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Variant interpretation report

BRIP1 c.3459T>C, p.(Asp1153=)

NM_032043.3:c.3459T>C NP_114432.2:p.(Asp1153=) Synonymous · exon 20 View identifiers
Classification
Likely benign

Variant description:

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.

In plain language

Gene-level background from the recorded interpretation.

About BRIP1

BRIP1 encodes a helicase enzyme that partners with the BRCA1 protein to repair double-strand breaks in DNA, a process essential for maintaining genome stability. Germline mutations in this gene predispose carriers to ovarian cancer, and inheriting two faulty copies causes Fanconi anemia complementation group J, a rare disorder of impaired DNA repair. BRIP1 acts as a tumor suppressor, so loss of its function raises cancer risk, particularly in the ovary.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 0 Benign evidence criteria: 2
Pathogenic criteria applied · 0

No pathogenic criterion marked as applied in the recorded assessment.

Benign criteria applied · 2
BS1Strong
BS1 · strong

Met (Strong): 1.62% frequency in gnomAD v4.1 Middle Eastern exceeds the >0.3% benign-population threshold.

BP4Supporting
BP4 · supporting

Met (Supporting): SpliceAI maximum delta 0.004 is below the 0.1 no-splice-impact threshold.

Recorded classification: Likely benign

No BRIP1 VCEP or gene-specific framework was available, so generic ACMG/AMP 2015 rules were applied; BS1 (Strong) plus BP4 (Supporting) yields Likely Benign.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

gnomAD v4.1
gnomAD v2.1
Population frequency
1,086 / 1,612,548 alleles

gnomAD v4.1: 1,086 / 1,612,548 alleles. Recorded AF 0.000673468. Recorded homozygote count 1.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000756801; MAF= 0.07568%, 213/281448 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.00180606; MAF= 0.18061%, 13/7198 alleles, homozygotes = 0); grpmax FAF= 0.00089984.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.0014661164205039096, 27/18416 alleles, homozygotes = 0).

SpliceAI score
0.004 maximum delta

Recorded SpliceAI maximum delta score: 0.004. Refer to the recorded PP3/BP4 rationale for interpretation.

ClinVar submissions
19 reported laboratory submissions

12 Likely benign · 6 Benign · 1 Uncertain significance. ClinVar API review status: criteria provided, conflicting classifications.

Context only ClinVar ↗
Functional evidence
Statement recorded

OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.

No listed criterion applied OncoKB ↗
COSMIC
Cancer Hotspots
Somatic evidence
No matching record reported

This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under Not recorded, with the data and sources behind each one.

28 criteria with recorded statuses: 2 met · 5 not met · 13 not assessed · 8 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

BS1 (Strong): 1.62% allele frequency in gnomAD v4.1 Middle Eastern exceeds the >0.3% threshold for benign population frequency.

BP4 (Supporting): SpliceAI maximum delta 0.004 is below the 0.1 threshold, indicating no predicted splice impact.

Final: Likely Benign by generic ACMG/AMP 2015 combination rules (BS1 Strong + BP4 Supporting).

Met · 2

BS1 StrongMet (Strong): 1.62% frequency in gnomAD v4.1 Middle Eastern exceeds the >0.3% benign-population threshold. Details ▾Hide ▴
Reasoning

BS1 is met at strong benign strength. The variant reaches 1.61716% in the gnomAD v4.1 Middle Eastern ancestry group (98/6060 alleles; joint grpmax FAF 1.35815%), substantially exceeding the local non-VCEP operating threshold of >0.3% and far exceeding a plausible frequency for a rare pathogenic BRIP1 allele. The same variant is observed at 0.06735% overall in gnomAD v4.1, 0.07568% in gnomAD v2.1, and 0.14661% in gnomAD-Canada; the ancestry-specific enrichment is the decisive observation and should not be obscured by the lower pooled frequency.

Rule
generic_acmg_2015_bs1; local non-VCEP operating threshold AF >0.3%
Evidence considered
  • gnomAD v4.1 Middle Eastern group: 98/6060 alleles, AF 0.0161716 (1.61716%), one homozygote; joint grpmax FAF 0.0135815 (1.35815%).
  • gnomAD v4.1 overall AF is 0.000673468 (0.06735%); gnomAD v2.1 overall AF is 0.000756801 (0.07568%); gnomAD-Canada AF is 0.00146612 (0.14661%). These pooled values are lower because of ancestry mixing and do not negate the much higher Middle Eastern subgroup frequency.
  • Local non-VCEP operating convention for BS1 is AF >0.3%; the Middle Eastern gnomAD v4.1 frequency exceeds this threshold by more than fivefold.
  • The variant is synonymous, NM_032043.3:c.3459T>C (NP_114432.2:p.(Asp1153=)); the population observation is therefore interpreted only as benign population-frequency evidence, not as a functional conclusion.
Still missing
  • No BRIP1-specific maximum credible allele-frequency calculation incorporating disease prevalence, penetrance, and allelic contribution was available; the conclusion uses the generic/local non-VCEP BS1 operating threshold and the marked ancestry-specific excess.
Sources
gnomad_v2 ↗gnomad_v4 ↗gnomad_canada ↗generic_acmg_combination_rules
BP4 SupportingMet (Supporting): SpliceAI maximum delta 0.004 is below the 0.1 no-splice-impact threshold. Details ▾Hide ▴
Reasoning

BRIP1 has no governing VCEP or gene-specific specification in the case materials. For this synonymous variant, the applicable generic non-missense splice-impact rule is met: SpliceAI maximum delta score is 0.004, below the BP4 threshold of 0.1.

