ClinVar Genomic variation as it relates to human health
NM_007294.4(BRCA1):c.5153-26A>G
The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.
Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.
Uncertain significance(4); Likely benign(1)
No data submitted for somatic clinical impact
No data submitted for oncogenicity
Variant Details
- Identifiers
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NM_007294.4(BRCA1):c.5153-26A>G
Variation ID: 125786 Accession: VCV000125786.13
- Type and length
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single nucleotide variant, 1 bp
- Location
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Cytogenetic: 17q21.31 17: 43063399 (GRCh38) [ NCBI UCSC ] 17: 41215416 (GRCh37) [ NCBI UCSC ]
- Timeline in ClinVar
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First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.
Last submission Help The date of the most recent submission for each type of classification for this variant.
Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline Apr 4, 2014 May 1, 2024 Feb 9, 2024 - HGVS
- ... more HGVS ... less HGVS
- Protein change
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- Other names
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IVS18-26A>G
- Canonical SPDI
- NC_000017.11:43063398:T:C
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Functional
consequence HelpThe effect of the variant on RNA or protein function, based on experimental evidence from submitters.
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functionally_normal; Sequence Ontology [ SO:0002219]The saturation genome editing (SGE) assay for BRCA1 NM_007294.3:c.5153-26A>G, a INTRONIC variant, produced a function score of -0.53, corresponding to a functional classification of FUNCTIONAL. SGE function score ranges for classification are as follows: ‘functional’, score > -0.748; ‘intermediate’, -0.748 > score > -1.328; ‘non-functional’, score < -1.328. The median synonymous SNV scored 0.0 and the median nonsense SNV scored -2.12. [submitted by Brotman Baty Institute, University of Washington]
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Global minor allele
frequency (GMAF) HelpThe global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.
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Allele frequency
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The frequency of the allele represented by this VCV record.
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- Links
Genes
Gene | OMIM | ClinGen Gene Dosage Sensitivity Curation |
Variation Viewer
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Links to Variation Viewer, a genome browser to view variation data from NCBI databases. |
Related variants | ||
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HI score
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The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
TS score
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The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
Within gene
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The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants. |
All
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The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene. |
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BRCA1 | Sufficient evidence for dosage pathogenicity | No evidence available |
GRCh38 GRCh37 |
13044 | 14850 |
Conditions - Germline
Condition
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The condition for this variant-condition (RCV) record in ClinVar. |
Classification
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The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions) |
Review status
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The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. |
Last evaluated
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The most recent date that a submitter evaluated this variant for the condition. |
Variation/condition record
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The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page. |
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Likely benign (4) |
criteria provided, single submitter
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Jan 18, 2017 | RCV000112532.13 | |
Uncertain significance (1) |
criteria provided, single submitter
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Oct 7, 2020 | RCV002336244.9 | |
Uncertain significance (2) |
criteria provided, multiple submitters, no conflicts
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Jan 19, 2024 | RCV001253796.12 | |
Uncertain significance (1) |
criteria provided, single submitter
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Feb 9, 2024 | RCV003607239.1 |
Submissions - Germline
Classification
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The submitted germline classification for each SCV record. (Last evaluated) |
Review status
Help
Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria) |
Condition
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The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant. |
Submitter
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The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
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This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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Likely benign
(Jan 18, 2017)
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criteria provided, single submitter
Method: clinical testing
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Breast-ovarian cancer, familial, susceptibility to, 1
Affected status: unknown
Allele origin:
unknown
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Counsyl
Accession: SCV000784867.2
First in ClinVar: Apr 04, 2014 Last updated: Apr 04, 2014 |
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Uncertain significance
(Oct 07, 2020)
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criteria provided, single submitter
Method: clinical testing
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Hereditary cancer-predisposing syndrome
Affected status: unknown
Allele origin:
germline
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Ambry Genetics
Accession: SCV002645264.2
First in ClinVar: Nov 29, 2022 Last updated: May 01, 2024 |
Comment:
The c.5153-26A>G intronic variant results from an A to G substitution 26 nucleotides upstream from coding exon 17 in the BRCA1 gene. This nucleotide position … (more)
The c.5153-26A>G intronic variant results from an A to G substitution 26 nucleotides upstream from coding exon 17 in the BRCA1 gene. This nucleotide position is highly conserved in available vertebrate species. This alteration is at a branch point which is a pre-mRNA feature that is important for correct splicing (Leman R et al. BMC Genomics, 2020 Jan;21:86; Canson D et al. Hum. Mutat., 2020 Jul). This alteration has been identified in several patients with breast and/or ovarian cancer (Bisgin A et al. Breast J., 2019 09;25:1029-1033; Tabarestani S et al. Int. J. Cancer Manag., 2017 10(12):e60392; CanVig Data-ClinVar). This variant has also been identified in the homozygous state in an adult with normal chromosome breakage studies (Personal communication). In silico splice site analysis for this alteration is inconclusive. RNA studies have demonstrated that this alteration results in a substantial but incomplete splice defect; however the clinical impact of this abnormal splicing is unknown at this time (Ambry internal data; CanVIG Data-ClinVar, Personal communication; Wai HA et al. Genet. Med., 2020 Jun;22:1005-1014; Leman R et al. BMC Genomics, 2020 Jan;21:86). This nucleotide substitution is functional in a high throughput genome editing haploid cell survival assay that can measure both protein and RNA effects (Findlay GM et al. Nature, 2018 10;562:217-222). Since supporting evidence is conflicting at this time, the clinical significance of this alteration remains unclear. (less)
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Uncertain significance
(Feb 17, 2020)
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criteria provided, single submitter
Method: clinical testing
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Hereditary Breast and Ovarian Cancer
Affected status: yes
Allele origin:
germline
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Cancer Variant Interpretation Group UK, Institute of Cancer Research, London
Accession: SCV001429668.1
First in ClinVar: Aug 16, 2020 Last updated: Aug 16, 2020 |
Comment:
Data included in classification: Case control comparison of UK familial cases against ethnically matched population data (7/25,773 in familial UK cases against 0/23,509 NFE controls … (more)
Data included in classification: Case control comparison of UK familial cases against ethnically matched population data (7/25,773 in familial UK cases against 0/23,509 NFE controls from GnomAD genome sequencing and UK 100,000 genome project pexact= 0.016) (PS4_strong). 1/8 segregation in one large UK family (PP1_sup). UK Family 1: Homozygous Iranian case (from consanguineous family) with normal phenotype in adulthood (age 34), no cancer and normal chromosome breakage in lymphocytes. Additional studies inc. RNA and skin biopsy were sought from this patient could not be attained. (BS2_strong). Absent from the remainder of the GnomAD population (PM2_sup). Additional data (not included in classification): In silico analysis supports aberration of splicing compared to WT due to experimentally-proven intronic branch site. Functional evidence conflicting: Mini-gene assay: suggestive of incomplete skipping of exon 19. Published RNA analyses: estimated that transcripts lacking exon 19 (41bp) account for 30-40% of all BRCA1 transcripts in blood, inferring that 10-20% of transcripts expressed from the variant allele are of full length. See also: Steffensen et al Eur J Hum Genet 2014, Rosenthal ET et al, Clin Genet 2015, Mercer, Genome Res 2015. Patient-derived RNA assay from UK diagnostic labs demonstrated the variant to cause out of frame deletion of exon 19. This results in a PTC in exon 20. Estimation that transcripts lacking exon 19 account for 30-40% of all BRCA1 transcripts in blood. Haploid yeast saturation genome editing assay shown to be functional (Findlay et al, 2018). (less)
Number of individuals with the variant: 7
Geographic origin: UK
Testing laboratory: UK Molecular Diagnostic Labs
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Uncertain significance
(Jan 19, 2024)
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criteria provided, single submitter
Method: clinical testing
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Hereditary breast ovarian cancer syndrome
Affected status: unknown
Allele origin:
germline
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Labcorp Genetics (formerly Invitae), Labcorp
Accession: SCV003458393.2
First in ClinVar: Feb 07, 2023 Last updated: Feb 20, 2024 |
Comment:
This sequence change falls in intron 17 of the BRCA1 gene. It does not directly change the encoded amino acid sequence of the BRCA1 protein. … (more)
This sequence change falls in intron 17 of the BRCA1 gene. It does not directly change the encoded amino acid sequence of the BRCA1 protein. RNA analysis indicates that this variant induces altered splicing and may result in an absent or disrupted protein product. This variant is not present in population databases (gnomAD no frequency). This variant has been observed in individual(s) with breast cancer (PMID: 16544996, 31228304, 34981296). ClinVar contains an entry for this variant (Variation ID: 125786). Studies have shown that this variant results in skipping of exon 18 and introduces a premature termination codon (PMID: 32123317; Invitae). The resulting mRNA is expected to undergo nonsense-mediated decay. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. (less)
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Uncertain significance
(Feb 09, 2024)
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criteria provided, single submitter
Method: clinical testing
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Familial cancer of breast
Affected status: yes
Allele origin:
germline
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MGZ Medical Genetics Center
Accession: SCV004543879.1
First in ClinVar: Feb 20, 2024 Last updated: Feb 20, 2024 |
Comment:
ACMG codes applied following ENIGMA VCEP rules: BS3, PP3, PS1_MOD, PM2_SUP
