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BARD1
Final classification
Benign
BARD1 c.722C>G · p.Ser241Cys
BARD1

This variant is present in gnomAD v4.1 at an East Asian allele frequency of 2.11% (943/44,660 alleles) with 19 homozygotes and a grpmax filtering allele frequency of 2.0%, exceeding the 1% BA1 stand-alone benign threshold and establishing it as a common polymorphism incompatible with a highly penetrant Mendelian disorder.

Gene
BARD1
Transcript
NM_000465.4
HGVS · transcript:coding
NM_000465.4:c.722C>G
Consequence
N/A
GRCh38
chr2:214781152 G>C
GRCh37
chr2:215645876 G>C
Basis gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BA1 stand-alone benign, BS1 strong, BP4 supporting, BP6 supporting; combination = 1 stand-alone benign + 1 strong benign + 2 supporting benign, which maps to Benign.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BA1 stand-alone benign, BS1 strong, BP4 supporting, BP6 supporting; combination = 1 stand-alone benign + 1 strong benign + 2 supporting benign, which maps to Benign.
Classification rationale
BA1BS1BP4BP6 Benign
BARD1 c.722C>G

This variant is present in gnomAD v4.1 at an East Asian allele frequency of 2.11% (943/44,660 alleles) with 19 homozygotes and a grpmax filtering allele frequency of 2.0%, exceeding the 1% BA1 stand-alone benign threshold and establishing it as a common polymorphism incompatible with a highly penetrant Mendelian disorder.1 The variant is classified as Benign in ClinVar (Variation ID 136497) with consensus from 9 clinical testing laboratories reporting Benign and 6 reporting Likely benign.2 Multiple in silico predictors are consistent with a benign effect: REVEL score 0.312, BayesDel score -0.180, and SpliceAI maximum delta score 0.19 indicate no significant impact on protein function or splicing.3 The variant was listed among 11 BARD1 nsSNPs predicted as 'not tolerated' by SIFT (TI=0.04) in an in silico screening study (PMID:23056176), but was not classified as damaging by PolyPhen and was not among the four SNPs identified as deleterious by both methods. This in silico analysis does not alter the benign classification.4 No variant-specific functional studies, de novo reports, or segregation data were identified. The variant has not been reported as pathogenic by any reputable source.5 Final classification: Benign. BA1 (stand-alone benign) is met. BS1 (strong benign) and BP4, BP6 (supporting benign) provide additional support. No pathogenic criteria are met.6

