rs80357887

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_007294.4(BRCA1):​c.470_471del​(p.Ser157Ter) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (★★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 31)

Consequence

BRCA1
NM_007294.4 frameshift

Scores

Not classified

Clinical Significance

Pathogenic reviewed by expert panel P:21O:1

Conservation

PhyloP100: 1.23
Variant links:
Genes affected
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]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 17-43099850-TAG-T is Pathogenic according to our data. Variant chr17-43099850-TAG-T is described in ClinVar as [Pathogenic]. Clinvar id is 37608.Status of the report is reviewed_by_expert_panel, 3 stars. Variant chr17-43099850-TAG-T is described in Lovd as [Pathogenic]. Variant chr17-43099850-TAG-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BRCA1NM_007294.4 linkuse as main transcriptc.470_471del p.Ser157Ter frameshift_variant 7/23 ENST00000357654.9 NP_009225.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BRCA1ENST00000357654.9 linkuse as main transcriptc.470_471del p.Ser157Ter frameshift_variant 7/231 NM_007294.4 ENSP00000350283 P4P38398-1

Frequencies

GnomAD3 genomes
Cov.:
31
We have no GnomAD4 exomes data on this position. Probably position not covered by the project.
GnomAD4 genome
Cov.:
31

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:21Other:1
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

