13-32333042-G-C
Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 0P and 3B. BP4_ModerateBP6
The NM_000059.4(BRCA2):āc.1564G>Cā(p.Gly522Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00002 in 1,601,126 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_000059.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -3 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
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BRCA2 | ENST00000380152.8 | c.1564G>C | p.Gly522Arg | missense_variant | Exon 10 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.1195G>C | p.Gly399Arg | missense_variant | Exon 10 of 27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.1564G>C | non_coding_transcript_exon_variant | Exon 9 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152058Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000167 AC: 4AN: 239116Hom.: 0 AF XY: 0.0000309 AC XY: 4AN XY: 129288
GnomAD4 exome AF: 0.0000193 AC: 28AN: 1449068Hom.: 0 Cov.: 35 AF XY: 0.0000236 AC XY: 17AN XY: 720412
GnomAD4 genome AF: 0.0000263 AC: 4AN: 152058Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74272
ClinVar
Submissions by phenotype
Hereditary cancer-predisposing syndrome Benign:4
Missense variant in a coldspot region where missense variants are very unlikely to be pathogenic (PMID:31911673). -
BP1_strong c.1564G>C, located in exon 10 of the BRCA2 gene, is predicted to result in the substitution of Glycine by Arginine at codon 522, p.(Gly522Arg). This position is outside a (potentially) clinically important functional domain and, moreover, the SpliceAI algorithm predicts no significant impact on splicing (BP1_strong). This variant is found in 4/224618 alleles at a frequency of 0.0017% in the gnomAD v2.1.1 database, non-cancer dataset. Published clinical data for a multifactorial likelihood analysis (PMID: 31131967) showed a combined LR indicative of moderate evidence towards benign (LR 0.88), based on tumor characteristics (LR 0.69), co-occurrence (LR 1.24) and family history (LR 1.04). It has been reported in ClinVar (1x B, 6x LB, 9x VUS). Based on the currently available information, c.1564G>C is classified as a likely benign variant according to ClinGen-BRCA2 Guidelines version 1.0.0. -
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
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Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:3
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not provided Uncertain:1Benign:2
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Not observed at a significant frequency in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 22703879, 24916970, 27974047, 25348012, 22476429, 30212499, 28726806) -
Hereditary breast ovarian cancer syndrome Uncertain:1Benign:2
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BRCA2-related cancer predisposition Uncertain:1
This missense variant replaces glycine with arginine at codon 522 of the BRCA2 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has been detected in one individual affected with breast cancer (PMID: 33471991; Leiden Open Variation Database DB-ID BRCA2_002081) and in two suspected hereditary breast and ovarian cancer families (PMID: 22476429, 24916970). This variant has been identified in 4/239116 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
BRCA2-related disorder Uncertain:1
The BRCA2 c.1564G>C variant is predicted to result in the amino acid substitution p.Gly522Arg. This variant has been reported in an individual from a cohort selected for a range of atherosclerosis phenotypes, but not for a personal or family history of cancer (Table S1, Johnston et al. 2012. PubMed ID: 22703879). It was also identified in an individual with breast and/or ovarian cancer and was classified as uncertain (Table 2, Peixoto et al. 2015. PubMed ID: 24916970). This variant is reported in 0.0064% of alleles in individuals of Latino descent in gnomAD and has conflicting interpretations in ClinVar including uncertain (3), likely benign (6), and benign (1) (https://www.ncbi.nlm.nih.gov/clinvar/variation/37746/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Endometrial carcinoma Uncertain:1
The p.Gly522Arg variant was not identified in the literature but has been reported in the dbSNP (rs80358442), Exome Server Project, UMD (1x as an unknown variant) and BIC (7x with unknown clinical importance) databases. This residue is not conserved in mammals, increasing the likelihood this variant may not have clinical significance. Computational analyses (PolyPhen2, SIFT, AlignGVGD, BLOSUM) provide inconsistent predictions regarding the impact to the protein and this information is not very predictive of pathogenicity. In summary, the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as a variant of unknown significance. -
not specified Benign:1
Variant summary: BRCA2 c.1564G>C (p.Gly522Arg) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 1.7e-05 in 239116 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.1564G>C has been reported in the literature in a proband from high-risk breast and/or ovarian cancer family that did not carry BRCA1 or BRCA2 mutations (Lu_2012), among variants of unknown significance in a Portuguese breast/ovarian cancer family (Peixoto_2014), and among secondary variants identified in a study of Individuals undergoing Exome Sequencing (Johnston_2012). These report(s) do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. At-least two co-occurrences with other pathogenic variant(s) have been reported [BRCA1 c.5136G>A, p.Trp1712Ter (BIC database); BRCA1 c.4258C>T, p.Gln1420Ter (UMD database)], providing supporting evidence for a benign role. No conclusive experimental evidence reporting an impact on protein function has been ascertained. Eight clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. Multiple laboratories reported the variant with conflicting assessments (likely benign, n=3, VUS, n=5). Some submitters cite overlapping evidence utilized in the context of this evaluation. Based on the evidence outlined above, the variant was classified as likely benign. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at