VUS: BP1_Strong is met because Ala1082 lies outside the specified BRCA1 domains and SpliceAI is 0.008. VUS: No additional benign or pathogenic criterion combination is met under ENIGMA Table 3.
BRCA1 encodes a large nuclear protein that helps maintain genomic stability by coordinating the repair of DNA double-strand breaks through homologous recombination, and it also regulates transcription and the cell cycle. It acts as a tumor suppressor, working with proteins such as RAD51, BRCA2, BARD1, and PALB2 to preserve genome integrity. Inherited alterations in BRCA1 cause hereditary breast and ovarian cancer syndrome, with elevated risks of breast, ovarian, prostate, and pancreatic cancers, and biallelic loss underlies a rare form of Fanconi anemia. Because BRCA1-driven tumors rely on impaired DNA repair, they are treatable with PARP inhibitors.
NM_007294.4:c.3245C>T changes BRCA1 p.Ala1082Val in a protein that supports homologous-recombination DNA repair and tumor-suppressor function in hereditary breast and ovarian cancer syndrome.
VUS: BP1_Strong is met because Ala1082 lies outside the specified BRCA1 domains and SpliceAI is 0.008. VUS: No additional benign or pathogenic criterion combination is met under ENIGMA Table 3.