About BARD1
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
This variant is present at very low frequency in population databases: gnomAD v2.1 allele frequency 0.006% (17/282,356 alleles, 0 homozygotes) and gnomAD v4.1 allele frequency 0.002% (39/1,613,954 alleles, 1 homozygote). The frequency is well below the 0.1% threshold for PM2 under generic ACMG rules. Absent from gnomAD-Canada v1.0.
Multiple lines of computational evidence suggest no impact on gene product. REVEL score is 0.117 (benign-predicting, below 0.5 threshold). BayesDel score is -0.406678 (benign-predicting, negative value). SpliceAI max delta score is 0.05 (no predicted splicing impact, well below 0.2 threshold). All three in silico tools consistently predict a benign effect.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP4 supporting; combination = 1 supporting + 1 supporting benign, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 39 / 1,613,954 alleles. Recorded AF 2.41643e-05. Recorded homozygote count 1.
This variant is present in gnomAD v2.1 (AF= 6.02077e-05; MAF= 0.00602%, 17/282356 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000451128; MAF= 0.04511%, 9/19950 alleles, homozygotes = 0); grpmax FAF= 0.00021575.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.050. Refer to the recorded PP3/BP4 rationale for interpretation.
8 Uncertain significance · 1 Likely benign.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BARD1, a tumor suppressor involved in the DNA damage response, is altered by mutation in breast and ovarian cancers.
This variant has previously been reported in somatic cancers (COSMIC; COSV53611525, n = 2 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
29 criteria with recorded statuses: 2 met · 12 not met · 10 not assessed · 5 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000465.4:c.1217G>A (p.Arg406Gln) is a missense variant in BARD1 exon 4.
This variant is present at very low frequency in population databases: gnomAD v2.1 allele frequency 0.006% (17/282,356 alleles, 0 homozygotes) and gnomAD v4.1 allele frequency 0.002% (39/1,613,954 alleles, 1 homozygote), meeting PM2 (supporting).
Multiple lines of computational evidence predict a benign effect: REVEL score 0.117, BayesDel score -0.406678, and SpliceAI max delta 0.05, meeting BP4 (supporting).
Functional studies show conflicting results: p.R406Q is fully functional in homology-directed repair (149% of wild-type activity; PMID:26350354) but shows partially impaired apoptosis in patient-derived lymphoblastoid cells (TUNEL and Annexin V assays; PMID:31371347). Neither PS3 nor BS3 is met due to inconsistent evidence across assay types.
This variant has been reported in two unrelated patients with early-onset colorectal cancer (ages 24 and 37; PMID:31371347), but colorectal cancer is not the classic BARD1-associated phenotype (hereditary breast and ovarian cancer).
In ClinVar (Variation ID 127713), this variant is classified as Uncertain Significance by 8 clinical laboratories and Likely Benign by 1 laboratory, with no expert panel review available.
No de novo, segregation, or case-control data are available. No pathogenic missense variant at the same residue has been identified (PM5 not met).
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in BARD1, mapped onto the exon structure of NM_000465.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| South Asian24 / 91,082 | 0.00026 |
| East Asian7 / 44,890 | 0.00016 |
| Remaining individuals4 / 62,478 | 6.4e-051 hom |
| African/African American1 / 74,918 | 1.3e-05 |
| European (non-Finnish)3 / 1,179,980 | 2.5e-06 |
| East Asian9 / 19,950 | 0.00045 |
| South Asian8 / 30,606 | 0.00026 |
This variant is present in gnomAD v4.1 (AF= 2.41643e-05; MAF= 0.00242%, 39/1613954 alleles, homozygotes = 1) and has highest observed frequency in the South Asian population (AF= 0.000263499; MAF= 0.02635%, 24/91082 alleles, homozygotes = 0); grpmax FAF= 0.00018075.
This variant is present in gnomAD v2.1 (AF= 6.02077e-05; MAF= 0.00602%, 17/282356 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000451128; MAF= 0.04511%, 9/19950 alleles, homozygotes = 0); grpmax FAF= 0.00021575.
Absent from gnomAD-Canada v1.0.
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.05). REVEL score = 0.117. BayesDel score = -0.406678.
8 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
Our original BARD1 expression construct had a novel p.R406Q substitution, and this version of BARD1 fully restored HDR activity to the same level as seen in cells without BARD1 inhibition... The p.R406Q missense variant has not been described in an individual and likely was the result of a change that occurred during plasmid manipulations.
Results, 'Homology-Directed Repair' section; Table 1; Figure 1C lane 19; Figure 3
In view of deficient apoptosis, VUSs (c.1217G>A and c.1918C>A) may be pathogenic or likely pathogenic variants.
Abstract; Table 1 (Clinical Presentation); Table 2 (Variant Table); Table 3 (Functional Results); Results, 'Functional Analyses'; Discussion
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 2.41643e-05; MAF= 0.00242%, 39/1613954 alleles, homozygotes = 1) and has highest observed frequency in the South Asian population (AF= 0.000263499; MAF= 0.02635%, 24/91082 alleles, homozygotes = 0); grpmax FAF= 0.00018075.
This variant is present in gnomAD v2.1 (AF= 6.02077e-05; MAF= 0.00602%, 17/282356 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000451128; MAF= 0.04511%, 9/19950 alleles, homozygotes = 0); grpmax FAF= 0.00021575.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (8 clinical laboratories) and as Likely benign (1 clinical laboratory). (ClinVarID = 127713)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.05). REVEL score = 0.117. BayesDel score = -0.406678.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BARD1, a tumor suppressor involved in the DNA damage response, is altered by mutation in breast and ovarian cancers.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV53611525, n = 2 times).
This variant does not lie in a statistically significant hotspot.