BA1 + BS1 + BP4 + BP6 Benign
3 revelbayesdelspliceai ↗
6 generic_acmg_combination_rules
Gene diagram · NM_000465.4 · variants mapped to exon structure
BARD1 NM_000465.4
Fetching transcript structure from UCSC…
Applied criteria · 4 applied · 18 assessed
Applied · 4
Strength Supporting Moderate Strong Very strong
BA1 stand-alone Benign
gnomAD v4.1 reports an East Asian allele frequency of 2.11% (943/44,660 alleles) with 19 homozygotes, and a grpmax filtering allele frequency of 2.0%. These exceed the 1% BA1 threshold, establishing this variant as a common polymorphism incompatible with a highly penetrant Mendelian disease.
gnomAD v4.1: EAS AF 2.11% (943/4466019 homozygotes)
BS1 strong Benign
gnomAD v4.1 grpmax filtering allele frequency of 2.0% and East Asian allele frequency of 2.11% far exceed the 0.3% BS1 threshold. gnomAD v2.1 grpmax FAF of 0.12% is below 0.3% but superseded by the larger v4.1 dataset.
gnomAD v4.1 grpmax FAF 2.0% and EAS AF 2.11% exceed 0.3% BS1 threshold.
BP4 supporting Benign
Multiple lines of computational evidence suggest no significant impact on the gene product. REVEL score is 0.312 (below pathogenic threshold), BayesDel score is -0.180 (benign range), and SpliceAI max delta score is 0.19 (no predicted splicing impact). Convergent benign predictions from independent in silico tools meet BP4 at supporting level.
REVEL 0.312BayesDel -0.180SpliceAI max delta 0.19. Three independent computational methods consistently predict no significant deleterious effect.
BP6 supporting Benign
ClinVar reports this variant as Benign by consensus of 9 clinical laboratories and Likely benign by 6 additional laboratories (ClinVar Variation ID 136497). The aggregate classification from multiple clinical testing laboratories is Benign, meeting BP6 at supporting level.
ClinVar: Benign (9 labs)Likely benign (6 labs). Aggregate classification Benign. ClinVar ID 136497.
Assessed · not applied
Pathogenic
PS1 No previously established pathogenic variant resulting in the same amino acid change (p.Ser241Cys) via a different nucleotide change was identified.
PS2 No de novo occurrence of this variant was reported in any reviewed source.
PS3 No well-established in vitro or in vivo functional studies were identified for this variant.
PS4 The variant is observed at high frequency in population databases (gnomAD v4.1 East Asian AF 2.11%, 19 homozygotes), indicating it is a common polymorphism.
PM1 The variant does not lie in a statistically significant mutational hotspot.
PM2 gnomAD grpmax filtering allele frequency of 0.12% (v2.1) and 2.0% (v4.1) exceeds the 0.1% threshold for PM2.
PM6 No de novo report was identified for this variant.
PP1 No segregation data were identified for this variant.
PP2 PP2 applies to genes with a low rate of benign missense variation where missense variants are a common disease mechanism.
PP3 Multiple lines of computational evidence do not support a deleterious effect.
PP4 No specific patient phenotype or family history consistent with BARD1-related hereditary breast and ovarian cancer syndrome was provided for assessment.
PP5 No reputable source reports this variant as pathogenic.
Benign
BS2 BS2 requires observation in a healthy adult individual for a disorder with full penetrance expected at an early age.
BS3 No well-established in vitro or in vivo functional studies demonstrating a neutral effect were identified.
BS4 No segregation data were available to assess lack of cosegregation with disease in affected family members.
BP1 BP1 applies to missense variants in genes for which primarily truncating variants are known to cause disease.
BP2 No evidence was found of this variant occurring in trans with a known pathogenic BARD1 variant in a fully penetrant dominant disorder.
BP5 No alternate molecular basis for disease was identified in a case harboring this variant.
N/A · 6 PVS1 · PM3 · PM4 · PM5 · BP3 · BP7
Research & evidence
Population frequency · supports benign
gnomAD v4.1 screenshot
gnomAD v4.1
gnomAD v2.1 screenshot
gnomAD v2.1
v4.1
This variant is present in gnomAD v4.1 (AF= 0.000603202; MAF= 0.06032%, 951/1576586 alleles, homozygotes = 19) and has highest observed frequency in the East Asian population (AF= 0.0211151; MAF= 2.11151%, 943/44660 alleles, homozygotes = 19); grpmax FAF= 0.0199964.
v2.1
This variant is present in gnomAD v2.1 (AF= 0.000134099; MAF= 0.01341%, 29/216258 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.00168229; MAF= 0.16823%, 28/16644 alleles, homozygotes = 0); grpmax FAF= 0.00119534.
🇨🇦 CA
This variant is present in gnomAD-Canada v1.0 (AF= 0.00016286644951140066, 3/18420 alleles, homozygotes = 0).
Allele frequency by ancestry
three datasets · side by side
gnomAD v4.1
0.06% · 951 / 1,576,586
19 hom · FAF 2%
East Asian
943 / 44,660
2.1%
19 hom
Remaining individuals
8 / 60,750
0.013%
+ 8 not observed (Admixed American, European (Finnish), Amish, Middle Eastern, South Asian, Ashkenazi Jewish, African/African American, European (non-Finnish))
gnomAD v2.1
0.013% · 29 / 216,258
0 hom · FAF 0.12%
East Asian
28 / 16,644
0.17%
Remaining individuals
1 / 5,054
0.02%
+ 6 not observed (African/African American, Admixed American, Ashkenazi Jewish, European (Finnish), European (non-Finnish), South Asian)
gnomAD Canada 🇨🇦
0.016% · 3 / 18,420
0 hom · FAF 0.027%
East Asian
2 / 1,338
0.15%
Remaining individuals
1 / 1,138
0.088%
+ 7 not observed (African/African American, Latino/Admixed American, Ashkenazi Jewish, European (Finnish), Middle Eastern, European (non-Finnish), South Asian)
ClinVar screenshot
ClinVar
This variant has been reported in ClinVar as Benign (9 clinical laboratories) and as Likely benign (6 clinical laboratories). (ClinVarID = 136497)
SpliceAI screenshot
In silico
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.19). REVEL score = 0.312. BayesDel score = -0.180224.
Functional / OncoKB screenshot
Functional Unknown Oncogenic Effect
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BARD1, a tumor suppressor involved in the DNA damage response, is altered by mutation in breast and ovarian cancers.
OncoKB ↗
COSMIC screenshot
COSMIC
Cancer hotspots screenshot
Cancer hotspots
Somatic evidence Not in COSMIC / hotspots
COSMIC
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
Hotspots
This variant does not lie in a statistically significant hotspot.
Sources & reference links
8Sources
ClinVar
gnomAD v2.1
gnomAD v4.1
gnomAD-Canada
SpliceAI
OncoKB
COSMIC
Cancer hotspots
Triaged references · 9 PMIDs not cited in assessment
23056176 ↗ Identification of functional SNPs in BARD1 gene and in silico analysis of damaging SNPs: based on data procured from dbSNP database. CLINVAR
25741868 ↗ 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. CLINVAR
26467025 ↗ A Standardized DNA Variant Scoring System for Pathogenicity Assessments in Mendelian Disorders. CLINVAR
26692440 ↗ Clinicopathologic Features and Germline Sequence Variants in Young Patients (≤40 Years Old) With Pancreatic Ductal Adenocarcinoma. CLINVAR
14550946 ↗ Mutational analysis of BARD1 in familial breast cancer patients in Japan. CLINVAR
24366402 ↗ Summaries for patients. Assessing the genetic risk for BRCA-related breast or ovarian cancer in women: recommendations from the U.S. Preventive Services Task Force. CLINVAR
24432435 ↗ PMID 24432435 CLINVAR
26389210 ↗ Genetics of Breast and Gynecologic Cancers (PDQ®): Health Professional Version. CLINVAR
28492532 ↗ Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria. CLINVAR