13-32376760-T-G
Variant summary
Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP6
The NM_000059.4(BRCA2):c.8723T>G(p.Val2908Gly) variant causes a missense change. The variant allele was found at a frequency of 0.0000384 in 1,613,964 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V2908M) has been classified as Uncertain significance.
Frequency
Consequence
NM_000059.4 missense
Scores
Clinical Significance
Conservation
Publications
- breast-ovarian cancer, familial, susceptibility to, 2Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), ClinGen
- Fanconi anemia complementation group D1Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen, G2P
- pancreatic cancer, susceptibility to, 2Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
- sarcomaInheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
- hereditary breast ovarian cancer syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Fanconi anemiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- medulloblastomaInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
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ACMG classification
Our verdict: Likely_benign. The variant received -1 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_000059.4. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | NM_000059.4 | MANE Select | c.8723T>G | p.Val2908Gly | missense | Exon 21 of 27 | NP_000050.3 | ||
| BRCA2 | NM_001432077.1 | c.8723T>G | p.Val2908Gly | missense | Exon 21 of 27 | NP_001419006.1 | |||
| BRCA2 | NM_001406720.1 | c.8723T>G | p.Val2908Gly | missense | Exon 21 of 27 | NP_001393649.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | ENST00000380152.8 | TSL:5 MANE Select | c.8723T>G | p.Val2908Gly | missense | Exon 21 of 27 | ENSP00000369497.3 | ||
| BRCA2 | ENST00000544455.6 | TSL:1 | c.8723T>G | p.Val2908Gly | missense | Exon 21 of 27 | ENSP00000439902.1 | ||
| BRCA2 | ENST00000530893.7 | TSL:1 | c.8354T>G | p.Val2785Gly | missense | Exon 21 of 27 | ENSP00000499438.2 |
Frequencies
GnomAD3 genomes AF: 0.0000460 AC: 7AN: 152112Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000159 AC: 4AN: 251276 AF XY: 0.0000221 show subpopulations
GnomAD4 exome AF: 0.0000376 AC: 55AN: 1461852Hom.: 0 Cov.: 32 AF XY: 0.0000481 AC XY: 35AN XY: 727230 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000460 AC: 7AN: 152112Hom.: 0 Cov.: 32 AF XY: 0.0000673 AC XY: 5AN XY: 74318 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:1Benign:3
This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com.
not specified Benign:3
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease.
Variant summary: BRCA2 c.8723T>G (p.Val2908Gly) results in a non-conservative amino acid change located in the BRCA2, OB2 domain of the encoded protein sequence. Four 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 252228 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.8723T>G has been reported in the literature in individuals affected with Hereditary Breast And Ovarian Cancer Syndrome (e.g., Wu_2005, Farrugia_2008, van Harssel_2010, Konecny_2011, Lee_2008, Przychodzen_2018, Kraemer_2019, Rizzolo_2019, Machackova_2019). However, these reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. A recent case-control study in breast cancer patients showed that this variant had similar frequency in cases and controls (Dorling_2021, LOVD database). A co-occurrence with another pathogenic variant has also been reported (BRCA1 c.4689C>G, p.Tyr1563X; NHGRI BIC database), providing supporting evidence for a benign role. Multiple publications report experimental evidence evaluating an impact on protein function. These results, which include evidence from HDR assays, showed no damaging effect of this variant (e.g., Wu_2005, Farrugia_2008, Acedo_2014, Guidugli_2018, Hart_2019, Richardson_2021, Hu_2022). A drug sensitivity study showed the variant had a damaging effect on cell viability (e.g., Ikegami_2020), however, it was not clear how this effect may impact cancer pathogenesis. The following publications have been ascertained in the context of this evaluation (PMID: 25382762, 33471991, 18451181, 29394989, 29884841, 35736817, 32444794, 21203900, 31422574, 18284688, 31409081, 29416752, 33609447, 30613976, 15695382, 19949876). ClinVar contains an entry for this variant (Variation ID: 52662). Based on the evidence outlined above, the variant was classified as likely benign.
not provided Benign:3
BRCA2: BP4
Hereditary cancer-predisposing syndrome Benign:3
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.
Hereditary breast ovarian cancer syndrome Uncertain:1Benign:1
The missense variant NM_000059.4(BRCA2):c.8723T>G (p.Val2908Gly) has been reported to ClinVar as Likely benign with a status of (2 stars) criteria provided, multiple submitters, no conflicts (Variation ID 52662 as of 2024-08-01). The p.Val2908Gly variant is observed in 4/113,642 (0.0035%) alleles from individuals of gnomAD Non Finnish European background in gnomAD. The p.Val2908Gly variant is novel (not in any individuals) in 1kG. There is a moderate physicochemical difference between valine and glycine. The gene BRCA2 has a low rate of benign missense variation as indicated by a high missense variants Z-Score of 1.00. The gene BRCA2 contains 146 pathogenic missense variants, indicating that missense variants are a common mechanism of disease in this gene. The p.Val2908Gly missense variant is predicted to be damaging by both SIFT and PolyPhen2. The valine residue at codon 2908 of BRCA2 is conserved in all mammalian species. The nucleotide c.8723 in BRCA2 is predicted conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Uncertain Significance.
Malignant tumor of breast Benign:1
The p.Val2908Gly variant was identified in 2 of 1782 proband chromosomes (frequency: 0.0001) from individuals or families with breast/ovarian cancers (Konecny 2011, van Harssel 2010). In functional studies comparing mutant and wildtype forms of BRCA2 using assays of cellular survival and viability, homologous recombination repair, genome instability and centriole amplification, the variant was comparable to wildtype or demonstrated no impaired BRCA2 function (Wu 2005, Farrugia 2008). In a computational multifactorial model combining three independent measures (co-occurrence of variant with known deleterious mutations, personal and family history of cancer, and co-segregation with disease), the variant was found to be neutral (Easton 2007). Another computational method looking at probabilistic likelihood ratio of variant (whether missense variant impairs protein function), was inconclusive (Karchin 2008). The variant was also identified in dbSNP (ID: rs28897753) “With other allele”, the Exome Aggregation Consortium (ExAC) database (released Jan 13, 2015) in 2 of 33026 individuals from a population of European (Non-Finnish) individuals (frequency: 0.00003), Clinvitae database (classifications likely benign and conflicting interpretations of pathogenicity), Fanconi Anemia Mutation Database (LOVD) and ARUP Laboratories BRCA Mutations Database (classified as likely not pathogenic or of little clinical significance), the ClinVar database (classified as likely benign by Ambry Genetics, GeneDX, Counsyl, Invitae, and Sharing Clinical Reports Project(derived from Myriad reports); and classified as uncertain significance by BIC), the BIC database (8x with unknown clinical importance, classification pending). The p.Val2908 residue is conserved across mammals and computational analyses (PolyPhen-2, SIFT, AlignGVGD, BLOSUM, MutationTaster) provide inconsistent predictions regarding the impact to the protein. In summary, based on the above information, the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at