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 pathogenic. Select a step to read what it means.
Pathogenic.A pathogenic 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.
NM_007294.4:c.3700_3704del is a frameshift deletion in BRCA1 exon 10 (legacy exon 11), resulting in a premature termination codon (p.Val1234GlnfsTer8) predicted to undergo nonsense-mediated decay. Loss of function is an established disease mechanism for BRCA1. The ENIGMA BRCA1 specification (v1.2) assigns PVS1 at full strength for PTC variants in exon 10(11) per Table 4.
The variant is absent from gnomAD v2.1 (non-cancer, exome) and present in gnomAD v4.1 at extremely low frequency (5/1,614,374 alleles; MAF 0.00031%; grpmax FAF 1.24e-06). This meets ENIGMA PM2_Supporting: absent from controls in an outbred population per gnomAD v2.1/v3.1 criteria.
This is a protein termination codon (PTC) variant in BRCA1 exon 10 (legacy exon 11), where multiple proven pathogenic PTC variants have been observed (e.g., c.5266dupC). ENIGMA Table 4 assigns PM5_Strong (PTC) for PTC variants in exon E10(11). This criterion captures the additional weight beyond PVS1 for a PTC in an exon with established pathogenic PTCs.
The variant's clinical-history likelihood ratio from Li et al. 2020 (PMID:31853058) is LR = 57.23 (LOG(LR) = 4.047, N_Probands = 10). This exceeds the PP4_Strong threshold of LR ≥18.7 and is based on personal and family cancer history data from multigene panel testing, indicating significant enrichment of a breast/ovarian cancer phenotype in carriers compared to non-carriers.
Expert panel Evidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA) classified as Pathogenic.
No benign criterion marked as applied in the recorded assessment.
ENIGMA BRCA1/BRCA2 Specification v1.2.0 Table 3. The variant accumulates 1 Very Strong criterion (PVS1) and 2 Strong criteria (PM5_Strong, PP4_Strong), satisfying the pathogenic rule: 1 Very Strong + ≥1 Strong. Additionally, 2 Supporting criteria (PM2_Supporting, PP5_Supporting) provide further corroboration but are not required for this call.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 5 / 1,614,174 alleles. Recorded AF 3.09756e-06. Recorded homozygote count 0.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.050. Refer to the recorded PP3/BP4 rationale for interpretation.
38 Pathogenic · 3 pathogenic. ClinVar API review status: reviewed by expert panel.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has not previously been reported in somatic cancers (COSMIC).
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.
29 criteria with recorded statuses: 5 met · 8 not met · 0 not assessed · 16 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_007294.4:c.3700_3704del (p.Val1234GlnfsTer8) is a frameshift deletion in BRCA1 exon 10 that creates a premature termination codon, meeting PVS1 at very strong strength per ENIGMA Table 4 for PTC variants in E10(11).
The variant is absent from gnomAD v2.1 and present at extremely low frequency in gnomAD v4.1 (5/1,614,374 alleles; MAF 0.00031%; grpmax FAF=1.24e-06), meeting PM2_Supporting.
ENIGMA Table 4 assigns PM5_Strong (PTC) for protein termination codon variants in BRCA1 exon 10(11), an exon with multiple established pathogenic PTC variants.
Clinical-history likelihood ratio analysis from Li et al. 2020 (PMID:31853058) yields LR = 57.23 (N_Probands = 10), meeting PP4_Strong (LR ≥18.7), indicating significant enrichment of breast/ovarian cancer phenotype in carriers.
The variant has been classified as Pathogenic by the ENIGMA expert panel in ClinVar (ClinVar ID 37542) and has been observed as a recurrent founder mutation in multiple Central European populations.
Overall classification: Pathogenic under ENIGMA Table 3 rules (1 Very Strong + ≥1 Strong). Criteria met: PVS1 (Very Strong), PM5_Strong (PTC), PP4_Strong, PM2_Supporting.
No criteria match.
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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 |
|---|
| European (non-Finnish)5 / 1,180,032 | 4.2e-06 |
This variant is present in gnomAD v4.1 (AF= 3.09756e-06; MAF= 0.00031%, 5/1614174 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.23717e-06; MAF= 0.00042%, 5/1180032 alleles, homozygotes = 0); grpmax FAF= 1.24e-06.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
No further detail was recorded.
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.05).
8 paper records listed. 2 cited in the classification.
The BRCA1 c.3700_3704del5 mutation is a frequent mutation in Germany. Three BRCA1 Czech founder mutations (p.Cys61Gly, c.3700_3704del5, and c.5266dupC) accounted for 9.8%, 14.2% and 36.8% of the BRCA1 mutations identified, respectively.
Location Table 1 (BRCA1 mutations); Results, Discussion (founder mutations section)
c.3700_3704delGTAAA: LOG(LR) = 4.047027111053467, LR = 57.22707417000815, N_Probands = 10
Location MOESM2 clinical-history LR spreadsheet (PMID_31853058_BRCA1_clinical_history_LR.xlsx)
3819del5bp 1242X FS y 7 3 3 1 11
Table 1 (BRCA1 mutation list), line 470; referred to as 3819del5bp, exon 11, FS (frameshift), protein 1242X
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= 3.09756e-06; MAF= 0.00031%, 5/1614174 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.23717e-06; MAF= 0.00042%, 5/1180032 alleles, homozygotes = 0); grpmax FAF= 1.24e-06.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Pathogenic (38 clinical laboratories) and as pathogenic (3 clinical laboratories) and as Pathogenic by Evidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA) (expert panel). (ClinVarID = 37542)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.05).
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.