13-32337458-G-T
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Variant summary
Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_000059.4(BRCA2):c.3103G>T(p.Glu1035*) variant causes a stop gained change. The variant allele was found at a frequency of 0.00000496 in 1,612,512 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000048 ( 0 hom. )
Consequence
BRCA2
NM_000059.4 stop_gained
NM_000059.4 stop_gained
Scores
5
1
1
Clinical Significance
Conservation
PhyloP100: 7.02
Genes affected
BRCA2 (HGNC:1101): (BRCA2 DNA repair associated) Inherited mutations in BRCA1 and this gene, BRCA2, confer increased lifetime risk of developing breast or ovarian cancer. Both BRCA1 and BRCA2 are involved in maintenance of genome stability, specifically the homologous recombination pathway for double-strand DNA repair. The largest exon in both genes is exon 11, which harbors the most important and frequent mutations in breast cancer patients. The BRCA2 gene was found on chromosome 13q12.3 in human. The BRCA2 protein contains several copies of a 70 aa motif called the BRC motif, and these motifs mediate binding to the RAD51 recombinase which functions in DNA repair. BRCA2 is considered a tumor suppressor gene, as tumors with BRCA2 mutations generally exhibit loss of heterozygosity (LOH) of the wild-type allele. [provided by RefSeq, May 2020]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 16 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 13-32337458-G-T is Pathogenic according to our data. Variant chr13-32337458-G-T is described in ClinVar as [Pathogenic]. Clinvar id is 51400.Status of the report is reviewed_by_expert_panel, 3 stars. Variant chr13-32337458-G-T is described in Lovd as [Pathogenic]. Variant chr13-32337458-G-T is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
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BRCA2 | NM_000059.4 | c.3103G>T | p.Glu1035* | stop_gained | 11/27 | ENST00000380152.8 | NP_000050.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BRCA2 | ENST00000380152.8 | c.3103G>T | p.Glu1035* | stop_gained | 11/27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.2734G>T | p.Glu912* | stop_gained | 11/27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.3103G>T | non_coding_transcript_exon_variant | 10/26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152110Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.00000401 AC: 1AN: 249486Hom.: 0 AF XY: 0.00000742 AC XY: 1AN XY: 134848
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GnomAD4 exome AF: 0.00000479 AC: 7AN: 1460402Hom.: 0 Cov.: 33 AF XY: 0.00000275 AC XY: 2AN XY: 726448
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:21
Revision: reviewed by expert panel
LINK: link
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 2 Pathogenic:6
Pathogenic, no assertion criteria provided | clinical testing | Breast Cancer Information Core (BIC) (BRCA2) | Feb 20, 2004 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA), c/o University of Cambridge | Oct 02, 2015 | - - |
Pathogenic, reviewed by expert panel | curation | Evidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA) | Apr 22, 2016 | Variant allele predicted to encode a truncated non-functional protein. - |
Pathogenic, no assertion criteria provided | clinical testing | Sharing Clinical Reports Project (SCRP) | Dec 03, 2013 | - - |
Pathogenic, criteria provided, single submitter | research | HudsonAlpha Institute for Biotechnology, HudsonAlpha Institute for Biotechnology | Dec 11, 2019 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Counsyl | Sep 06, 2016 | - - |
Hereditary breast ovarian cancer syndrome Pathogenic:4
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 18, 2024 | This sequence change creates a premature translational stop signal (p.Glu1035*) in the BRCA2 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in BRCA2 are known to be pathogenic (PMID: 20104584). This variant is present in population databases (rs80358556, gnomAD 0.0009%). This premature translational stop signal has been observed in individual(s) with breast and/or ovarian cancer and glioblastoma (PMID: 16912212, 17688236, 26296701, 26681312, 26787237). ClinVar contains an entry for this variant (Variation ID: 51400). For these reasons, this variant has been classified as Pathogenic. - |
Pathogenic, no assertion criteria provided | research | Research Molecular Genetics Laboratory, Women's College Hospital, University of Toronto | Jan 31, 2014 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Oct 14, 2019 | The p.Glu1035X variant in BRCA2 has been reported in at least 8 individuals with BRCA2-related cancers (Ramus 2007, Tung 2015, Meric-Bernstam 2016, Susswein 2016, BIC database). It has also been identified in 1/112890 European chromosomes by gnomAD (http://gnomad.broadinstitute.org); however, this frequency is low enough to be consistent with the frequency of hereditary breast and ovarian cancer (HBOC) in the general population. This variant leads to a premature termination codon at position 1035, which is predicted to lead to a truncated or absent protein. Loss of function of the BRCA2 gene is an established disease mechanism in autosomal dominant hereditary breast and ovarian cancer syndrome (HBOC). Additionally, this variant was classified as Pathogenic on Apr 22, 2016 by the ClinGen-approved ENIGMA expert panel (Variation ID: 51400). In summary, this variant meets criteria to be classified as pathogenic for autosomal dominant HBOC. ACMG/AMP Criteria applied: PVS1, PM2, PS4_Moderate. - |
Pathogenic, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Jul 24, 2017 | Variant summary: The BRCA2 c.3103G>T (p.Glu1035X) variant (legacy name 3331G>T) results in a premature termination codon, predicted to cause a truncated or absent BRCA2 protein due to nonsense mediated decay, which are commonly known mechanisms for disease. Truncations downstream of this position have been classified as pathogenic by our laboratory (e.g. p.Gln1063X, p.Gln1129X, and p.Arg2520X). This variant is absent in 120800 control chromosomes from ExAC. This variant has been reported in several HBOC patients in literature (Malone_2006, Ramus_2007, Conner_2014, Tung_2015, Ellingson_2015, Susswein_2015, Meric-Bernstam_2016). In addition, several clinical diagnostic laboratories/reputable databases have classified this variant as pathogenic. Taken together, this variant is classified as pathogenic. - |