Rule
Generic ACMG/AMP fallback: for a synonymous non-missense variant, assess the splice-impact path with SpliceAI only; BP4 supporting requires maximum delta score <0.1.
Evidence considered
  • SpliceAI reports DS_AG 0.001, DS_AL 0.000, DS_DG 0.004, and DS_DL 0.004; maximum delta score is 0.004 for NM_032043.3:c.3459T>C.
  • The retrieved generic ACMG/AMP fallback designates SpliceAI as the single computational mechanism for synonymous variants and assigns BP4 supporting when maximum delta score is less than 0.1; the observed maximum delta score is 0.004.
  • No BRIP1 VCEP specification, gene-specific PP3/BP4 lookup, or pre-assigned computational code was retrieved.
Sources
spliceai ↗generic_acmg_combination_rules

Not met · 5 · evaluated, threshold not reached

PM2 Not met: the highest relevant population frequency is 1.62% (gnomAD v4.1 Middle Eastern), exceeding the <0.1% PM2 threshold. Details ▾Hide ▴
Reasoning

PM2 is not met. Although the pooled frequency is low (0.06735% in gnomAD v4.1 and 0.07568% in gnomAD v2.1), PM2 rarity must account for ancestry-specific frequency. The variant occurs at 1.61716% in the gnomAD v4.1 Middle Eastern group (joint grpmax FAF 1.35815%) and is present in gnomAD-Canada at 0.14661%, exceeding the local non-VCEP PM2 operating threshold of <0.1% when the highest relevant population frequency is considered. The variant is therefore not sufficiently rare in controls for PM2.

Rule
generic_acmg_2015_pm2; local non-VCEP rarity threshold AF <0.1% applied to the highest relevant ancestry frequency
Evidence considered
  • gnomAD v4.1: overall AF 0.000673468 (0.06735%), but Middle Eastern AF 0.0161716 (1.61716%) with joint grpmax FAF 0.0135815 (1.35815%) and one homozygote.
  • gnomAD v2.1: overall AF 0.000756801 (0.07568%), zero homozygotes; gnomAD-Canada: AF 0.00146612 (0.14661%), zero homozygotes.
  • Local non-VCEP PM2 operating convention is AF <0.1%; the highest ancestry-specific frequencies exceed this threshold, so pooled rarity does not support PM2.
Still missing
  • No BRIP1-specific maximum credible allele-frequency threshold or ancestry-calibrated PM2 rule was available; adjudication relies on the generic/local non-VCEP <0.1% rarity convention and the observed ancestry-specific enrichment.
Sources
gnomad_v2 ↗gnomad_v4 ↗gnomad_canada ↗generic_acmg_combination_rules
PP3 Not met: SpliceAI maximum delta 0.004 does not meet the splice-impact threshold. Details ▾Hide ▴
Reasoning

BRIP1 has no governing VCEP or gene-specific specification in the case materials. The synonymous variant's SpliceAI maximum delta score is 0.004, which does not meet the generic non-missense splice-impact PP3 threshold.

Rule
Generic ACMG/AMP fallback: for a synonymous non-missense variant, assess the splice-impact path with SpliceAI only; PP3 supporting requires maximum delta score >0.2.
Evidence considered
  • The retrieved generic ACMG/AMP fallback designates SpliceAI as the single computational mechanism for synonymous variants and assigns PP3 only when the maximum delta score is greater than 0.2; the observed maximum delta score is 0.004.
  • No BRIP1 VCEP specification, gene-specific PP3/BP4 lookup, or pre-assigned computational code was retrieved.
Sources
spliceai ↗generic_acmg_combination_rules
PP5 Not met: ClinVar record 136580 has zero expert-panel submissions, so no expert-panel pathogenic assertion exists. Details ▾Hide ▴
Reasoning

ClinVar record 136580 exactly matches NM_032043.3:c.3459T>C (p.Asp1153=), but its submission audit identifies zero expert-panel submissions. Therefore, no exact-variant expert-panel Pathogenic/Likely pathogenic assertion is available and PP5 is not met.

Rule
Apply PP5 only for an exact-variant ClinVar expert-panel Pathogenic or Likely pathogenic classification.
Evidence considered
  • The ClinVar submission audit reports an exact transcript-HGVS match and zero expert-panel submissions; the displayed benign, likely benign, and uncertain assertions are ordinary laboratory submissions and cannot support PP5.
Still missing
  • An exact-variant ClinVar expert-panel Pathogenic or Likely pathogenic assertion would be required.
Sources
BA1 Not met: highest gnomAD v4.1 ancestry frequency is 1.62% (Middle Eastern), below the >5% stand-alone threshold. Details ▾Hide ▴
Reasoning

BA1 is not met under the generic ACMG/AMP framework. The highest observed gnomAD v4.1 ancestry frequency is 0.0161716 (1.61716%) in the Middle Eastern group, with joint grpmax FAF 0.0135815 (1.35815%); these are below the generic stand-alone BA1 threshold of >5%. The variant is also present at 0.07568% in gnomAD v2.1 and 0.06735% in gnomAD v4.1 overall, so it is not population-absent.

