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.
This variant is a frameshift deletion, NM_007294.4:c.4065_4068del, predicted to create p.(Asn1355LysfsTer10) / p.(N1355Kfs*10). It lies in BRCA1 exon 10(11), where the ENIGMA BRCA1 Table 4 assigns PVS1 for protein-truncating variants, and BRCA1 loss of function is an established disease mechanism in the official gene-specific framework.
In the BRCA1 ENIGMA framework, PM5 is repurposed for protein-truncating variants rather than classic same-residue missense logic. This frameshift lies in BRCA1 exon 10(11), and ENIGMA Table 4 assigns PM5_Strong (PTC) for truncating variants in this exon.
The BRCA1 clinical-history likelihood-ratio workbook contains this deletion as c.4065_4068delTCAA with 37 probands and LR 6590.9969. This exceeds the ENIGMA PP4 threshold for pathogenic clinical-history evidence and supports PP4.
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 final-classification framework (Table 3 override captured in final_classification_framework; ACMG/AMP 2015 with ENIGMA adaptations).
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 53 / 1,613,548 alleles. Recorded AF 3.28469e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.19596e-05; MAF= 0.00120%, 3/250844 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 3.28106e-05; MAF= 0.00328%, 1/30478 alleles, homozygotes = 0); grpmax FAF= 2.93e-06.
Recorded SpliceAI maximum delta score: 0.140. Refer to the recorded PP3/BP4 rationale for interpretation.
51 Pathogenic · 1 Likely pathogenic.
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 previously been reported in somatic cancers (COSMIC; COSV99066383, n = 2 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.
28 criteria with recorded statuses: 4 met · 4 not met · 5 not assessed · 15 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The BRCA1 NM_007294.4:c.4065_4068del (NP_009225.1:p.(Asn1355LysfsTer10), p.(N1355Kfs*10)) variant has been reported in ClinVar as Pathogenic by the ENIGMA expert panel and by multiple clinical laboratories.
This variant is present at very low frequency in gnomAD v2.1 (3/250844 alleles; AF 1.19596e-05, 0.00120%; grpmax FAF 2.93e-06), which is below the BRCA1 BA1 and BS1 thresholds but means the variant is not absent from controls, so PM2 is not met.
The BRCA1 clinical-history likelihood-ratio dataset lists this deletion as c.4065_4068delTCAA in 37 probands with LR 6590.9969, supporting pathogenic clinical-history evidence under the ENIGMA BRCA1 framework.
This frameshift lies in BRCA1 exon 10(11) and predicts a premature stop codon at residue 1364; the ENIGMA BRCA1 exon-specific Table 4 supports PVS1 and PM5_Strong (PTC) for truncating variants in this exon.
No criteria match.
ENIGMA BRCA1/BRCA2 specification PVS1 for null variants, with exon-specific weighting from Table 4.
ENIGMA BRCA1/BRCA2 specification PM5_PTC for truncating variants in eligible exons per Table 4.
ENIGMA BRCA1/BRCA2 specification PP4 uses calibrated clinical-history likelihood ratios; LR >= 18.7 supports at least Strong pathogenic clinical-history evidence.
ENIGMA BRCA1/BRCA2 specification PM2_Supporting requires absence from controls in gnomAD with adequate coverage.
ENIGMA BRCA1/BRCA2 specification BA1 requires FAF > 0.001 in a non-founder population.
ENIGMA BRCA1/BRCA2 specification BS1 uses FAF thresholds > 0.00002 and > 0.0001.
ENIGMA BRCA1/BRCA2 specification BP5 uses benign-direction clinical-history likelihood ratios.
ENIGMA BRCA1/BRCA2 specification PS4 requires significant enrichment in affected individuals versus controls.
ENIGMA BRCA1/BRCA2 specification PM3 is reserved for BRCA1/2-related Fanconi anemia evidence.
ENIGMA BRCA1/BRCA2 specification PP1 requires quantitative co-segregation evidence.
ENIGMA BRCA1/BRCA2 specification BS2 uses a point-based framework tied to absence of recessive disease features.
ENIGMA BRCA1/BRCA2 specification BS4 requires quantitative lack-of-segregation evidence.
ENIGMA BRCA1/BRCA2 specification PS1 applies to missense or matched splicing-impact comparators.
BRCA1 ENIGMA CSPEC applicability setting.
ENIGMA BRCA1/BRCA2 specification PS3 uses calibrated functional assay evidence.
BRCA1 ENIGMA CSPEC applicability setting.
BRCA1 ENIGMA CSPEC applicability setting.
BRCA1 ENIGMA CSPEC applicability setting.
BRCA1 ENIGMA CSPEC applicability setting.
ENIGMA BRCA1/BRCA2 specification PP3 applies to specified missense/in-frame/splicing scenarios, with SpliceAI >= 0.2 for splice prediction.
ENIGMA BRCA1/BRCA2 specification BS3 uses calibrated functional assay evidence.
ENIGMA BRCA1/BRCA2 specification BP1 is restricted to silent, missense, and in-frame variants.
BRCA1 ENIGMA CSPEC applicability setting.
BRCA1 ENIGMA CSPEC applicability setting.
ENIGMA BRCA1/BRCA2 specification BP4 applies to specified missense/in-frame/silent/intronic scenarios.
BRCA1 ENIGMA CSPEC applicability setting.
ENIGMA BRCA1/BRCA2 specification BP7 applies to silent or eligible intronic variants, with or without RNA evidence depending on context.
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)49 / 1,179,898 | 4.2e-05 |
| South Asian3 / 90,982 | 3.3e-05 |
| East Asian1 / 44,886 | 2.2e-05 |
| South Asian1 / 30,478 | 3.3e-05 |
| European (non-Finnish)2 / 113,544 | 1.8e-05 |
This variant is present in gnomAD v4.1 (AF= 3.28469e-05; MAF= 0.00328%, 53/1613548 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.1529e-05; MAF= 0.00415%, 49/1179898 alleles, homozygotes = 0); grpmax FAF= 3.179e-05.
This variant is present in gnomAD v2.1 (AF= 1.19596e-05; MAF= 0.00120%, 3/250844 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 3.28106e-05; MAF= 0.00328%, 1/30478 alleles, homozygotes = 0); grpmax FAF= 2.93e-06.
ENIGMA BRCA1/BRCA2 specification PP3 applies to specified missense/in-frame/splicing scenarios, with SpliceAI >= 0.2 for splice prediction.
ENIGMA BRCA1/BRCA2 specification BP4 applies to specified missense/in-frame/silent/intronic scenarios.
ENIGMA BRCA1/BRCA2 specification BP7 applies to silent or eligible intronic variants, with or without RNA evidence depending on context.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.14).
10 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
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= 3.28469e-05; MAF= 0.00328%, 53/1613548 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 4.1529e-05; MAF= 0.00415%, 49/1179898 alleles, homozygotes = 0); grpmax FAF= 3.179e-05.
This variant is present in gnomAD v2.1 (AF= 1.19596e-05; MAF= 0.00120%, 3/250844 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 3.28106e-05; MAF= 0.00328%, 1/30478 alleles, homozygotes = 0); grpmax FAF= 2.93e-06.
This variant has been reported in ClinVar as Pathogenic (51 clinical laboratories) and as Likely pathogenic (1 clinical laboratory) and as Pathogenic by Evidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA) (expert panel). (ClinVarID = 17674)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.14).
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 previously been reported in somatic cancers (COSMIC; COSV99066383, n = 2 times).
This variant does not lie in a statistically significant hotspot.