13-32339256-T-C
Variant summary
Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4_StrongBP6
The NM_000059.4(BRCA2):āc.4901T>Cā(p.Phe1634Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000682 in 1,612,690 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/19 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 -5 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.4901T>C | p.Phe1634Ser | missense_variant | Exon 11 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.4532T>C | p.Phe1511Ser | missense_variant | Exon 11 of 27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.4901T>C | non_coding_transcript_exon_variant | Exon 10 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152186Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000121 AC: 3AN: 248954Hom.: 0 AF XY: 0.00000741 AC XY: 1AN XY: 134892
GnomAD4 exome AF: 0.00000616 AC: 9AN: 1460504Hom.: 0 Cov.: 44 AF XY: 0.00000275 AC XY: 2AN XY: 726506
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152186Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74338
ClinVar
Submissions by phenotype
not provided Uncertain:2Benign:2
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This variant is denoted BRCA2 c.4901T>C at the cDNA level, p.Phe1634Ser (F1634S) at the protein level, and results in the change of a Phenylalanine to a Serine (TTT>TCT). This variant, also known as 5129T>C using alternate nomenclature, has been reported in at least one individual with breast cancer (Tung 2016). BRCA2 Phe1634Ser was not observed at a significant allele frequency in large population cohorts (Lek 2016). BRCA2 Phe1634Ser is located within the region of interaction with POLH and RAD51 (Roy 2012, Buisson 2014). In-silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function. Based on currently available information, it is unclear whether BRCA2 Phe1634Ser is pathogenic or benign. We consider it to be a variant of uncertain significance. -
Hereditary cancer-predisposing syndrome Benign:4
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Missense variant in a coldspot region where missense variants are very unlikely to be pathogenic (PMID:31911673). -
BP1_Strong, BP5 c.4901T>C, located in exon 11 of the BRCA2 gene, is predicted to result in the substitution of phenylalanine by serine at codon 1634, p.(Phe1634Ser). 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 4/265938 alleles at a frequency of 0.0015% in the gnomAD v2.1.1 database, non-cancer dataset. To our knowledge, no well-stablished functional studies have been reported for this variant. Published clinical data for a multifactorial likelihood analysis (PMID: 31131967) showed a combined LR indicative of supporting evidence towards benign (LR 0.4362), based on co-occurrence (LR 1.0757) and family history (LR 0.4055) (BP5_Supporting). In addition, the variant was also identified in the following databases: BRCA Exchange (Not Yet Reviewed), ClinVar (6x likely benign, 4x uncertain significance) and LOVD (2x likely benign, 2x uncertain significance). Based on the currently available information, c.4901T>C is classified as a likely benign variant according to ClinGen-BRCA2 Guidelines version v1.0.0. -
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. -
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:2Benign:1
This missense variant replaces phenylalanine with serine at codon 1634 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 observed in at least two individuals affected with breast cancer (PMID: 26976419; Color internal data). This variant has been identified in 4/280346 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. -
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This variant is considered likely benign. This variant is strongly associated with less severe personal and family histories of cancer, typical for individuals without pathogenic variants in this gene [PMID: 25085752]. -
Hereditary breast ovarian cancer syndrome Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at