP1 c.2990_2993delCAAA (p.Thr997ArgfsX61) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant allele was found at a frequency of 3.9e-05 in 254976 control chromosomes. This frequency is not significantly higher than expected for a pathogenic variant in BRIP1 causing Hereditary Breast And Ovarian Cancer Syndrome (3.9e-05 vs 6.3e-05), allowing no conclusion about variant significance. c.2990_2993delCAAA has been reported in the literature in individuals affected with Breast and Ovarian, Pancreatic and Prostate Cancer (Thompson 2016, Ramus 2015, Easton 2016, Lerner-Ellis_2021, Nguyen-Dumont_2021). These data indicate that the variant is very likely to be associated with disease. 14 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 pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. - |
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