Rule
generic_acmg_2015_ba1
Evidence considered
  • gnomAD v4.1 reports 1086/1,612,548 alleles (AF 0.000673468; 0.06735%) and one homozygote; the highest ancestry frequency is Middle Eastern, 98/6060 alleles (AF 0.0161716; 1.61716%), with joint grpmax FAF 0.0135815 (1.35815%).
  • gnomAD v2.1 reports 213/281448 alleles (AF 0.000756801; 0.07568%), zero homozygotes, and a highest observed subgroup AF of 0.18061% in Remaining individuals.
  • gnomAD-Canada v1.0 reports 27/18416 alleles (AF 0.00146612; 0.14661%), zero homozygotes.
  • No BRIP1 VCEP/CSPEC or local gene-specific framework was retrieved; generic ACMG/AMP fallback governs. Generic ACMG/AMP BA1 requires an allele frequency above the stand-alone benign threshold, conventionally >5% (Richards et al. 2015, PMID:25741868).
Sources
gnomad_v2 ↗gnomad_v4 ↗gnomad_canada ↗generic_acmg_combination_rules
BP6 Not met: ClinVar record 136580 has zero expert-panel submissions, so no expert-panel benign assertion exists. Details ▾Hide ▴
Reasoning

ClinVar record 136580 exactly matches NM_032043.3:c.3459T>C (p.Asp1153=), but its submission audit identifies zero expert-panel submissions. Thus, despite ordinary laboratory Benign/Likely benign submissions, no exact-variant expert-panel Benign/Likely benign assertion is available and BP6 is not met.

Rule
Apply BP6 only for an exact-variant ClinVar expert-panel Benign or Likely benign classification.
Evidence considered
  • The ClinVar submission audit reports an exact transcript-HGVS match and zero expert-panel submissions; ordinary laboratory Benign/Likely benign submissions cannot trigger BP6.
Still missing
  • An exact-variant ClinVar expert-panel Benign or Likely benign assertion would be required.
Sources

Not assessed · 13 · no assessment recorded

PS2 Not assessed: no confirmed de novo occurrence with informative parental testing was documented. Details ▾Hide ▴
Reasoning

No case-level evidence documenting a confirmed de novo occurrence in the proband, including informative parental testing, is present in the evidence bundle. The variant's presence in population databases and ClinVar submissions does not establish de novo status.

Rule
Generic ACMG/AMP PS2 requires a confirmed de novo variant in an affected individual with confirmed maternity and paternity; strength depends on the quality and number of de novo observations and phenotype consistency.
Evidence considered
  • The case bundle contains no documented proband-parent trio result, parental genotypes, or confirmed de novo observation for BRIP1 NM_032043.3:c.3459T>C (NP_114432.2:p.(Asp1153=)).
  • The bundle identifies no applicable BRIP1 ClinGen/VCEP specification; generic ACMG/AMP criteria therefore apply.
Still missing
  • Proband-level variant result and phenotype documentation
  • Confirmed maternity and paternity
  • Variant testing results for both biological parents
  • Assessment of parental mosaicism and assay sensitivity
PS3 Not assessed: no validated functional assay evidence reporting this variant was identified. Details ▾Hide ▴
Reasoning

No variant-specific validated functional assay evidence was identified for BRIP1 NM_032043.3:c.3459T>C (p.Asp1153=). The available functional-themed publications are general ACMG/AMP guidance or a general scoring-system description and do not report this variant or an assay result for it. Therefore PS3 cannot be assigned.

Rule
Generic ACMG/AMP PS3: use only well-established functional studies supportive of a damaging effect; no strength assignment is possible without variant-specific validated assay evidence.
Evidence considered
  • The case bundle identifies no applicable BRIP1 ClinGen/VCEP specification; the generic ACMG/AMP fallback was therefore used.
  • PMID:25741868 was reviewed as the generic ACMG/AMP framework source; its extracted content does not mention BRIP1 c.3459T>C and provides no variant-specific functional result.
  • PMID:26467025 was reviewed as a functional-themed source; its extracted content describes a general rules-based scoring system but does not report BRIP1 c.3459T>C or a BRIP1-specific assay result.
  • The case variant is synonymous, NM_032043.3:c.3459T>C (NP_114432.2:p.(D1153=)); SpliceAI max delta is 0.004 in the bundle, which is computational evidence and is not a validated functional assay result for PS3.
Still missing
  • A variant-specific functional assay relevant to BRIP1 biology is needed, with appropriate positive and negative controls, validated assay performance, and an interpretable result for c.3459T>C.
  • No assay methodology, replicate data, control results, or quantitative effect estimate for this variant is available in the case bundle.
Sources
PS4 Not assessed: no case-control data, affected counts, or enrichment statistics for this variant were available. Details ▾Hide ▴
Reasoning

No applicable BRIP1 VCEP specification was retrieved. Under the generic ACMG/AMP fallback, there are no exact-variant case-control data, affected-case counts, control counts, or enrichment statistics for NM_032043.3:c.3459T>C (p.Asp1153=); PS4 cannot be assessed.

