LYFE Sciences · Project HERA
Variant Interpretation · Classification Report
Variant classification summary
NM_007294.4:c.2927A>G
BRCA1
· NP_009225.1:p.(Asn976Ser)
· NM_007294.4
GRCh37: chr17:41244621 T>C
·
GRCh38: chr17:43092604 T>C
Gene:
BRCA1
Transcript:
NM_007294.4
Final call
Likely Benign
PM2 supporting
BP1 strong
Variant details
Gene
BRCA1
Transcript
NM_007294.4
Protein
NP_009225.1:p.(Asn976Ser)
gnomAD AF
ClinVar
OncoKB
Unknown Oncogenic Effect
Classification rationale
Interpretation summary
Generated evidence synthesis
1
PM2 supporting: the variant is absent from the preferred non-cancer gnomAD exome and genome datasets.
2
BP1 strong: residue 976 lies outside ENIGMA BRCA1 functional domains and SpliceAI maximum delta is 0.004.
Final determination:
Under the ENIGMA BRCA1 Version 1.2 conflicting-evidence point system, PM2 Supporting contributes +1 and BP1 Strong contributes -4, giving -3, which maps to Likely Benign.
Criteria assessment
ACMG/AMP criteria review
Criteria shown when status is available
All criteria require review: For research and educational purposes only.
| Criterion | Status | Rationale | Evidence used |
|---|---|---|---|
| PVS1 | N/A | Not applicable: c.2927A>G produces missense p.Asn976Ser with no premature termination, unchanged protein length, and no PVS1 null-variant consequence. |
cspec
vcep_specifications_table4_v1_2_2024_11_18
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| PS1 | Not assessed | Not assessed: SpliceAI max delta is 0.004, but no qualifying previously pathogenic alternate producing p.Asn976Ser was identified. |
cspec
vcep_specifications_v1_2_2024_11_18
clinvar
spliceai
pm5_candidates
|
| PS2 | N/A | Not applicable: ENIGMA v1.2 explicitly prohibits PS2 because de novo observations lack calibrated predictive value for relatively common BRCA1/2-related cancers. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PS3 | Not assessed | Not assessed: no variant-specific calibrated damaging functional assay result or ENIGMA PS3 assignment was found for c.2927A>G. |
cspec
vcep_specifications_table9_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
vcep_humu_40_1557_s001
|
| PS4 | Not assessed | Not assessed: no variant-specific PS4 case-control odds ratio, confidence interval, or p-value was available for comparison with OR >=4 and p-value <=0.05. |
cspec
|
| PM1 | N/A | Not applicable: ENIGMA marks PM1 N/A, and residue 976 lies outside BRCA1 RING 2-101, coiled-coil 1391-1424, and BRCT 1650-1857 domains. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| PM2 | Met | Met at supporting: the variant is absent from the preferred non-cancer gnomAD exome and genome datasets required by the ENIGMA PM2 rule. |
cspec
gnomad_v2
gnomad_v4
|
| PM3 | Not assessed | Not assessed: no Fanconi-anemia phenotype, second BRCA1 pathogenic allele, or phase observation is documented for PM3 point assignment. |
cspec
|
| PM4 | N/A | Not applicable: PM4 is not used by ENIGMA, and p.Asn976Ser is a missense substitution with no in-frame length change or stop-loss event. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PM5 | N/A | Not applicable: ENIGMA repurposes PM5 for PVS1-eligible PTC variants, whereas c.2927A>G is a missense substitution. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
vcep_specifications_table4_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
pm5_candidates
|
| PM6 | N/A | Not applicable: ENIGMA v1.2 explicitly prohibits PM6 because de novo observations lack calibrated predictive value for relatively common BRCA1/2-related cancers. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP1 | Not assessed | Not assessed: no variant-specific affected-family genotypes, meioses, or quantitative co-segregation LR were provided to compare with the PP1 threshold of 2.08:1. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP2 | N/A | Not applicable: ENIGMA excludes PP2 because missense variants are not a common pathogenicity mechanism for BRCA1. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP3 | Not met | Not met: REVEL 0.396 is below the 0.644 supporting PP3 threshold, and the ENIGMA BayesDel score -0.187387 is below 0.28. |
cspec
revel
bayesdel
|
| PP4 | Not assessed | Not assessed: no variant-specific combined clinical likelihood ratio was available for comparison with the PP4 Supporting threshold LR >=2.08. |
cspec
PMID:31853058
PMID:17924331
|
| PP5 | Not met | Not met: ClinVar reported zero expert-panel submissions for c.2927A>G, so the required exact-variant Pathogenic or Likely pathogenic trigger is absent. |
cspec
|
| BA1 | Not met | Not met: the variant is absent from the governing non-cancer gnomAD datasets, so its filter allele frequency does not exceed the ENIGMA BA1 threshold of 0.001. |
cspec
gnomad_v2
gnomad_v4
|
| BS1 | Not met | Not met: the variant is absent from the preferred non-cancer gnomAD datasets, so no filter allele frequency exceeds the ENIGMA BS1 threshold of 0.0001. |
cspec
gnomad_v2
gnomad_v4
|
| BS2 | Not assessed | Not assessed: no qualifying healthy-adult clinical observation or ENIGMA BS2 point data are available for this variant, and gnomAD frequency data cannot substitute for BS2. |
cspec
gnomad_v2
gnomad_v4
|
| BS3 | Not assessed | Not assessed: no variant-specific calibrated benign functional assay result or ENIGMA BS3 assignment was found for c.2927A>G. |
cspec
vcep_specifications_table9_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
vcep_humu_40_1557_s001
|
| BS4 | Not assessed | Not assessed: no variant-specific non-segregating affected relatives, meioses, or quantitative LR were provided to compare with the BS4 threshold of ≤0.48:1. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BP1 | Met | Met, Strong: residue 976 is outside approved BRCA1 domains and SpliceAI max delta 0.004 is below the <=0.1 BP1 threshold. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
spliceai
|
| BP2 | N/A | Not applicable: the ENIGMA BRCA1/2 specification explicitly says BP2 is not used and limits it to the BS2 context. |
cspec
|
| BP3 | N/A | Not applicable: BP3 is not used by ENIGMA, and this variant is a missense substitution rather than an in-frame insertion or deletion in a repeat region. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| BP4 | Not met | Not met: REVEL 0.396 exceeds the <=0.29 supporting BP4 threshold and remains in the gray zone for benign protein impact. |
cspec
revel
bayesdel
|
| BP5 | Not assessed | Not assessed: no variant-specific combined LR was available to test the BP5 Supporting inequality LR <=0.48 and >0.23. |
cspec
PMID:31853058
PMID:17924331
|
| BP6 | Not met | Not met: ClinVar reported zero expert-panel submissions for c.2927A>G, so the required exact-variant Benign or Likely benign trigger is absent. |
cspec
|
| BP7 | N/A | Not applicable: c.2927A>G is missense, p.Asn976Ser, whereas BP7 is restricted to synonymous variants. |
cspec
|
Disclaimer:
The content and results provided by LYFE Sciences are for research and educational purposes only and must not be used as a substitute for professional medical judgment, diagnosis, or treatment. Always consult a qualified healthcare professional before making any clinical decisions.