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 in BRCA1 exon 2, predicted to cause p.(Glu23ValfsTer17). BRCA1 loss of function is an established disease mechanism, and ENIGMA Table 4 designates exon 2 protein-truncating variants for full-strength PVS1, so this evidence supports PVS1 at Very Strong strength.
This variant is listed in ENIGMA Table 9 as PS3 Strong based on a calibrated functional study that showed protein function similar to pathogenic control variants. This is consistent with OncoKB describing the variant as an oncogenic loss-of-function alteration.
This frameshift creates a premature termination codon in BRCA1 exon 2. ENIGMA Table 4 designates exon 2 protein-truncating variants for PM5_Strong (PTC), so this variant meets PM5 at Strong strength.
This variant has a BRCA1 clinical-history likelihood ratio of 1.145935772193482e+20 from 202 probands in the BRCA1 clinical-history dataset. This value is far above the ENIGMA PP4_Very Strong threshold of 350, so the clinical-history evidence strongly supports pathogenicity.
Expert panel ClinGen ENIGMA BRCA1 and BRCA2 Variant Curation Expert Panel, ClinGen classified as Pathogenic.
This variant is present above the ENIGMA BS1_Supporting population threshold but below the BS1 threshold. The gnomAD v2.1 filter allele frequency is 5.395e-05 and the gnomAD v4.1 filter allele frequency is 2.478e-05, which are above 0.00002 and below or equal to 0.0001, consistent with BS1 at Supporting strength.
ENIGMA BRCA1 and BRCA2 Specification v1.2 Table 3 conflicting-evidence point system; pathogenic evidence totals 25 points (PVS1_Very Strong, PS3_Strong, PM5_Strong, PP4_Very Strong, PP5_Supporting) and benign evidence totals -1 point (BS1_Supporting), for a net score of 24.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 191 / 1,612,084 alleles. Recorded AF 0.00011848. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 0.000205352; MAF= 0.02054%, 58/282442 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00405093; MAF= 0.40509%, 42/10368 alleles, homozygotes = 0); grpmax FAF= 5.395e-05.
No SpliceAI or REVEL score is recorded in the fields used for this tile.
A ClinVar laboratory submission summary was not recorded.
OncoKB classifies this variant as Oncogenic; biological effect: Loss-of-function.
No COSMIC evidence statement is recorded in this case.
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: 6 met · 4 not met · 5 not assessed · 13 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The BRCA1 c.68_69del (p.Glu23ValfsTer17; p.E23Vfs*17) variant is reported in ClinVar as Pathogenic, including expert-panel classification by ClinGen ENIGMA, and is also described by OncoKB as an oncogenic loss-of-function alteration.
This variant is present in population databases, with gnomAD v2.1 AF 0.000205352 (58/282442 alleles) and gnomAD v4.1 AF 0.00011848 (191/1612084 alleles); the observed filter allele frequencies of 5.395e-05 in v2.1 and 2.478e-05 in v4.1 are below the BA1 threshold of 0.001 but within the ENIGMA BS1_Supporting range above 0.00002 and less than or equal to 0.0001.
ENIGMA functional data assign PS3 Strong to this variant, with calibrated assay evidence showing a damaging effect consistent with a deleterious control profile.
SpliceAI predicts no significant splice impact for this variant, with a maximum delta score of 0.00, which is consistent with the primary effect being protein truncation rather than splice disruption.
This early exon 2 frameshift introduces a premature termination codon at p.Glu23ValfsTer17, and ENIGMA exon-level rules support PVS1 at Very Strong strength and PM5 for protein-truncating variants in this exon.
No criteria match.
ENIGMA BRCA1/2 specification PVS1 for null variants, using Table 4 exon-level weighting.
ENIGMA PS3 from calibrated functional studies, with variant-specific assignment in Table 9.
ENIGMA PM5 for protein-terminating variants uses exon-specific PTC weighting from Table 4.
ENIGMA PP4 uses calibrated multifactorial clinical-history likelihood ratios.