Rule
Generic ACMG/AMP fallback: PS4 requires statistically increased prevalence in affected individuals versus controls.
Evidence considered
  • The case framework is generic ACMG/AMP because no BRIP1 ClinGen CSPEC/VCEP material was retrieved.
  • The literature triage and extracted full-text records supplied no paper reporting the exact variant in cases or controls; the PS4 candidate paper PMID:24366376 was reviewed in paper_extracts and does not mention BRIP1 or c.3459T>C.
Still missing
  • A phenotype-defined case-control study or other statistically evaluable enrichment dataset for the exact variant is needed.
Sources
PM3 Not assessed: no second pathogenic allele, phasing result, or in-trans evidence was documented. Details ▾Hide ▴
Reasoning

No applicable BRIP1 VCEP/CSPEC specification was retrieved, so generic ACMG/AMP criteria are used. The case bundle contains no affected-proband observation, second pathogenic or likely pathogenic BRIP1 allele, or phasing/inheritance result demonstrating that NM_032043.3:c.3459T>C is in trans with a pathogenic variant. The available case data therefore do not permit assessment of PM3; the variant's synonymous annotation and population observations do not establish PM3.

Rule
Generic ACMG/AMP PM3: pathogenic variant detected in trans with a pathogenic variant in an affected individual with a recessive disorder; phase and phenotype must be established.
Evidence considered
  • The governing materials report that no BRIP1 CSPEC/VCEP framework was found and designate generic ACMG/AMP fallback.
  • The case bundle identifies NM_032043.3:c.3459T>C as a synonymous variant, NP_114432.2:p.(Asp1153=), but provides no affected-proband, compound-heterozygous, trans/cis, or parental-inheritance observation.
  • PM3 requires observation of the tested variant in trans with a pathogenic variant in an affected individual; that required allelic and clinical evidence is absent from this case bundle.
Still missing
  • Affected-proband data relevant to a recessive BRIP1-related disorder are not provided.
  • No pathogenic/likely pathogenic variant in trans is documented.
  • No parental testing, phase information, or inheritance result is provided.
PM6 Not assessed: no evidence of presumed de novo occurrence without confirmed parentage was documented. Details ▾Hide ▴
Reasoning

No case-level or published evidence documents the variant as presumed de novo without confirmed maternity and paternity. No informative family or meiosis data are available to support PM6.

Rule
Generic ACMG/AMP PM6 is used for a presumed de novo variant in an affected individual when maternity and paternity are not confirmed; it is weaker than PS2 and requires credible clinical and inheritance documentation.
Evidence considered
  • The case bundle contains no report of NM_032043.3:c.3459T>C in a proband with presumed de novo inheritance and no parental testing evidence.
  • No publication extraction in the bundle reports this exact BRIP1 variant or any segregation/de novo observation.
Still missing
  • Documented presumed de novo observation in an affected proband
  • Parental relationship and testing details
  • Phenotype consistency with a BRIP1-related disorder
  • Number of independent de novo observations and meioses
PP1 Not assessed: no affected relatives, informative meioses, or segregation data were documented. Details ▾Hide ▴
Reasoning

No affected relatives carrying the variant, informative meioses, or family segregation data are documented. Phenotype and inheritance information are insufficient to evaluate co-segregation.

Rule
Generic ACMG/AMP PP1 supports co-segregation of a variant with disease in multiple affected family members; the evidence should be based on informative meioses and phenotype consistency, with strength adjusted for the amount and informativeness of segregation.
Evidence considered
  • The case bundle provides no pedigree, family-level genotypes, affected-relative observations, or meiosis count for NM_032043.3:c.3459T>C.
  • The available paper extracts do not report this exact variant or BRIP1-specific segregation data.
Still missing
  • Pedigree identifying affected and unaffected relatives
  • Genotypes of informative relatives
  • Number of informative meioses
  • Phenotype definitions and diagnostic confirmation for relatives
PP4 Not assessed: no phenotype, age-of-onset, or family-history information for the tested individual was supplied. Details ▾Hide ▴
Reasoning

No applicable BRIP1 VCEP specification was retrieved. No individual-level phenotype, age of onset, family history, or phenotype specificity information is supplied for the tested individual, so PP4 cannot be evaluated.

Rule
Generic ACMG/AMP fallback: PP4 requires a patient phenotype or family history highly specific for a disease with a single genetic etiology.
Evidence considered
  • The case framework is generic ACMG/AMP because no BRIP1 ClinGen CSPEC/VCEP material was retrieved.
  • No phenotype-specific case information is present in the consolidated evidence bundle.
Still missing
  • Clinical phenotype and family-history data for the tested individual are needed.
  • Evidence that the observed phenotype is highly specific for a BRIP1-related disorder, with relevant differential diagnoses addressed, is needed.
BS2 Not assessed: gnomAD reports one homozygote, but aggregate data do not establish a clinically unaffected adult of relevant age. Details ▾Hide ▴
Reasoning

BS2 is not assessed. gnomAD v4.1 reports one homozygote, but aggregate gnomAD data do not establish that the individual was a clinically unaffected adult, the relevant age, or the absence of BRIP1-related disease. In addition, BRIP1 cancer predisposition is reduced penetrance/age-dependent rather than a fully penetrant early-onset dominant disorder, so a homozygote count alone cannot satisfy the healthy-adult BS2 requirement.