Breast-ovarian cancer, familial, susceptibility to, 1 Pathogenic:8Other:1
Pathogenic, criteria provided, single submitterclinical testingDASAApr 10, 2022The c.470_471del;p.(Ser157*) variant creates a premature translational stop signal in the BRCA1 gene. It is expected to result in an absent or disrupted protein product -PVS1. This sequence change has been observed in affected individual(s) and ClinVar contains an entry for this variant (ClinVar ID: 37608; PMID: 11149413; PMID: 22970155; PMID: 23683081; PMID: 29907814) - PS4. This variant is not present in population databases (rs80357887- gnomAD; ABraOM no frequency - http://abraom.ib.usp.br) - PM2. In summary, the currently available evidence indicates that the variant is pathogenic -
Pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsMay 17, 2022- -
Pathogenic, no assertion criteria providedcase-controlMolecular Oncology, Hospital Universitario Central de Asturias (HUCA)May 24, 2021- -
Pathogenic, reviewed by expert panelcurationEvidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA)Apr 22, 2016Variant allele predicted to encode a truncated non-functional protein. -
Pathogenic, criteria provided, single submitterclinical testingLaboratorio de Genetica e Diagnostico Molecular, Hospital Israelita Albert EinsteinApr 29, 2022ACMG classification criteria: PVS1 very strong, PS4 strong, PM2 moderated, PP1 moderated -
Pathogenic, no assertion criteria providedclinical testingSharing Clinical Reports Project (SCRP)Aug 27, 2010- -
Pathogenic, criteria provided, single submitterclinical testingConsortium of Investigators of Modifiers of BRCA1/2 (CIMBA), c/o University of CambridgeOct 02, 2015- -
not provided, no classification providedclinical testingBreast Cancer Information Core (BIC) (BRCA1)-- -
Pathogenic, no assertion criteria providedclinical testingBRCAlab, Lund UniversityAug 26, 2022- -
Hereditary breast ovarian cancer syndrome Pathogenic:5
Pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 10, 2020Variant summary: BRCA1 c.470_471delCT (p.Ser157X) 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. Truncations downstream of this position have been classified as pathogenic by our laboratory. The variant was absent in 251450 control chromosomes. c.470_471delCT has been reported in the literature in multiple individuals affected with Hereditary Breast And Ovarian Cancer Syndrome (delaHoya_2002, Judkins_2005, Kwong_2012, Peixoto_2014). These data indicate that the variant is very likely to be associated with disease. Eight 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. Based on the evidence outlined above, the variant was classified as pathogenic. -
Pathogenic, criteria provided, single submitterresearchGenetics Program, Instituto Nacional de CancerNov 01, 2021- -
Pathogenic, criteria provided, single submitterclinical testingMendelicsJul 02, 2018- -
Pathogenic, no assertion criteria providedresearchResearch Molecular Genetics Laboratory, Women's College Hospital, University of TorontoJan 31, 2014- -
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 15, 2024This sequence change creates a premature translational stop signal (p.Ser157*) in the BRCA1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in BRCA1 are known to be pathogenic (PMID: 20104584). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with breast and ovarian cancer (PMID: 11149413, 22970155, 23683081, 24916970). This variant is also known as 589delCT. ClinVar contains an entry for this variant (Variation ID: 37608). For these reasons, this variant has been classified as Pathogenic. -
not provided Pathogenic:3
Pathogenic, criteria provided, single submitterclinical testingQuest Diagnostics Nichols Institute San Juan CapistranoAug 19, 2022This variant has not been reported in large, multi-ethnic general populations (http://gnomad.broadinstitute.org). In the published literature, the variant has been reported in individuals/families with suspected hereditary breast/ovarian cancer syndrome in the published literature (PMIDs: 30702160 (2019), 29907814 (2018), 29752822 (2018), 29446198 (2018), 29176636 (2018), 24916970 (2015), 23683081 (2013), 22970155 (2012), 22762150 (2012), 18627636 (2008), 11149413 (2001), and 10340909 (1999)). Based on the available information, this variant is classified as pathogenic. -
Pathogenic, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesMar 15, 2022The BRCA1 c.470_471delCT; p.Ser157Ter variant (rs80357887), also known as 589delCT, is reported in several individuals and families with hereditary breast and/or ovarian cancer (de la Hoya 2001, de lay Hoya 2002, Fernandes 2016, Wen 2018). The variant is reported as pathogenic by several sources in the ClinVar database (Variation ID: 37608) and is absent from the Genome Aggregation Database, indicating it is not a common polymorphism. This variant deletes two nucleotides, leading to an immediate nonsense codon, so it is predicted to result in a truncated protein or mRNA subject to nonsense-mediated decay. Based on available information, this variant is classified as pathogenic. References: de la Hoya M et al. Spanish family study on hereditary breast and/or ovarian cancer: analysis of the BRCA1 gene. Int J Cancer. 2001 Jan 1;91(1):137-40. PMID: 11149413. de la Hoya M et al. Association between BRCA1 and BRCA2 mutations and cancer phenotype in Spanish breast/ovarian cancer families: implications for genetic testing. Int J Cancer. 2002 Feb 1;97(4):466-71. PMID: 11802208. Fernandes GC et al. Prevalence of BRCA1/BRCA2 mutations in a Brazilian population sample at-risk for hereditary breast cancer and characterization of its genetic ancestry. Oncotarget. 2016 Dec 6;7(49):80465-80481. PMID: 27741520. Wen WX et al. Inherited mutations in BRCA1 and BRCA2 in an unselected multiethnic cohort of Asian patients with breast cancer and healthy controls from Malaysia. J Med Genet. 2018 Feb;55(2):97-103. PMID: 28993434. -
Pathogenic, criteria provided, single submitterclinical testingGeneDxNov 22, 2021Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Observed in individuals with a personal or family history consistent with pathogenic variants in this gene (Tang 1999, de la Hoya 2001, Kwong 2012, Blay 2013, Peixoto 2015); Not observed at significant frequency in large population cohorts (Lek 2016); Truncating variants in this gene are considered pathogenic by a well-established clinical consortium and/or database; Also known as 589_590delCT; This variant is associated with the following publications: (PMID: 17603881, 24249303, 11149413, 22970155, 26187060, 24916970, 28127413, 24578176, 27157322, 12955716, 23199084, 23683081, 18627636, 10340909, 27553291, 28961279, 11802208, 29752822, 28993434, 30702160, 27741520, 29176636, 31825140, 30787465, 32101877) -
Hereditary cancer-predisposing syndrome Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthMay 19, 2021This variant deletes 2 nucleotides in exon 7 of the BRCA1 gene, creating a frameshift and premature translation stop signal. This variant is also known as 589delCT and 589_590delCT in the literature. This variant is expected to result in an absent or non-functional protein product. To our knowledge, functional studies have not been reported for this variant. This variant has been detected in over 10 individuals affected with breast and ovarian cancer (PMID: 11802208, 12955716, 16998791, 20617377, 22970155, 27553368, 27741520, 29752822) and in suspected hereditary breast and ovarian cancer families (PMID: 23683081, 24249303, 24916970). This variant has not been identified in the general population by the Genome Aggregation Database (gnomAD). Loss of BRCA1 function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic. -
Pathogenic, criteria provided, single submitterclinical testingAmbry GeneticsApr 25, 2022The c.470_471delCT pathogenic mutation, located in coding exon 6 of the BRCA1 gene, results from a deletion of two nucleotides at nucleotide positions 470 to 471, causing a translational frameshift with a predicted alternate stop codon (p.S157*). This alteration has been identified as a recurrent mutation in both Spanish and Southern Chinese breast and/or ovarian cancer cohorts (de la Hoya M et al. Int. J. Cancer 2001 Jan;91:137-40; Díez O et al. Hum. Mutat. 2003 Oct;22:301-12; Kwong A et al. PLoS ONE 2012 Sep;7:e43994). This mutation has also been reported in multiple international HBOC cohorts (Pinto P et al. Breast Cancer Res. Treat. 2016 Sep;159:245-56; Fernandes GC et al. Oncotarget 2016 Oct;7(49):80465-80481; Bhaskaran SP et al. Int. J. Cancer 2019 Jan; Arai M et al. J. Hum. Genet. 2018 Apr;63:447-457; Palmero EI et al. Sci Rep. 2018 Jun;8:9188; Wen WX et al. J. Med. Genet. 2018 Feb;55:97-103; Li JY et al. Int. J. Cancer 2019 01;144:281-289; Rebbeck TR et al. Hum. Mutat. 2018 05;39:593-620). Of note, this alteration is also designated as 589_590delCT in published literature. In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. -
Familial cancer of breast;C2676676:Breast-ovarian cancer, familial, susceptibility to, 1;C3280442:Pancreatic cancer, susceptibility to, 4;C4554406:Fanconi anemia, complementation group S Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMay 13, 2022- -
BRCA1-related disorder Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 01, 2024The BRCA1 c.470_471delCT variant is predicted to result in premature protein termination (p.Ser157*). This variant, also referred to in the literature as c.589delCT, has been reported in several individuals and families with hereditary breast and/or ovarian cancer (de la Hoya et al. 2001. PubMed ID: 11149413; de la Hoya et al. 2002. PubMed ID: 11802208; Kwong et al. 2012. PubMed ID: 22970155; Peixoto et al. 2014. PubMed ID: 24916970). This variant has not been reported in a large population database, indicating this variant is rare, and is interpreted as pathogenic in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/37608/). Frameshift variants in BRCA1 are expected to be pathogenic. This variant is interpreted as pathogenic. -
Familial cancer of breast Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyCenter for Precision Medicine, Meizhou People's Hospital-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
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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: rs80357887; hg19: chr17-41251867; API