About BRCA1
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 likely benign. Select a step to read what it means.
Likely benign.A likely benign classification under the recorded framework.
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 ClinGen BRCA1 VCEP v1.2.0. 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.
No pathogenic criterion marked as applied in the recorded assessment.
ENIGMA BP1_Strong applies to missense variants located outside all (potentially) clinically important functional domains (RING aa 2–101, coiled-coil aa 1391–1424, BRCT aa 1650–1857) with no splicing predicted (SpliceAI ≤0.1). p.Ile456Thr is at position 456, outside all three domains. SpliceAI max delta = 0.00. Both conditions satisfied for BP1_Strong.
ENIGMA BP5 captures combined likelihood ratio against pathogenicity from multifactorial likelihood clinical data. For NM_007294.4:c.1367T>C, the clinical-history LR from Li et al. 2020 (PMID:31853058) is 0.34 (LOG(LR) = −1.078, N=4 probands). This meets the BP5_Supporting threshold (LR ≤ 0.48). The Parsons et al. 2019 (PMID:31131967) combined multifactorial LR of 0.797 (co-occurrence LR=1.139, pathology LR=0.700) is directionally consistent with a benign interpretation but falls in the neutral zone for BP5. Only the Li 2020 clinical-history LR is used for code assignment per ENIGMA specifications.
ENIGMA BRCA1/2 v1.2.0 Table 3 classification framework: 1 Strong Benign criterion (BP1_Strong) plus 1 Supporting Benign criterion (BP5_Supporting) satisfies the Likely Benign combination rule. No pathogenic criteria are met, so no point-system reconciliation is needed.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 5 / 1,614,086 alleles. Recorded AF 3.09773e-06. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 7.96654e-06; MAF= 0.00080%, 2/251050 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 6.1546e-05; MAF= 0.00615%, 1/16248 alleles, homozygotes = 0).
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
A ClinVar laboratory submission summary was not recorded. ClinVar API review status: criteria provided, conflicting classifications.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BRCA1, a tumor suppressor involved in the DNA damage response, is mutated in various cancer types.
This variant has previously been reported in somatic cancers (COSMIC; COSV58795217, n = 1 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen BRCA1 VCEP v1.2.0, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 14 not met · 0 not assessed · 10 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_007294.4:c.1367T>C (p.Ile456Thr) is a missense substitution in BRCA1 exon 10(11) at amino acid position 456, which lies outside the recognized clinically important functional domains (RING aa 2–101, coiled-coil aa 1391–1424, BRCT aa 1650–1857).
BP1_Strong is met: the variant is a missense substitution outside all clinically important functional domains with no splicing predicted (SpliceAI max delta = 0.00), satisfying the ENIGMA v1.2.0 BP1_Strong rule.
BP5_Supporting is met: clinical-history likelihood ratio from Li et al. 2020 (PMID:31853058) is 0.34 (LOG(LR) = −1.078) based on 4 probands, meeting the BP5_Supporting threshold of LR ≤ 0.48.
The Parsons et al. 2019 (PMID:31131967) combined multifactorial analysis yielded a combined LR of 0.797 (moderate in favour of benign), directionally consistent with the Li 2020 clinical-history finding, though not independently meeting ENIGMA BP5 thresholds.
No pathogenic evidence criteria are met. The variant is present in gnomAD at extremely low frequency (v2.1: 2/251,050 alleles, AF=0.0008%; v4.1: 5/1,614,086 alleles) and is reported in ClinVar with conflicting classifications (Variation ID: 54222). No functional studies, case-control data, co-segregation data, or variant-specific literature were identified.
Under ENIGMA BRCA1 v1.2.0 Table 3 combination rules, 1 Strong Benign criterion (BP1_Strong) plus 1 Supporting Benign criterion (BP5_Supporting) meets the threshold for Likely Benign.
No criteria match.
Every interpreted variant in BRCA1, mapped onto the exon structure of NM_007294.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| Remaining individuals1 / 62,500 | 1.6e-05 |
| African/African American1 / 75,050 | 1.3e-05 |
| European (non-Finnish)3 / 1,180,004 | 2.5e-06 |
| African/African American1 / 16,248 | 6.2e-05 |
| European (non-Finnish)1 / 113,456 | 8.8e-06 |
This variant is present in gnomAD v4.1 (AF= 3.09773e-06; MAF= 0.00031%, 5/1614086 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 1.6e-05; MAF= 0.00160%, 1/62500 alleles, homozygotes = 0); grpmax FAF= 6.8e-07.
This variant is present in gnomAD v2.1 (AF= 7.96654e-06; MAF= 0.00080%, 2/251050 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 6.1546e-05; MAF= 0.00615%, 1/16248 alleles, homozygotes = 0).
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.613. BayesDel score = 0.121631.
5 paper records listed. 1 cited in the classification. None of the listed paper records explicitly indicates that the variant is named.
LOG(LR) = −1.077894806861877; LR = 0.3403111928598089; N_Probands = 4
Location MOESM2 clinical history LR table (PMID_31853058_BRCA1_clinical_history_LR.xlsx); variant-level data extracted from supplementary material.
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= 3.09773e-06; MAF= 0.00031%, 5/1614086 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 1.6e-05; MAF= 0.00160%, 1/62500 alleles, homozygotes = 0); grpmax FAF= 6.8e-07.
This variant is present in gnomAD v2.1 (AF= 7.96654e-06; MAF= 0.00080%, 2/251050 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 6.1546e-05; MAF= 0.00615%, 1/16248 alleles, homozygotes = 0).
Absent from gnomAD-Canada v1.0.
This variant is present in ClinVar (Variation ID: 54222); submission details unavailable.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.613. BayesDel score = 0.121631.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BRCA1, a tumor suppressor involved in the DNA damage response, is mutated in various cancer types.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV58795217, n = 1 times).
This variant does not lie in a statistically significant hotspot.