Rule
generic_acmg_2015_bs2
Evidence considered
  • gnomAD v4.1 reports one homozygote among 1,612,548 alleles, specifically within the Middle Eastern group; no individual-level phenotype, age, or clinical follow-up is provided.
  • The ACMG Secondary Findings v3.0 discussion describes lower penetrance as an important consideration for BRIP1, supporting caution in interpreting general-population carrier observations as evidence against disease.
  • Generic ACMG/AMP BS2 requires observation in an appropriately healthy adult context; an aggregate database homozygote count without phenotype and age information is insufficient.
Still missing
  • A phenotyped, age-appropriate unaffected adult homozygote or a disease-specific control observation with documented clinical status is required for BS2.
  • BRIP1-specific penetrance and disease-mechanism context sufficient to interpret a healthy homozygote were not available in the case bundle.
Sources
gnomad_v4 ↗PMID:34012068 ↗generic_acmg_combination_rules
BS3 Not assessed: no validated functional assay demonstrating a benign effect for this variant was identified. Details ▾Hide ▴
Reasoning

No variant-specific validated functional assay demonstrating a benign effect was identified for BRIP1 NM_032043.3:c.3459T>C (p.Asp1153=). The available functional-themed publications do not report this variant or a benign assay result, and the absence of a splice prediction is not equivalent to a validated benign functional study. Therefore BS3 cannot be assigned.

Rule
Generic ACMG/AMP BS3: use only well-established functional studies showing no damaging effect on protein function or splicing; no strength assignment is possible without variant-specific validated assay evidence.
Evidence considered
  • The case bundle identifies no applicable BRIP1 ClinGen/VCEP specification; the generic ACMG/AMP fallback was therefore used.
  • PMID:25741868 was reviewed as the generic ACMG/AMP framework source; its extracted content does not mention BRIP1 c.3459T>C and provides no variant-specific functional result.
  • PMID:26467025 was reviewed as a functional-themed source; its extracted content describes a general rules-based scoring system but does not report BRIP1 c.3459T>C or a BRIP1-specific assay result.
  • The bundle reports SpliceAI max delta 0.004, but a low computational splice score does not establish benignity under BS3 and cannot substitute for a validated functional assay.
Still missing
  • A variant-specific well-established functional study showing preserved BRIP1 function is needed, with appropriate controls, assay validation, and an interpretable benign result for c.3459T>C.
  • No assay methodology, replicate data, control results, or quantitative functional-normal range for this variant is available in the case bundle.
Sources
BS4 Not assessed: no unaffected tested relatives were documented to evaluate non-segregation. Details ▾Hide ▴
Reasoning

No informative unaffected relatives who were tested and found not to carry the variant are documented. Therefore, non-segregation cannot be assessed.

Rule
Generic ACMG/AMP BS4 supports lack of segregation in an affected family, or presence of the variant in unaffected relatives when they are informative for the disease; interpretation requires adequate phenotype, age, penetrance, and genotype information.
Evidence considered
  • The case bundle contains no tested unaffected relatives, genotype-negative relatives, or other reliable non-segregation observations for NM_032043.3:c.3459T>C.
  • Population frequency and variant classification records do not constitute family non-segregation evidence.
Still missing
  • Pedigree and validated disease-status information
  • Genotypes of informative unaffected relatives
  • Age and clinical follow-up sufficient to interpret unaffected status
  • Assessment of phenocopies and incomplete penetrance
BP2 Not assessed: no data document the variant in cis with a pathogenic allele. Details ▾Hide ▴
Reasoning

No applicable BRIP1 VCEP/CSPEC specification was retrieved, so generic ACMG/AMP criteria are used. The case bundle contains no affected-proband observation showing the variant in cis with a pathogenic variant, no phase result, and no documented pathogenic or likely pathogenic allele with which to evaluate co-occurrence. Accordingly, BP2 cannot be assessed from the available evidence.

Rule
Generic ACMG/AMP BP2: observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder, or in cis with a pathogenic variant for a recessive disorder, when the relevant phenotype and phase are established.
Evidence considered
  • The governing materials report that no BRIP1 CSPEC/VCEP framework was found and designate generic ACMG/AMP fallback.
  • The case bundle contains no family, affected-proband, phase, cis/trans, or co-occurrence observation involving NM_032043.3:c.3459T>C and another pathogenic or likely pathogenic variant.
  • BP2 requires occurrence of the variant in trans/cis context with another pathogenic variant as specified by the applicable disease model; the necessary allelic evidence is absent.
Still missing
  • No affected-proband or case-level co-occurrence data are provided.
  • No pathogenic/likely pathogenic variant in cis is documented.
  • No phasing or inheritance information is provided.
BP5 Not assessed: no phenotype information or alternate molecular diagnosis was available. Details ▾Hide ▴
Reasoning

No applicable BRIP1 VCEP specification was retrieved. The evidence bundle supplies no phenotype information and no documented alternate molecular diagnosis that fully explains a reported phenotype; BP5 cannot be assessed.

Rule
Generic ACMG/AMP fallback: BP5 requires an alternate molecular basis for disease in an individual with the variant.
Evidence considered
  • No alternate molecular diagnosis or phenotype-specific clinical explanation is present in the consolidated evidence bundle.
Still missing
  • A documented phenotype plus an independently established alternate molecular diagnosis that fully explains that phenotype are needed.
BP7 Not assessed: the no-splice-impact prediction was already counted under BP4, and no conservation evidence was available. Details ▾Hide ▴
Reasoning

The variant is synonymous, but BP7 is not applied because the available no-splice-impact prediction has already been used for BP4 and cannot be double-counted across these criteria. In addition, the case bundle contains no nucleotide-conservation evidence needed for a separate BP7 assessment.

