Is BRCA1 c.4185+3045del pathogenic?

BRCA1 c.4185+3045del is classified Benign in BRCA1 (ClinVar, Expert panel, 1 submitter; last evaluated 2016-09-28). Common (popmax 31.6%, sas) — too common for a highly-penetrant pathogenic allele; Associated with breast-ovarian cancer, familial, susceptibility to, 1.

What condition is associated with BRCA1 c.4185+3045del?

BRCA1 c.4185+3045del is associated with breast-ovarian cancer, familial, susceptibility to, 1 (ClinVar).

How is Hereditary breast and/or ovarian cancer syndrome inherited?

Typically Autosomal dominant (Orphanet). A genetic counselor can assess individual risk for a family.

BRCA1 c.4185+3045del

Q: How common is BRCA1 c.4185+3045del in the general population?

BRCA1 c.4185+3045del is common (popmax 31.6%, sas) — too common for a highly-penetrant pathogenic allele (gnomAD).

rs144110800 · VCV264847

Benign Expert panel

Classification

Benign

ClinVar

Review

Expert panel ★★★☆

ClinVar · 1 submitter

gnomAD v4.1

Common

common (popmax 31.6%, sas) — too common for a highly-penetrant pathogenic allele

Conditions

breast-ovarian cancer, familial, susceptibility to, 1

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
Splice region	donor +3045	deep intronic (+3045 nt into the intron)
SpliceAI	—	not assessed · substitutions only
Constraint at this position
Conservation	phyloP -1.2	GERP -0.7
Overall
CADD	0.993	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 31.6% South Asian · 1,453/4,600 alleles

Filtering AF 30.2% ClinGen BA1/BS1 input FAF95, joint · FAF99 29.7%

Overall 15.6% 22,710/145,134 alleles · common

Ancestry group	Frequency	1 in
South Asiangrpmax	31.6%	3
Admixed American	20.2%	5
Amishnot grpmax-eligible	20.1%	5
Finnishnot grpmax-eligible	19.7%	5
Remaining individualsnot grpmax-eligible	17.7%	6
Ashkenazi Jewishnot grpmax-eligible	17%	6
European (non-Finnish)	17%	6
Middle Eastern	17%	6
African / African-American	9.4%	11
East Asian	9.25%	11

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene: BRCA1
Coding: c.4185+3045del
MANE Select: NM_007294
dbSNP: rs144110800
Type: Deletion
Location: chr17:43087899 (GRCh38)
Gene constraint: LOEUF 0.885 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 41.99 · 33 PDB

Full BRCA1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

breast-ovarian cancer, familial, susceptibility to, 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Hereditary breast and/or ovarian cancer syndrome (Orphanet):

Inheritance: Autosomal dominant
Onset: Adult, Elderly

Similar variants

BRCA1 c.302-2del Pathogenic ★★★ same condition
BRCA1 c.4358_4484del Pathogenic ★★★ same condition
BRCA1 c.442-22_442-13del Pathogenic ★★★ same condition
BRCA1 c.4484+1del Pathogenic ★★★ same condition
BRCA1 c.5277+1_5277+6del Pathogenic ★★★ same condition
BRCA1 c.5278-2del Pathogenic ★★★ same condition
BRCA1 c.5333-36_5406+400del Pathogenic ★★★ same condition
BRCA1 c.5470_5477del Pathogenic ★★★ same condition

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/brca1-c-4185-plus-3045del (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown