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| Gene | BARD1 |
| Variant | V523A |
| Impact List | missense |
| Protein Effect | loss of function - predicted |
| Gene Variant Descriptions | BARD1 V523A lies within ANK repeat 3 of the Bard1 protein (UniProt.org). V523A results in a decrease of homology-directed DNA repair activity that is not statistically significant in cell culture, has been associated with increased loss of heterozygosity (LOH) in patient samples (PMID: 30925164), and results in impaired DNA repair, increased DNA damage in response to irradiation, increased production of ROS, and decreased apoptotic activity in cultured patient cells, and transformation activity in culture (PMID: 38990952), and therefore, is predicted to lead to a loss of Bard1 protein function. |
| Associated Drug Resistance | |
| Category Variants Paths |
BARD1 mutant BARD1 inact mut BARD1 V523A |
| Transcript | NM_000465.4 |
| gDNA | chr2:g.214767482A>G |
| cDNA | c.1568T>C |
| Protein | p.V523A |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| NM_000465.4 | chr2:g.214767482A>G | c.1568T>C | p.V523A | RefSeq | GRCh38/hg38 |
| XM_047445350.1 | chr2:g.214767482A>G | c.1568T>C | p.V523A | RefSeq | GRCh38/hg38 |
| NM_000465 | chr2:g.214767482A>G | c.1568T>C | p.V523A | RefSeq | GRCh38/hg38 |
| NM_000465.3 | chr2:g.214767482A>G | c.1568T>C | p.V523A | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| BARD1 inact mut | colorectal cancer | predicted - sensitive | Veliparib | Preclinical - Cell culture | Actionable | In a preclinical study, a colorectal cancer cell line over expressing the BARD1-beta splice variant, which results in decreased Brca1 function, demonstrated sensitivity to treatment with Veliparib (ABT-888) in culture, resulting in increased apoptotic activity (PMID: 27197561). | 27197561 |
| BARD1 inact mut | prostate cancer | sensitive | Olaparib | FDA approved - On Companion Diagnostic | Actionable | In a Phase III trial (PROfound) that supported FDA approval, Lynparza (olaparib) treatment significantly improved median imaging-based progression-free survival (5.8 vs 3.5 mo, HR 0.49, p<0.001) compared to control in patients with metastatic castration-resistant prostate cancer who progressed on hormone therapy and harbored deleterious or suspected deleterious mutations in homologous recombination repair genes, including BARD1 (PMID: 32343890; NCT02987543). | detail... 32343890 detail... |
| BARD1 inact mut | prostate cancer | sensitive | Olaparib | Guideline | Actionable | Lynparza (olaparib) is included in guidelines as second-line therapy post androgen receptor-directed therapy for patients with metastatic castration-resistant prostate cancer harboring pathogenic mutations in BARD1 (NCCN.org). | detail... |
| BARD1 mutant | breast cancer | no benefit | Olaparib | Case Reports/Case Series | Actionable | In a Phase II trial (TBCRC 048), Lynparza (olaparib) treatment did not result in an objective response in a patient with metastatic breast cancer harboring a germline mutation in BARD1 (PMID: 33119476; NCT03344965). | 33119476 |
| BARD1 mutant | breast cancer | not applicable | N/A | Guideline | Risk Factor | Germline BARD1 mutations are associated with increased risk of developing breast cancer (NCCN.org). | detail... |