Rule
Generic ACMG/AMP fallback; do not double-count the same no-splice-impact computational prediction across BP4 and BP7.
Evidence considered
  • Normalization identifies NM_032043.3:c.3459T>C as NP_114432.2:p.(Asp1153=), a synonymous substitution.
  • SpliceAI predicts no significant splice impact (maximum delta score 0.004), but this prediction is assigned to BP4 and is not reused for BP7.
  • No BRIP1 VCEP specification or gene-specific BP7 assignment was retrieved.
Still missing
  • A separate, applicable BP7 evidence path would require nucleotide-conservation evidence; the available computational splice prediction is already assigned to BP4 and must not be reused.
Sources
spliceai ↗generic_acmg_combination_rules
Not applicable · 8· recorded as not applicable Show reasons ▾Hide reasons ▴
PVS1 N/ANot applicable: as a synonymous change (p.Asp1153=) it produces no altered protein, so no null-variant mechanism applies. Details ▾Hide ▴
Reasoning

PVS1 (ClinGen SVI PVS1 recommendations, PMC6185798, pvs1_generic_framework) applies only to null variant classes — nonsense, frameshift, canonical ±1/2 splice-consensus, translation-initiation-codon loss, and stop-loss variants — each expected to trigger nonsense-mediated decay or otherwise abolish normal protein function. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, no null-variant mechanism (nonsense-mediated decay, truncation, or canonical splice disruption) is triggered by this variant class, so PVS1's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_null_variant_class
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
PS1 N/ANot applicable: no altered amino acid is produced, so there is no change to compare with a known pathogenic missense. Details ▾Hide ▴
Reasoning

PS1 (Richards et al. 2015, PMID:25741868) requires the same amino acid change as a previously established pathogenic variant, evaluated regardless of the underlying nucleotide change. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, no altered amino acid exists at this position to compare against any previously established pathogenic missense variant, so PS1's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
generic_acmg_combination_rules
PM1 N/ANot applicable: no missense change exists, so mutational hot-spot or critical-domain membership cannot be evaluated. Details ▾Hide ▴
Reasoning

PM1 (Richards et al. 2015, PMID:25741868) applies to a missense variant located in a mutational hot spot and/or a critical, well-established functional domain without benign variation. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, no altered residue exists to evaluate for mutational hot-spot or critical-domain membership, so PM1's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
generic_acmg_combination_rules
PM4 N/ANot applicable: this synonymous variant causes no protein-length change for the criterion to evaluate. Details ▾Hide ▴
Reasoning

PM4 (Richards et al. 2015, PMID:25741868) applies to protein length changes: in-frame insertions/deletions in a non-repetitive region, or stop-loss variants that extend the protein past the reference stop codon. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, no change in protein length occurs, so there is nothing for this criterion to evaluate, so PM4's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_stop_loss_or_nonrepeat_indel
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
PM5 N/ANot applicable: no missense change exists to compare against a different pathogenic missense at this residue. Details ▾Hide ▴
Reasoning

PM5 (Richards et al. 2015, PMID:25741868) requires a novel missense change at an amino acid residue where a different missense change has previously been determined to be pathogenic. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, no missense change exists at this residue to compare against a different pathogenic missense change at the same position, so PM5's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
generic_acmg_combination_rules
PP2 N/ANot applicable: no missense change is present, so the gene's missense-constraint properties are irrelevant. Details ▾Hide ▴
Reasoning

PP2 (Richards et al. 2015, PMID:25741868) applies to a missense variant in a gene with a low rate of benign missense variation, where missense variants are a common mechanism of disease. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, the gene's missense-constraint properties are irrelevant because no missense change is present to evaluate, so PP2's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
generic_acmg_combination_rules
BP1 N/ANot applicable: this is a synonymous change, so the criterion for missense variants in a truncating-disease gene does not apply. Details ▾Hide ▴
Reasoning

BP1 (Richards et al. 2015, PMID:25741868) applies to a missense variant in a gene for which primarily truncating variants are known to cause disease. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, the gene's truncating-variant mechanism is irrelevant because no missense change is present to evaluate, so BP1's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
generic_acmg_combination_rules
BP3 N/ANot applicable: no in-frame insertion/deletion or repetitive-region length change is present. Details ▾Hide ▴
Reasoning

BP3 (Richards et al. 2015, PMID:25741868) applies to in-frame insertions/deletions located in a repetitive region without a known function. NM_032043.3:c.3459T>C in BRIP1 is a synonymous (silent) substitution predicted to produce NP_114432.2:p.(Asp1153=). As a result, the variant does not alter protein length within a repeat region, so there is nothing for this criterion to evaluate, so BP3's structural prerequisite is not met by this variant class. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication, because no structured VCEP criteria-combination framework governs this case (framework_complete=false); the generic ACMG/AMP 2015 fallback applies.

