Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PM4_Supporting
The NM_007294.4(BRCA1):c.2483_2485delGCT(p.Gly828_Phe829delinsVal) variant causes a disruptive inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000124 in 1,613,774 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
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]
BRCA1 Gene-Disease associations (from GenCC):
breast-ovarian cancer, familial, susceptibility to, 1
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
The c.2483_2485delGCT variant (also known as p.G828_F829delinsV) is located in coding exon 9 of the BRCA1 gene. This variant results from an in-frame deletion of GCT at nucleotide positions 2483 to 2485. This results in the deletion of the glycine residue at codon 828 and the phenylalanine residue at codon 829 and the insertion of a valine residue. This alteration was previously identified in 1/1398 unilateral breast cancer cases and 0/705 bilateral breast cancer cases in a population based study (Borg A et al. Hum. Mutat. 2010 Mar;31:E1200-40). It has also been reported in a series of over 50000 patients undergoing BRCA1 sequencing (Judkins T et al. Cancer Res. 2005 Nov;65:10096-103). This amino acid region is not well conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis (Choi Y et al. PLoS ONE. 2012; 7(10):e46688). Based on the available evidence, the clinical significance of this variant remains unclear. -
Jul 17, 2017
Color Diagnostics, LLC DBA Color Health
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
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not specifiedUncertain:2
Nov 11, 2016
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
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Oct 21, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
Variant summary: BRCA1 c.2483_2485delGCT (p.Gly828_Phe829delinsVal) results in an in-frame deletion-insertion that is predicted to delete two amino acids from the protein and insert one amino acid. The variant allele was found at a frequency of 4e-06 in 250982 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.2483_2485delGCT has been reported in the literature in individuals affected with Hereditary Breast And Ovarian Cancer Syndrome without strong evidence for causality (Borg_2010, Judkins_2005). These report(s) do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. Co-occurrences with other pathogenic variant(s) have been reported in the BIC (Breast Cancer Information Core) database (BRCA1 c.181T>G, p.Cys61Gly), providing supporting evidence for a benign role. 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: 16267036, 20104584). ClinVar contains an entry for this variant (Variation ID: 54582). Based on the evidence outlined above, the variant was classified as VUS-possibly benign. -
not providedUncertain:2
Apr 01, 2021
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
Not observed at a significant frequency in large population cohorts (Lek et al., 2016); In-frame deletion of 2 amino acids and insertion of 1 amino acid in a non-repeat region; In silico analysis supports a deleterious effect on protein structure/function; Also known as 2602_2604delGCT; This variant is associated with the following publications: (PMID: 20104584, 16267036) -
Oct 20, 2022
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
The BRCA1 c.2483_2485delGCT; p.Gly828_Phe829delinsVal variant (rs80358331) is reported in the literature in an individual affected with breast cancer, but without clear disease association (Borg 2010). This variant is also reported in ClinVar (Variation ID: 54582), but is only observed on two alleles in the Genome Aggregation Database, indicating it is not a common polymorphism. This variant deletes 3 nucleotides, which would replace a glycine and phenylalanine with valine, leaving the rest of the protein in-frame. Due to limited information, the clinical significance of this variant is uncertain at this time. References: Borg A et al. Characterization of BRCA1 and BRCA2 deleterious mutations and variants of unknown clinical significance in unilateral and bilateral breast cancer: the WECARE study. Hum Mutat. 2010 Mar;31(3):E1200-40. PMID: 20104584. -
BRCA1-related disorderUncertain:1
Jan 01, 2024
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing
The BRCA1 c.2483_2485delGCT variant is predicted to result in an in-frame deletion (p.Gly828_Phe829delinsVal). This variant has been reported in an individual with breast cancer (Table S2 - Borg et al. 2010. PubMed ID: 20104584) and an individual with breast and/or ovarian cancer (referred to as G828del - Judkins et al. 2005. PubMed ID: 16267036). This variant is reported in 0.0016% of alleles in individuals of European (Non-Finnish) descent in gnomAD and has conflicting interpretations of pathogenicity of likely benign and uncertain in the ClinVar database (https://www.ncbi.nlm.nih.gov/clinvar/variation/54582/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Hereditary breast ovarian cancer syndromeUncertain:1
Jan 21, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
This variant, c.2483_2485del, is a complex sequence change that results in the deletion of 2 and insertion of 1 amino acid(s) in the BRCA1 protein (p.Gly828_Phe829delinsVal). This variant is present in population databases (rs80358331, gnomAD 0.002%). This variant has been observed to co-occur in individuals with a different variant in BRCA1 that has been determined to be pathogenic (PMID: 10923033, 20104584), but the significance of this finding is unclear. ClinVar contains an entry for this variant (Variation ID: 54582). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -