13-32357836-A-G
Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 1P and 1B. PP3BP6
The NM_000059.4(BRCA2):βc.7712A>Gβ(p.Glu2571Gly) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000322 in 1,614,048 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 Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_000059.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 0 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.7712A>G | p.Glu2571Gly | missense_variant | Exon 16 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.7343A>G | p.Glu2448Gly | missense_variant | Exon 16 of 27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.7712A>G | non_coding_transcript_exon_variant | Exon 15 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.000158 AC: 24AN: 152200Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000318 AC: 8AN: 251380Hom.: 0 AF XY: 0.0000368 AC XY: 5AN XY: 135866
GnomAD4 exome AF: 0.0000185 AC: 27AN: 1461730Hom.: 0 Cov.: 31 AF XY: 0.0000110 AC XY: 8AN XY: 727172
GnomAD4 genome AF: 0.000164 AC: 25AN: 152318Hom.: 0 Cov.: 32 AF XY: 0.000188 AC XY: 14AN XY: 74486
ClinVar
Submissions by phenotype
Hereditary breast ovarian cancer syndrome Uncertain:2Benign:2
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Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:2
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ACMG classification criteria: PM2 supporting, PP3 supporting, BS3 supporting -
not provided Uncertain:1Benign:1
This variant is denoted BRCA2 c.7712A>G at the cDNA level, p.Glu2571Gly (E2571G) at the protein level, and results in the change of a Glutamic Acid to a Glycine (GAA>GGA). Using alternate nomenclature, this variant would be defined as BRCA2 7940A>G. BRCA2 Glu2571Gly has been observed in at least two women with pre-menopausal and/or triple negative breast cancer (Haffty 2009, Francies 2015). BRCA2 Glu2571Gly was observed at an allele frequency of 0.05% (13/24,030) in individuals of African ancestry in large population cohorts (Lek 2016). Since Glutamic Acid and Glycine differ in polarity, charge, size or other properties, this is considered a non-conservative amino acid substitution. BRCA2 Glu2571Gly occurs at a position where amino acids with properties similar to Glutamic Acid are tolerated across species and is located in the DNA binding domain (Yang 2002). In silico analyses are inconsistent regarding the effect this variant may have on protein structure and function. Based on currently available evidence, it is unclear whether BRCA2 Glu2571Gly is a pathogenic or benign variant. We consider it to be a variant of uncertain significance. -
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Hereditary cancer-predisposing syndrome Benign:2
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 and/or ovarian cancer Uncertain:1
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Malignant tumor of breast Uncertain:1
The p.Glu2571Gly variant was not identified in probands in the literature. The variant was identified in dbSNP (ID: rs55689095) Γ’β¬Ε‘ΓβΓΒΊWith Uncertain significance allele, LOVD, the ClinVar database (classified with uncertain significance by Ambry Genetics), the BIC database (3X with unknown clinical importance), and UMD (1X as a unclassified variant). The variant was identified by the Exome Variant Server project in 2 of 4406 African American alleles (frequency: 0.0005) and in the 1000 Genomes Project in 1 allele (frequency 0.0005), although this low number of observations and low frequency is not substantive enough to determine its relationship to disease. The p.Glu2571 residue is conserved across mammals, and four out of five computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) suggest that the p.Glu2571Gly variant may impact the protein; however, this information is not predictive enough to assume pathogenicity. An in silico study using a protein likelihood-ratio model predicted the variant to be neutral (Karchin 2012). The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) do not predict a difference in splicing. In summary, based on the above information, 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.7712A>G (p.Glu2571Gly) results in a non-conservative amino acid change located in the helical domain (IPR015252) of the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 3.2e-05 in 1607074 control chromosomes, predominantly at a frequency of 0.00055 within the African or African-American subpopulation in the gnomAD database. This frequency is somewhat lower than the estimated maximum for a pathogenic variant in BRCA2 causing Hereditary Breast And Ovarian Cancer Syndrome (0.00075), allowing no conclusion about variant significance. c.7712A>G has been reported in the literature primarily in individuals of African or African American ancestry, affected with or undergoing testing for Hereditary Breast And Ovarian Cancer Syndrome (e.g. Haffty_2009, Francies_2015, Adedokun_2019, Ben Ayed-Guerfali_2021, Matta_2022, Guindalini_2022, de Oliveira Ferreira_2024). These reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. At least one co-occurrence with another pathogenic variant has been observed at our laboratory (BRCA1 c.4986+6T>C), providing supporting evidence for a benign role. Multiple publications report experimental evidence evaluating an impact on protein function. These results showed no damaging effect of this variant based on homology directed repair (HDR) activity (e.g. Guidugli_2018, Hart_2019, Richardson_2021, Hu_2022). HDR assays qualify as a standardized gold standard on the basis of updated guidance provided by the ClinGen Sequence Variant Interpretation (SVI) working group. This working group has recommended strong functional evidence (ACMG BS3) as sufficient weightage for categorization as likely benign (Tavtigian_2018). The following publications have been ascertained in the context of this evaluation (PMID: 31871109, 33726785, 28814288, 26577449, 29394989, 35264596, 19491284, 29884841, 19043619, 36329109, 33609447, 35736817, 38641594). ClinVar contains an entry for this variant (Variation ID: 52392). 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