13-32363313-C-T
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Variant summary
Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BP6
The NM_000059.4(BRCA2):c.8111C>T(p.Ser2704Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000167 in 1,614,030 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000016 ( 0 hom. )
Consequence
BRCA2
NM_000059.4 missense
NM_000059.4 missense
Scores
9
7
Clinical Significance
Conservation
PhyloP100: 0.0710
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 Likely_benign. Variant got -1 ACMG points.
BP6
Variant 13-32363313-C-T is Benign according to our data. Variant chr13-32363313-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 52507.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Uncertain_significance=6, Benign=1}. Variant chr13-32363313-C-T is described in Lovd as [Likely_benign].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
BRCA2 | NM_000059.4 | c.8111C>T | p.Ser2704Phe | missense_variant | 18/27 | ENST00000380152.8 | NP_000050.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BRCA2 | ENST00000380152.8 | c.8111C>T | p.Ser2704Phe | missense_variant | 18/27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.7742C>T | p.Ser2581Phe | missense_variant | 18/27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.*169C>T | non_coding_transcript_exon_variant | 17/26 | 2 | ENSP00000506251.1 | ||||
BRCA2 | ENST00000614259 | n.*169C>T | 3_prime_UTR_variant | 17/25 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152172Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000159 AC: 4AN: 251328Hom.: 0 AF XY: 0.0000221 AC XY: 3AN XY: 135832
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GnomAD4 exome AF: 0.0000164 AC: 24AN: 1461858Hom.: 0 Cov.: 31 AF XY: 0.0000138 AC XY: 10AN XY: 727224
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GnomAD4 genome AF: 0.0000197 AC: 3AN: 152172Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74350
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:8Benign:7
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
not provided Uncertain:2Benign:3
Likely benign, no assertion criteria provided | clinical testing | Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center | - | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Quest Diagnostics Nichols Institute San Juan Capistrano | Nov 19, 2024 | The BRCA2 c.8111C>T (p.Ser2704Phe) variant has been reported in the published literature in individuals with breast and/or ovarian cancer (PMIDs: 27208206 (2016), 19949876 (2010), 19471317 (2009), 11389159 (2001)). In a large case-control study, this variant was observed in additional individuals with breast cancer as well as in reportedly healthy individuals (PMID: 33471991 (2021), see also LOVD (http://databases.lovd.nl/shared)). Experimental studies indicate this variant has neutral effects on BRCA2 DNA repair activity (PMIDs: 35736817 (2022), 29988080 (2018)). Additionally, this variant has been characterized as a benign variant in a multifactorial likelihood study (PMID: 34597585 (2021)). The frequency of this variant in the general population, 0.000026 (3/113646 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Analysis of this variant using bioinformatics tools for the prediction of the effect of amino acid changes on protein structure and function yielded predictions that this variant is damaging. Based on the available information, we are unable to determine the clinical significance of this variant. - |
Uncertain significance, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Mar 01, 2021 | - - |
Likely benign, criteria provided, single submitter | clinical testing | GeneDx | Jun 16, 2020 | Not observed at a significant frequency in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 25637381, 27208206, 28339459, 11389159, 19949876, 19471317, 19043619, 20215541, 30638113, 29988080, 26580448, 29884841) - |
Likely benign, no assertion criteria provided | clinical testing | Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+ | - | - - |
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:3
Uncertain significance, no assertion criteria provided | clinical testing | Breast Cancer Information Core (BIC) (BRCA2) | Jun 22, 1999 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | All of Us Research Program, National Institutes of Health | Aug 15, 2023 | This missense variant replaces serine with phenylalanine at codon 2704 of the BRCA2 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function (internally defined REVEL score threshold 0.5 < inconclusive < 0.7, PMID: 27666373). Functional studies have reported that this variant does not impact BRCA2 function in murine cell models in homology-mediated repair and cisplatin sensitivity assays (PMID: 29884841, 29988080, 35736817) and in human cells in mitomycin C sensitivity and RAD51 foci formation assays (PMID: 30638113). This variant has been reported in a breast cancer case-control meta-analysis in 6 cases and in 4 unaffected individuals (PMID: 33471991; Leiden Open Variation Database DB-ID BRCA2_000281) and in individuals and families affected with breast and ovarian cancer (PMID: 11389159, 19471317, 19949876, 27208206) and an individual age 70 years or older without cancer (https://whi.color.com/variant/13-32937450-C-T). This variant has been identified in 4/251328 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. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Counsyl | Jan 17, 2018 | - - |