ENIGMA BS1 uses filter allele frequency thresholds in non-founder populations.
ENIGMA PM2_Supporting requires absence from controls in gnomAD.
ENIGMA BA1 requires FAF greater than 0.001 in a non-founder population.
ENIGMA BS3 requires well-established studies showing no damaging effect.
ENIGMA BP5 uses multifactorial clinical-history likelihood ratios in the benign direction.
ENIGMA PS4 requires qualifying case-control enrichment evidence.
ENIGMA PM3 is reserved for BRCA1/2-related Fanconi anemia with biallelic observations.
ENIGMA PP1 requires quantitative segregation evidence.
ENIGMA BS2 requires point-based unaffected observations in the recessive-disease context.
ENIGMA BS4 requires quantitative lack-of-segregation evidence.
ENIGMA PS1 applies to qualifying missense or splice-equivalent variants, not frameshift deletions.
ENIGMA BRCA1/2 specification: PS2 not applicable.
ENIGMA BRCA1/2 specification: PM1 not applicable.
ENIGMA BRCA1/2 specification: PM4 not applicable.
ENIGMA BRCA1/2 specification: PM6 not applicable.
ENIGMA BRCA1/2 specification: PP2 not applicable.
ENIGMA PP3 applies to defined missense/in-frame/splicing contexts, not to this frameshift PVS1 scenario.
ENIGMA BP1 applies to selected non-truncating variant classes.
ENIGMA BRCA1/2 specification: BP2 not applicable.
ENIGMA BRCA1/2 specification: BP3 not applicable.
ENIGMA BP4 applies to selected non-truncating variant classes.
ENIGMA BRCA1/2 specification: BP6 not applicable.
ENIGMA BP7 applies to qualifying silent, intronic, or RNA-only contexts.
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 |
|---|
| Ashkenazi Jewish123 / 29,578 | 0.0042 |
| Remaining individuals20 / 62,394 | 0.00032 |
| Middle Eastern1 / 6,078 | 0.00016 |
| South Asian5 / 91,044 | 5.5e-05 |
| Admixed American3 / 59,996 | 5e-05 |
| European (non-Finnish)39 / 1,178,366 | 3.3e-05 |
| Ashkenazi Jewish42 / 10,368 | 0.0041 |
| South Asian4 / 30,608 | 0.00013 |
| European (non-Finnish)11 / 128,780 | 8.5e-05 |
| Admixed American1 / 35,440 | 2.8e-05 |
This variant is present in gnomAD v4.1 (AF= 0.00011848; MAF= 0.01185%, 191/1612084 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.0041585; MAF= 0.41585%, 123/29578 alleles, homozygotes = 0); grpmax FAF= 2.478e-05.
This variant is present in gnomAD v2.1 (AF= 0.000205352; MAF= 0.02054%, 58/282442 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00405093; MAF= 0.40509%, 42/10368 alleles, homozygotes = 0); grpmax FAF= 5.395e-05.
ENIGMA PP3 applies to defined missense/in-frame/splicing contexts, not to this frameshift PVS1 scenario.
ENIGMA BP4 applies to selected non-truncating variant classes.
ENIGMA BP7 applies to qualifying silent, intronic, or RNA-only contexts.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
0 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
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= 0.00011848; MAF= 0.01185%, 191/1612084 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.0041585; MAF= 0.41585%, 123/29578 alleles, homozygotes = 0); grpmax FAF= 2.478e-05.
This variant is present in gnomAD v2.1 (AF= 0.000205352; MAF= 0.02054%, 58/282442 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00405093; MAF= 0.40509%, 42/10368 alleles, homozygotes = 0); grpmax FAF= 5.395e-05.
This variant has been reported in ClinVar as Pathogenic (77 clinical laboratories) and as Pathogenic by ClinGen ENIGMA BRCA1 and BRCA2 Variant Curation Expert Panel, ClinGen (expert panel).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
OncoKB classifies this variant as Oncogenic; biological effect: Loss-of-function.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV58786277, n = 5 times).
This variant does not lie in a statistically significant hotspot.