Rule
deterministic_prefilter: requires_repeat_region_indel
Evidence considered
  • Deterministic consequence classification: synonymous (prefetch.json normalized protein consequence)
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules

Identifiers

Gene
BRIP1
Transcript
NM_032043.3
Coding (HGVS c.)
NM_032043.3:c.3459T>C
Protein (HGVS p.)
NP_114432.2:p.(Asp1153=)
GRCh38
chr17:61683587 A>G
GRCh37
chr17:59760948 A>G
Location and type
Exon 20 · synonymous
ClinVar
136580

Gene diagram

Every interpreted variant in BRIP1, mapped onto the exon structure of NM_032043.3. Select a row to find it on the plot.

BRIP1NM_032043.3
Fetching transcript structure from UCSC…
gnomAD v4.1 1,086 / 1,612,548 alleles AF 0.000673 · 1 homozygotes · FAF 0.0136
gnomAD v2.1 213 / 281,448 alleles AF 0.000757 · 0 homozygotes · FAF 0.0009
gnomAD-Canada v1.0 Allele count data not recorded

By genetic ancestry

gnomAD v4.1

AF 0.00067 · 1086 / 1,612,548 alleles · 1 hom · FAF 0.014
Middle Eastern98 / 6,060 0.0161 hom
Remaining individuals76 / 62,480 0.0012
Admixed American67 / 59,990 0.0011
Ashkenazi Jewish30 / 29,596 0.001
European (non-Finnish)733 / 1,179,930 0.00062
South Asian56 / 91,042 0.00062
African/African American26 / 75,000 0.00035
0 alternate alleles recorded in 3 other groups: European (Finnish), Amish, East Asian.

gnomAD v2.1

AF 0.00076 · 213 / 281,448 alleles · 0 hom · FAF 0.0009
Remaining individuals13 / 7,198 0.0018
Ashkenazi Jewish14 / 10,366 0.0014
Admixed American43 / 35,346 0.0012
European (non-Finnish)126 / 128,912 0.00098
South Asian13 / 30,568 0.00043
African/African American4 / 24,908 0.00016
0 alternate alleles recorded in 2 other groups: East Asian, European (Finnish).

gnomAD-Canada

AF not recorded · ? / ? alleles

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.000673468; MAF= 0.06735%, 1086/1612548 alleles, homozygotes = 1) and has highest observed frequency in the Middle Eastern population (AF= 0.0161716; MAF= 1.61716%, 98/6060 alleles, homozygotes = 1); grpmax FAF= 0.0135815.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000756801; MAF= 0.07568%, 213/281448 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.00180606; MAF= 0.18061%, 13/7198 alleles, homozygotes = 0); grpmax FAF= 0.00089984.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.0014661164205039096, 27/18416 alleles, homozygotes = 0).

Open the gnomAD-Canada detail page →

SpliceAI and Pangolin

SpliceAI acceptor lossat -63 bp
0.000
SpliceAI acceptor gainat +224 bp
0.001
SpliceAI donor lossat +138 bp
0.004
SpliceAI donor gainat -268 bp
0.004
Pangolin splice lossmagnitude shown
-0.010
Pangolin splice gain
0.011

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

BP4 SupportingMet (Supporting): SpliceAI maximum delta 0.004 is below the 0.1 no-splice-impact threshold. Details ▾Hide ▴
Reasoning

BRIP1 has no governing VCEP or gene-specific specification in the case materials. For this synonymous variant, the applicable generic non-missense splice-impact rule is met: SpliceAI maximum delta score is 0.004, below the BP4 threshold of 0.1.

Rule
Generic ACMG/AMP fallback: for a synonymous non-missense variant, assess the splice-impact path with SpliceAI only; BP4 supporting requires maximum delta score <0.1.
Evidence considered
  • SpliceAI reports DS_AG 0.001, DS_AL 0.000, DS_DG 0.004, and DS_DL 0.004; maximum delta score is 0.004 for NM_032043.3:c.3459T>C.
  • The retrieved generic ACMG/AMP fallback designates SpliceAI as the single computational mechanism for synonymous variants and assigns BP4 supporting when maximum delta score is less than 0.1; the observed maximum delta score is 0.004.
  • No BRIP1 VCEP specification, gene-specific PP3/BP4 lookup, or pre-assigned computational code was retrieved.
Sources
spliceai ↗generic_acmg_combination_rules
PP3 Not met: SpliceAI maximum delta 0.004 does not meet the splice-impact threshold. Details ▾Hide ▴
Reasoning

BRIP1 has no governing VCEP or gene-specific specification in the case materials. The synonymous variant's SpliceAI maximum delta score is 0.004, which does not meet the generic non-missense splice-impact PP3 threshold.

Rule
Generic ACMG/AMP fallback: for a synonymous non-missense variant, assess the splice-impact path with SpliceAI only; PP3 supporting requires maximum delta score >0.2.
Evidence considered
  • The retrieved generic ACMG/AMP fallback designates SpliceAI as the single computational mechanism for synonymous variants and assigns PP3 only when the maximum delta score is greater than 0.2; the observed maximum delta score is 0.004.
  • No BRIP1 VCEP specification, gene-specific PP3/BP4 lookup, or pre-assigned computational code was retrieved.
Sources
spliceai ↗generic_acmg_combination_rules
BP7 Not assessed: the no-splice-impact prediction was already counted under BP4, and no conservation evidence was available. Details ▾Hide ▴
Reasoning

The variant is synonymous, but BP7 is not applied because the available no-splice-impact prediction has already been used for BP4 and cannot be double-counted across these criteria. In addition, the case bundle contains no nucleotide-conservation evidence needed for a separate BP7 assessment.