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Uncertain significance
(Feb 15, 2001)
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no assertion criteria provided
Method: clinical testing
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Breast-ovarian cancer, familial 1
Affected status: yes
Allele origin:
germline
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Breast Cancer Information Core (BIC) (BRCA1)
Accession: SCV000145354.1
First in ClinVar: Apr 04, 2014 Last updated: Apr 04, 2014 |
Number of individuals with the variant: 1
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Likely benign
(Sep 01, 2023)
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no assertion criteria provided
Method: clinical testing
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Breast-ovarian cancer, familial, susceptibility to, 1
Affected status: yes
Allele origin:
germline
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Department of Medical and Surgical Sciences, University of Bologna
Accession: SCV004228369.1
First in ClinVar: Jan 26, 2024 Last updated: Jan 26, 2024 |
Comment:
PM2(Supporting)+PP3(Supporting)+BS3(Strong) according to ACMG/AMP classification guidelines specified for BRCA1 & BRCA2 (Classification Criteria V1.0.0 2023-09-08 - https://cspec.genome.network/cspec/ui/svi/affiliation/50087) (PMID: 38160042)
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not provided
(-)
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no classification provided
Method: in vitro
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Breast-ovarian cancer, familial 1
Affected status: not applicable
Allele origin:
not applicable
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Brotman Baty Institute, University of Washington
Accession: SCV001242236.1
First in ClinVar: Apr 18, 2020 Last updated: Apr 18, 2020 |
Method: saturation genome editing in haploid cells
Result:
FUNCTIONAL:-0.530451116452696
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Germline Functional Evidence
Functional
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The functional consequence of the variant, based on experimental evidence and provided by the submitter. consequence |
Method
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A brief description of the method used to determine the functional consequence of the variant. A citation for the method is included, when provided by the submitter. |
Result
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A brief description of the result of this method for this variant. |
Submitter
Help
The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
Help
This column includes more information supporting functional evidence for the germline classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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functionally_normal
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Method citation(s):
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Brotman Baty Institute, University of Washington
Accession: SCV001242236.1
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Comment:
The saturation genome editing (SGE) assay for BRCA1 NM_007294.3:c.5153-26A>G, a INTRONIC variant, produced a function score of -0.53, corresponding to a functional classification of FUNCTIONAL. … (more)
The saturation genome editing (SGE) assay for BRCA1 NM_007294.3:c.5153-26A>G, a INTRONIC variant, produced a function score of -0.53, corresponding to a functional classification of FUNCTIONAL. SGE function score ranges for classification are as follows: ‘functional’, score > -0.748; ‘intermediate’, -0.748 > score > -1.328; ‘non-functional’, score < -1.328. The median synonymous SNV scored 0.0 and the median nonsense SNV scored -2.12. (less)
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Citations for germline classification of this variant
HelpTitle | Author | Journal | Year | Link |
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BRCA1 Norway: comparison of classification for BRCA1 germline variants detected in families with suspected hereditary breast and ovarian cancer between different laboratories. | Hovland HN | Familial cancer | 2022 | PMID: 34981296 |
Variant effect on splicing regulatory elements, branchpoint usage, and pseudoexonization: Strategies to enhance bioinformatic prediction using hereditary cancer genes as exemplars. | Canson D | Human mutation | 2020 | PMID: 32623769 |
Blood RNA analysis can increase clinical diagnostic rate and resolve variants of uncertain significance. | Wai HA | Genetics in medicine : official journal of the American College of Medical Genetics | 2020 | PMID: 32123317 |
Assessment of branch point prediction tools to predict physiological branch points and their alteration by variants. | Leman R | BMC genomics | 2020 | PMID: 31992191 |
BRCA mutation characteristics in a series of index cases of breast cancer selected independent of family history. | Bisgin A | The breast journal | 2019 | PMID: 31228304 |
Accurate classification of BRCA1 variants with saturation genome editing. | Findlay GM | Nature | 2018 | PMID: 30209399 |
Exceptions to the rule: case studies in the prediction of pathogenicity for genetic variants in hereditary cancer genes. | Rosenthal ET | Clinical genetics | 2015 | PMID: 25639900 |
Genome-wide discovery of human splicing branchpoints. | Mercer TR | Genome research | 2015 | PMID: 25561518 |
Functional characterization of BRCA1 gene variants by mini-gene splicing assay. | Steffensen AY | European journal of human genetics : EJHG | 2014 | PMID: 24667779 |
A fluorescent multiplex-DGGE screening test for mutations in the BRCA1 gene. | Kuperstein G | Genetic testing | 2006 | PMID: 16544996 |
https://sge.gs.washington.edu/BRCA1/ | - | - | - | - |
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Text-mined citations for rs80358109 ...
HelpRecord last updated Nov 19, 2024
This date represents the last time this VCV record was updated. The update may be due to an update to one of the included submitted records (SCVs), or due to an update that ClinVar made to the variant such as adding HGVS expressions or a rs number. So this date may be different from the date of the “most recent submission” reported at the top of this page.