not specified Uncertain:1Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Mar 29, 2024 | Variant summary: BRCA2 c.8111C>T (p.Ser2704Phe) results in a non-conservative amino acid change located in the BRCA2, OB1 domain (IPR015187) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 1.6e-05 in 251328 control chromosomes. c.8111C>T has been reported in the literature as not-segregating with disease in families affected with Breast and/or Ovarian Cancer (exampe, Caputo_2021). Multiple publications report experimental evidence evaluating an impact on protein function (example, Mesman_2019, Richardson_2021). These results showed no damaging effect of this variant on homology directed repair (HDR) capacity and ability to complement the loss of cell viability following Cre-mediated deletion of a conditional Brca2 allele. HDR assays qualify as a recognized 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: 34597585, 29988080, 33609447). ClinVar contains an entry for this variant (Variation ID: 52507). Based on the evidence outlined above, the variant was classified as likely benign. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Genetic Services Laboratory, University of Chicago | Dec 03, 2021 | This sequence change has been previously described in individuals with personal and/or family history of breast and ovarian cancer (PMIDs: 27208206, 11389159, 19949876, 19471317). One functional assay showed unaffected DNA repair function of BRCA2 in cell lines with this variant (PMID: 30638113). Another functional study reported the variant to be proficient in complementation of BRCA2 deficient mouse embryonic stem cells and in homology-mediated DNA repair (PMID: 29988080). This sequence change has been described in the gnomAD database in 4 heterozygous individuals which corresponds to a population frequency of 0.0016% (dbSNP rs80359054). The p.Ser2704Phe change affects a moderately conserved amino acid residue located in a domain of the BRCA2 protein that is known to be functional. In-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL) provide contradictory results for the p.Ser2704Phe substitution. Due to insufficient evidence, the clinical significance of the p.Ser2704Phe change remains unknown at this time. - |
Hereditary cancer-predisposing syndrome Uncertain:1Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Ambry Genetics | Jan 23, 2020 | 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. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Color Diagnostics, LLC DBA Color Health | Mar 17, 2023 | This missense variant replaces serine with phenylalanine at codon 2704 of the BRCA2 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function (internally defined REVEL score threshold 0.5 < inconclusive < 0.7, PMID: 27666373). Functional studies have reported that this variant does not impact BRCA2 function in murine cell models in homology-mediated repair and cisplatin sensitivity assays (PMID: 29884841, 29988080, 35736817) and in human cells in mitomycin C sensitivity and RAD51 foci formation assays (PMID: 30638113). This variant has been reported in a breast cancer case-control meta-analysis in 6 cases and in 4 unaffected individuals (PMID: 33471991; Leiden Open Variation Database DB-ID BRCA2_000281) and in individuals and families affected with breast and ovarian cancer (PMID: 11389159, 19471317, 19949876, 27208206) and an individual age 70 years or older without cancer (https://whi.color.com/variant/13-32937450-C-T). This variant has been identified in 4/251328 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. - |
Hereditary breast ovarian cancer syndrome Benign:2
Likely benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Dec 26, 2023 | - - |
Benign, criteria provided, single submitter | curation | German Consortium for Hereditary Breast and Ovarian Cancer, University Hospital Cologne | Jun 11, 2024 | According to the ClinGen ENIGMA BRCA2 v1.0.0 criteria we chose these criteria: BP4 (supporting benign): BayesDel no-AF score ≤ 0.15 AND SpliceAI ≤0.1, BS3 (strong benign): Reported by two calibrated studies to affect protein function similar to benign control variants (PMIDs:29988080, Mesman 2019; 33609447, Richardson) (table 9, BS3 met). - |
Breast neoplasm Uncertain:1
Uncertain significance, no assertion criteria provided | research | CSER _CC_NCGL, University of Washington | Jun 01, 2014 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Uncertain
D
BayesDel_noAF
Uncertain
CADD
Benign
DANN
Uncertain
Eigen
Benign
Eigen_PC
Benign
FATHMM_MKL
Benign
N
M_CAP
Uncertain
D
MetaRNN
Uncertain
D;D
MetaSVM
Uncertain
T
PrimateAI
Benign
T
PROVEAN
Benign
N;N
REVEL
Uncertain
Sift
Uncertain
D;D
Sift4G
Uncertain
D;D
Vest4
MVP
MPC
0.027
ClinPred
T
GERP RS
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at