13-32379900-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM5BP6

The NM_000059.4(BRCA2):ā€‹c.9104A>Gā€‹(p.Tyr3035Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000682 in 1,613,654 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Y3035S) has been classified as Likely pathogenic.

Frequency

Genomes: š‘“ 0.000026 ( 0 hom., cov: 33)
Exomes š‘“: 0.000073 ( 0 hom. )

Consequence

BRCA2
NM_000059.4 missense

Scores

3
11
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:5

Conservation

PhyloP100: 2.75
Variant links:
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr13-32379900-A-C is described in Lovd as [Likely_pathogenic].
BP6
Variant 13-32379900-A-G is Benign according to our data. Variant chr13-32379900-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 52751.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=2, Likely_benign=5}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BRCA2NM_000059.4 linkc.9104A>G p.Tyr3035Cys missense_variant Exon 23 of 27 ENST00000380152.8 NP_000050.3 P51587

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BRCA2ENST00000380152.8 linkc.9104A>G p.Tyr3035Cys missense_variant Exon 23 of 27 5 NM_000059.4 ENSP00000369497.3 P51587
BRCA2ENST00000530893.7 linkc.8735A>G p.Tyr2912Cys missense_variant Exon 23 of 27 1 ENSP00000499438.2 A0A590UJI7
BRCA2ENST00000614259.2 linkn.*1162A>G non_coding_transcript_exon_variant Exon 22 of 26 2 ENSP00000506251.1 A0A7P0TAP7
BRCA2ENST00000614259.2 linkn.*1162A>G 3_prime_UTR_variant Exon 22 of 26 2 ENSP00000506251.1 A0A7P0TAP7

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152272
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000201
AC:
5
AN:
249232
Hom.:
0
AF XY:
0.0000222
AC XY:
3
AN XY:
134844
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000220
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000891
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000725
AC:
106
AN:
1461382
Hom.:
0
Cov.:
32
AF XY:
0.0000647
AC XY:
47
AN XY:
726974
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000126
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000909
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152272
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74400
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000192
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000322
Hom.:
0
Bravo
AF:
0.0000113
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:4Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:1
Nov 01, 2019
CeGaT Center for Human Genetics Tuebingen
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 22, 2021
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Observed in individuals with personal or family history of breast or ovarian cancer, but also in healthy controls (Thirthagiri 2008, Borg 2010, Capanu 2011, Dodova 2015, Lai 2017, Apessos 2018, Liang 2018, Wen 2018); Published functional studies suggest no damaging effect: homology-directed repair (HDR) activity comparable to wild type (Guidugli 2018); In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 21702907, 18627636, 21520273, 19043619, 20104584, 26183948, 28222693, 28993434, 29310832, 30702160, 29681614, 31131967, 29394989, 32123317, 31837001, 33314489, 29884841) -

Sep 13, 2023
Quest Diagnostics Nichols Institute San Juan Capistrano
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In the published literature, the variant has been reported in individuals with breast cancer (PMIDs: 17972171 (2008), 20104584 (2010), 28222693 (2017), 29681614 (2018), 30287823 (2018), 31837001 (2020)), and biliary tract cancer (PMID: 36243179 (2022)), as well as in healthy individuals (PMIDs: 28222693 (2017), 30287823 (2018), 31837001 (2020), 32467295 (2020)). Additionally, functional studies report this variant has a neutral effect on BRCA2 protein function (PMIDs: 35736817 (2022), 33314489 (2021), 29394989 (2018)). The frequency of this variant in the general population, 0.00025 (5/19766 chromosomes, http://gnomad.broadinstitute.org), is uninformative in assessment of its pathogenicity. Based on the available information, we are unable to determine the clinical significance of this variant. -

Hereditary cancer-predisposing syndrome Benign:2
Mar 04, 2020
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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. -

Jan 28, 2021
Color Diagnostics, LLC DBA Color Health
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:1
Feb 20, 2004
Breast Cancer Information Core (BIC) (BRCA2)
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Malignant tumor of breast Uncertain:1
-
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

The p.Tyr3035Cys variant has been identified in 3 of 4580 proband chromosomes (frequency 0.001) in individuals with breast or ovarian cancers (Borg 2010, Thirthagiri 2008); however, control chromosomes from healthy individuals were not included in these studies. This variant was reported in the BIC database 3X as a variant of unknown clinical significance, and was also reported in the HGMD, LOVD and dbSNP databases. The p.Tyr3035 residue is conserved across mammals and computational analyses (PolyPhen2, SIFT, AlignGVGD, BLOSUM) suggest that the p.Tyr3035Cys variant may impact the protein. In addition, one functional in silico study predicts this variant to be likely deleterious (Karchin 2008). This increases the likelihood this variant may have clinical significance, however, this information is not predictive enough to assume pathogenicity and additional data is needed to support these findings. In summary, based on the above information the clinical significance of this variant cannot be determined at this time. This variant is classified as a variant of unknown significance. -

not specified Benign:1
Nov 14, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: BRCA2 c.9104A>G (p.Tyr3035Cys) results in a non-conservative amino acid change in 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 281918 control chromosomes, predominantly at a frequency of 0.00022 within the East Asian subpopulation in the gnomAD database. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.9104A>G has been reported in the literature in individuals affected with and/or undergoing testing for Hereditary Breast and Ovarian Cancer (e.g. Gorringe_2008, Thirthagiri_2008, Borg_2010, Hondow_2011, Lai_2017, Wen_2017, Apessos_2018, Liang_2018, Guo_2019) without strong evidence for causality. These reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. Multiple publications report experimental evidence evaluating an impact on protein function. These results showed no damaging effect of this variant on homology directed repair (HDR) activity (Guidugli_2018, Hu_2022) and lack of sensitivity to DNA damage agents (Sullivan_2021). The following publications have been ascertained in the context of this evaluation (PMID: 29310832, 30702160, 20104584, 21520273, 25556339, 17972171, 29394989, 31837001, 29884841, 21702907, 35736817, 19043619, 28222693, 29681614, 30287823, 33314489, 18627636, 32123317, 28993434). ClinVar contains an entry for this variant (Variation ID: 52751). Based on the evidence outlined above, the variant was classified as likely benign. -

Hereditary breast ovarian cancer syndrome Benign:1
Nov 26, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.45
BayesDel_addAF
Benign
0.0028
T
BayesDel_noAF
Uncertain
0.060
CADD
Uncertain
25
DANN
Uncertain
1.0
Eigen
Uncertain
0.60
Eigen_PC
Uncertain
0.54
FATHMM_MKL
Uncertain
0.93
D
M_CAP
Uncertain
0.24
D
MetaRNN
Uncertain
0.61
D;D
MetaSVM
Uncertain
0.18
D
PrimateAI
Uncertain
0.54
T
PROVEAN
Uncertain
-2.4
N;N
REVEL
Pathogenic
0.68
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0010
D;D
Vest4
0.55
MutPred
0.56
Loss of catalytic residue at P3039 (P = 0.0664);Loss of catalytic residue at P3039 (P = 0.0664);
MVP
0.91
MPC
0.17
ClinPred
0.85
D
GERP RS
4.5
gMVP
0.62

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs80359165; hg19: chr13-32954037; COSMIC: COSV99061633; COSMIC: COSV99061633; API