Rule
Generic ACMG/AMP fallback; do not double-count the same no-splice-impact computational prediction across BP4 and BP7.
Evidence considered
  • Normalization identifies NM_032043.3:c.3459T>C as NP_114432.2:p.(Asp1153=), a synonymous substitution.
  • SpliceAI predicts no significant splice impact (maximum delta score 0.004), but this prediction is assigned to BP4 and is not reused for BP7.
  • No BRIP1 VCEP specification or gene-specific BP7 assignment was retrieved.
Still missing
  • A separate, applicable BP7 evidence path would require nucleotide-conservation evidence; the available computational splice prediction is already assigned to BP4 and must not be reused.
Sources
spliceai ↗generic_acmg_combination_rules

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

8 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.

Recorded publications

  • Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.
    The paper does not mention BRIP1 or the exact variant c.3459T>C (NP_114432.2:p.(D1153=)). It presents general ACMG/AMP/CAP guidance and does not provide a variant-specific functional assay result that can support PS3 or BS3.
    Does not name this variant
    PMID 25741868 ↗
    Quoted passage
    Clinical reports should include sequence reference(s) to ensure unambiguous naming of the variant at the DNA level as well as provide coding and protein nomenclature to assist in functional interpretations (e.g., “g.” for genomic sequence, “c.” for coding DNA sequence, “p.” for protein, “m.” for mitochondria, etc.).

    Nomenclature

  • A Standardized DNA Variant Scoring System for Pathogenicity Assessments in Mendelian Disorders.
    The paper does not report the BRIP1 c.3459T>C (NP_114432.2:p.(D1153=)) variant or provide a BRIP1-specific functional assay result. It describes a general rules-based variant pathogenicity scoring system that may incorporate functional studies from clinical and external sources, but it supplies no assay result for this case variant.
    Does not name this variant
    PMID 26467025 ↗
    Quoted passage
    Over 16,500 pathogenicity assessments on 11,894 distinct variants in 338 genes causing neurological, endocrine, and nephrotic genetic disorders were performed on the sequencing data.

    Materials and Methods, Data Collection and Storage

  • Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women: U.S. Preventive Services Task Force recommendation statement.
    Moyer VA et al. · 2014
    The reviewed paper does not mention BRIP1 or NM_032043.3:c.3459T>C (p.Asp1153=) and provides no exact-variant case-control, phenotype-specific, or expert-panel assertion evidence for this assessment.
    Does not name this variant
    PMID 24366376 ↗
    Quoted passage
    The BRCA1 and BRCA2 genes are tumor-suppressor genes. Mutations of these genes have been linked to hereditary breast and ovarian cancer.

    Discussion, ‘How Does Evidence Fit With Biological Understanding?’

  • Genetics of Breast and Gynecologic Cancers (PDQ®): Health Professional Version.
    No paper-specific finding is recorded.
    PMID 26389210 ↗
  • ACMG SF v3.0 list for reporting of secondary findings in clinical exome and genome sequencing: a policy statement of the American College of Medical Genetics and Genomics (ACMG).
    The paper does not mention the exact BRIP1 c.3459T>C (p.(D1153=)) variant. It discusses BRIP1 as a gene associated with ovarian-cancer predisposition and states that lower penetrance and uncertainties in risk management were considerations against including BRIP1 in the ACMG Secondary Findings v3.0 list. This penetrance context was consulted when determining that an unphenotyped gnomAD homozygote cannot satisfy BS2.
    Does not name this variant
    PMID 34012068 ↗
    Quoted passage
    Lower penetrance was also an important consideration, especially in genes such as RAD51C, RAD51D, and BRIP1 that predispose to risk for ovarian cancer, given the uncertainties in how best to manage risk, difficulty of surveillance, and morbidity of intervention.

    Considerations for Specific Phenotype Categories, Genes related to cancer phenotypes, Not recommended for addition to the SF v3.0 list

  • ATM-Related Cancer Predisposition.
    No paper-specific finding is recorded.
    PMID 42258614 ↗
  • Screening for ovarian cancer: U.S. Preventive Services Task Force reaffirmation recommendation statement.
    Moyer VA et al. · 2012
    No paper-specific finding is recorded.
    PMID 22964825 ↗
  • Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria.
    No paper-specific finding is recorded.
    PMID 28492532 ↗

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.000673468; MAF= 0.06735%, 1086/1612548 alleles, homozygotes = 1) and has highest observed frequency in the Middle Eastern population (AF= 0.0161716; MAF= 1.61716%, 98/6060 alleles, homozygotes = 1); grpmax FAF= 0.0135815.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000756801; MAF= 0.07568%, 213/281448 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.00180606; MAF= 0.18061%, 13/7198 alleles, homozygotes = 0); grpmax FAF= 0.00089984.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.0014661164205039096, 27/18416 alleles, homozygotes = 0).

ClinVar

This variant has been reported in ClinVar as Likely benign (12 clinical laboratories) and as Benign (6 clinical laboratories) and as Uncertain significance (1 clinical laboratory). (ClinVarID = 136580)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

Functional

OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.

Somatic

This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.