Classification rationale
1
The BRCA1 c.442-22_442-13del (NP_009225.1:p.?) variant has been reported in ClinVar as pathogenic, including an expert-panel pathogenic classification from the ClinGen ENIGMA BRCA1 and BRCA2 Variant Curation Expert Panel.
clinvar ↗2
This variant is absent from gnomAD v2.1 and gnomAD v4.1, supporting rarity in population controls.
gnomad_v2 ↗ gnomad_v4 ↗3
Published RNA studies reported that this intronic deletion inserts 59 nucleotides from intron 7 and causes a frameshift with premature termination, and later functional work showed an impaired DNA-damage response associated with the variant.
PMID:10323242 ↗ PMID:32745242 ↗4
SpliceAI predicts splice disruption with a maximum delta score of 0.66, which is above the ENIGMA PP3 threshold of 0.2 for non-canonical intronic variants.
spliceai ↗ cspec ↗