Classification rationale
1
The BRCA1 c.131G>A (p.Cys44Tyr) variant has been observed in somatic cancers in COSMIC and has been reported in ClinVar as pathogenic, including ENIGMA expert panel review.
clinvar ↗2
This variant is absent from gnomAD v2.1 and gnomAD v4.1, supporting rarity in population databases.
gnomad_v2 ↗ gnomad_v4 ↗3
Calibrated functional studies have shown a damaging loss-of-function effect for p.Cys44Tyr, and ENIGMA BRCA1 Table 9 assigns PS3_Strong based on these data.
4
The missense change affects the BRCA1 RING domain, a clinically important functional domain, with BayesDel 0.57077 supporting deleterious impact, while SpliceAI predicts no meaningful splice effect (max delta 0.01).
spliceai ↗