not provided Pathogenic:3
Pathogenic, criteria provided, single submitter | clinical testing | Revvity Omics, Revvity | Apr 30, 2021 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Quest Diagnostics Nichols Institute San Juan Capistrano | Nov 25, 2020 | This nonsense variant causes the premature termination of BRCA2 protein synthesis, and is described in online databases as being pathogenic (ClinVar (http://www.ncbi.nlm.nih.gov/clinvar/), BRCA Exchange (http://brcaexchange.org/), EmVClass (http://www.egl-eurofins.com/emvclass/)). In addition, it has been reported in the published literature in multiple families and individuals affected with breast and/or ovarian cancer (PMIDs: 16912212 (2006), 17688236 (2007), 25186627 (2015), 26296701 (2015), and 26681312 (2015)), as well as an individual with glioblastoma (PMID: 26787237 (2016)). The frequency of this variant in the general population is consistent with pathogenicity. Based on the available information, this variant is classified as pathogenic. - |
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Apr 12, 2022 | Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Observed in individuals with BRCA2-related cancers (Ramus 2007, Ellingson 2015, Borazanci 2020); Not observed at a significant frequency in large population cohorts (gnomAD); Truncating variants in this gene are considered pathogenic by a well-established clinical consortium and/or database; Also known as 3331G>T; This variant is associated with the following publications: (PMID: 17688236, 27150160, 28152038, 30720243, 26296701, 24333842, 26787237, 25186627, 25525159, 26681312, 26786923, 16912212, 29446198, 31391296, 33372952, 30787465, 33087929) - |
Hereditary cancer-predisposing syndrome Pathogenic:3
Pathogenic, criteria provided, single submitter | clinical testing | Color Diagnostics, LLC DBA Color Health | May 09, 2023 | This variant changes 1 nucleotide in exon 11 of the BRCA2 gene, creating a premature translation stop signal. This variant is expected to result in an absent or non-functional protein product. This variant has been detected in at least eight individuals affected with breast and ovarian cancer (PMID: 16912212, 17688236, 24333842, 25186627, 26296701, 26681312, 33471991, 34680387; Leiden Open Variation Database DB-ID BRCA2_002557; Color internal data) and one individual each affected with glioblastoma (PMID: 26787237) and prostate cancer (PMID: 33599307). This variant has been identified in 1/249486 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Loss of BRCA2 function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic. - |
Pathogenic, no assertion criteria provided | clinical testing | True Health Diagnostics | Dec 01, 2017 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | Apr 27, 2022 | The p.E1035* pathogenic mutation (also known as c.3103G>T), located in coding exon 10 of the BRCA2 gene, results from a G to T substitution at nucleotide position 3103. This changes the amino acid from a glutamic acid to a stop codon within coding exon 10. This mutation has been reported in multiple patients with breast and/or ovarian cancer (Malone KE et al. Cancer Res. 2006 Aug;66:8297-308; Ramus SJ et al. Hum. Mutat. 2007 Dec;28(12):1207-15; Tung N et al. Cancer 2015 Jan;121:25-33; Ellingson MS et al. Breast Cancer Res. Treat. 2015 Sep;153:435-43; Susswein LR et al. Genet. Med. 2016 Aug;18:823-32). It has also been reported in an individual with glioblastoma who had a family history of breast cancer (Meric-Bernstam F et al. Ann. Oncol. 2016 May;27:795-800). In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. - |
not specified Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories | Oct 12, 2016 | - - |
BRCA2-related cancer predisposition Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | All of Us Research Program, National Institutes of Health | Aug 31, 2024 | This variant changes 1 nucleotide in exon 11 of the BRCA2 gene, creating a premature translation stop signal. This variant is expected to result in an absent or non-functional protein product. This variant has been detected in at least eight individuals affected with breast and ovarian cancer (PMID: 16912212, 17688236, 24333842, 25186627, 26296701, 26681312, 33471991, 34680387; Leiden Open Variation Database DB-ID BRCA2_002557; Color internal data) and one individual each affected with glioblastoma (PMID: 26787237) and prostate cancer (PMID: 33599307). This variant has been identified in 1/249486 chromosomes in the general population by the Genome Aggregation Database (gnomAD). Loss of BRCA2 function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic. - |
Rhabdomyosarcoma Pathogenic:1
Pathogenic, no assertion criteria provided | provider interpretation | Human Genome Sequencing Center Clinical Lab, Baylor College of Medicine | Sep 01, 2020 | - - |
BRCA2-related disorder Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Mar 28, 2024 | The BRCA2 c.3103G>T variant is predicted to result in premature protein termination (p.Glu1035*). This variant has predominantly been reported in individuals with personal and family histories of ovarian and breast cancer. However, it has also been reported in a single individual with glioblastoma and a family history of breast cancer (Ramus et al. 2007. PubMed ID: 17688236, Table S1; Tung et al. 2014. PubMed ID: 25186627, Supplement; Susswein et al. 2015. PubMed ID: 26681312, Table S1; Meric-Bernstam et al. 2016. PubMed ID: 26787237, Table S3; Rebbeck et al. 2018. PubMed ID: 29446198, Table S1). This variant is reported in 1 of ~249,000 alleles in gnomAD and is interpreted as pathogenic in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/51400/). Nonsense variants in BRCA2 are expected to be pathogenic. This variant is interpreted as pathogenic. - |
Familial cancer of breast Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 19, 2024 | - - |
Computational scores
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BayesDel_addAF
Pathogenic
D
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Pathogenic
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Pathogenic
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Pathogenic
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Pathogenic
FATHMM_MKL
Pathogenic
D
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Details are displayed if max score is > 0.2
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