Evidence map›Paper›PMID 35665744›Full record

ArticleNPJ genomic medicine2022

An integrative model for the comprehensive classification of BRCA1 and BRCA2 variants of uncertain clinical significance.

Edwin S Iversen, Gary Lipton, Steven N Hart, Kun Y Lee, Chunling Hu, Eric C Polley, Tina Pesaran, Amal Yussuf, Holly LaDuca, Elizabeth Chao and 4 more

Abstract read
In one paragraph

Article in NPJ genomic medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Proline variants in the BRCA1 coiled-coil domain disrupt folding and binding to PALB2.Protein science : a publication of the Protein Society · 2025
    Article
  2. Article
  3. Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Edwin S IversenDepartment of Statistical Science, Duke University, Durham, NC, 27708, USA. iversen@duke.edu.ORCID http://orcid.org/0000-0002-0066-2763
Gary LiptonDepartment of Statistical Science, Duke University, Durham, NC, 27708, USA.
Steven N HartDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, 55901, USA.ORCID http://orcid.org/0000-0001-7714-2734
Kun Y LeeDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55902, USA.ORCID http://orcid.org/0000-0002-0684-8112
Chunling HuDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55902, USA.
Eric C PolleyDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55902, USA.
Tina PesaranAmbry Genetics Corporation, Aliso Viejo, CA, 92656, USA.ORCID http://orcid.org/0000-0001-9807-4304
Amal YussufAmbry Genetics Corporation, Aliso Viejo, CA, 92656, USA.
Holly LaDucaAmbry Genetics Corporation, Aliso Viejo, CA, 92656, USA.
Elizabeth ChaoAmbry Genetics Corporation, Aliso Viejo, CA, 92656, USA.
Rachid KaramAmbry Genetics Corporation, Aliso Viejo, CA, 92656, USA.ORCID http://orcid.org/0000-0002-5645-498X
David E GoldgarDepartment of Dermatology, University of Utah School of Medicine, Salt Lake City, UT, 84132, USA.
Fergus J Couch *Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55902, USA.
Alvaro N A Monteiro *Cancer Epidemiology Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, 33612, USA. alvaro.monteiro@moffitt.org.ORCID http://orcid.org/0000-0002-8448-4801

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI Fergus Joseph Couch · 2005 to 2026
$49.9M
Risk and penetrance of mutations from breast cancer testing panels.R01CA192393 · NCI · MAYO CLINIC ROCHESTER · PI COUCH, FERGUS JOSEPH, NATHANSON, KATHERINE L. · 2014 to 2018
$6.3M
Resolving the cancer relevance of predisposition gene mutationsR35CA253187 · NCI · MAYO CLINIC ROCHESTER · PI Fergus Joseph Couch · 2020 to 2026
$5.8M
BRCA2 missense mutations and breast cancerR01CA116167 · NCI · MAYO CLINIC ROCHESTER · PI COUCH, FERGUS JOSEPH · 2007 to 2011
$3.0M
The contribution of RAD51C and RAD51D to breast and ovarian cancerR01CA225662 · NCI · MAYO CLINIC ROCHESTER · PI COUCH, FERGUS JOSEPH, WEROHA, SARAVUT · 2018 to 2024
$2.5M
DH | NIHR | Efficacy and Mechanism Evaluation Programme (NIHR Efficacy and Mechanism Evaluation Programme) R35CA253187NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA116201NCI NIH HHS R01 CA116167NCI NIH HHS R01 CA192393NCI NIH HHS R01 CA225662NCI NIH HHS R35 CA253187U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P50CA116201U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA116167
6 · The paper itself

Abstract

Loss-of-function variants in the BRCA1 and BRCA2 susceptibility genes predispose carriers to breast and/or ovarian cancer. The use of germline testing panels containing these genes has grown dramatically, but the interpretation of the results has been complicated by the identification of many sequence variants of undefined cancer relevance, termed "Variants of Uncertain Significance (VUS)." We have developed functional assays and a statistical model called VarCall for classifying BRCA1 and BRCA2 VUS. Here we describe a multifactorial extension of VarCall, called VarCall XT, that allows for co-analysis of multiple forms of genetic evidence. We evaluated the accuracy of models defined by the combinations of functional, in silico protein predictors, and family data for VUS classification. VarCall XT classified variants of known pathogenicity status with high sensitivity and specificity, with the functional assays contributing the greatest predictive power. This approach could be used to identify more patients that would benefit from personalized cancer risk assessment and management.

Identifiers

PMID35665744
PMCPMC9166814

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.