Our verdict is Benign. Variant got -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS1
The NM_007294.4(BRCA1):c.2814A>G(p.Pro938=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000336 in 1,614,178 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★). Synonymous variant affecting the same amino acid position (i.e. P938P) has been classified as Likely benign.
BRCA1 (HGNC:1100): (BRCA1 DNA repair associated) This gene encodes a 190 kD nuclear phosphoprotein that plays a role in maintaining genomic stability, and it also acts as a tumor suppressor. The BRCA1 gene contains 22 exons spanning about 110 kb of DNA. The encoded protein combines with other tumor suppressors, DNA damage sensors, and signal transducers to form a large multi-subunit protein complex known as the BRCA1-associated genome surveillance complex (BASC). This gene product associates with RNA polymerase II, and through the C-terminal domain, also interacts with histone deacetylase complexes. This protein thus plays a role in transcription, DNA repair of double-stranded breaks, and recombination. Mutations in this gene are responsible for approximately 40% of inherited breast cancers and more than 80% of inherited breast and ovarian cancers. Alternative splicing plays a role in modulating the subcellular localization and physiological function of this gene. Many alternatively spliced transcript variants, some of which are disease-associated mutations, have been described for this gene, but the full-length natures of only some of these variants has been described. A related pseudogene, which is also located on chromosome 17, has been identified. [provided by RefSeq, May 2020]
Computational evidence support a benign effect (BayesDel_noAF=-0.86).
BP6
Variant 17-43092717-T-C is Benign according to our data. Variant chr17-43092717-T-C is described in ClinVar as [Benign]. Clinvar id is 54688.Status of the report is reviewed_by_expert_panel, 3 stars. Variant chr17-43092717-T-C is described in Lovd as [Benign]. Variant chr17-43092717-T-C is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=0.295 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. gnomad4_exome allele frequency = 0.000201 (294/1461838) while in subpopulation AFR AF= 0.0072 (241/33478). AF 95% confidence interval is 0.00645. There are 0 homozygotes in gnomad4_exome. There are 124 alleles in male gnomad4_exome subpopulation. Median coverage is 52. This position pass quality control queck.
Breast-ovarian cancer, familial, susceptibility to, 1 Benign:4Other:1
Likely benign, criteria provided, single submitter
clinical testing
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Sep 21, 2015
- -
not provided, no classification provided
clinical testing
Breast Cancer Information Core (BIC) (BRCA1)
-
- -
Benign, criteria provided, single submitter
clinical testing
Michigan Medical Genetics Laboratories, University of Michigan
Apr 21, 2016
- -
Benign, reviewed by expert panel
curation
Evidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA)
Jan 12, 2015
Class 1 not pathogenic based on frequency >1% in an outbred sampleset. Frequency 0.01423 (African), derived from 1000 genomes (2012-04-30). -
Likely benign, criteria provided, single submitter
literature only
Counsyl
Feb 21, 2015
- -
not specified Benign:4
Benign, criteria provided, single submitter
clinical testing
Genetic Services Laboratory, University of Chicago
Feb 15, 2021
- -
Benign, no assertion criteria provided
clinical testing
Clinical Genetics Laboratory, Department of Pathology, Netherlands Cancer Institute
-
- -
Benign, criteria provided, single submitter
clinical testing
GeneDx
Mar 05, 2014
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitter
clinical testing
Eurofins Ntd Llc (ga)
Jul 21, 2014
- -
Hereditary cancer-predisposing syndrome Benign:3
Benign, criteria provided, single submitter
clinical testing
Color Diagnostics, LLC DBA Color Health
Sep 21, 2015
- -
Benign, criteria provided, single submitter
clinical testing
Ambry Genetics
Nov 18, 2014
This alteration is classified as 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. -
Benign, criteria provided, single submitter
curation
Sema4, Sema4
Apr 17, 2020
- -
Hereditary breast ovarian cancer syndrome Benign:3
Benign, criteria provided, single submitter
clinical testing
National Health Laboratory Service, Universitas Academic Hospital and University of the Free State
Nov 16, 2021
- -
Likely benign, criteria provided, single submitter
clinical testing
Institute for Biomarker Research, Medical Diagnostic Laboratories, L.L.C.
Feb 14, 2017
- -
Benign, criteria provided, single submitter
clinical testing
Labcorp Genetics (formerly Invitae), Labcorp
Feb 01, 2024
- -
not provided Benign:2
Likely benign, criteria provided, single submitter
clinical testing
CeGaT Center for Human Genetics Tuebingen
May 01, 2024
BRCA1: BP4, BP7 -
Benign, criteria provided, single submitter
clinical testing
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Sep 06, 2023
- -
Breast and/or ovarian cancer Benign:1
Likely benign, criteria provided, single submitter
clinical testing
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario