13-32380138-A-T
Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 0P and 0B.
The NM_000059.4(BRCA2):c.9249A>T(p.Lys3083Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000434 in 1,612,862 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 |
---|---|---|---|---|---|---|---|---|---|---|
BRCA2 | ENST00000380152.8 | c.9249A>T | p.Lys3083Asn | missense_variant | Exon 24 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.8880A>T | p.Lys2960Asn | missense_variant | Exon 24 of 27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.*1307A>T | non_coding_transcript_exon_variant | Exon 23 of 26 | 2 | ENSP00000506251.1 | ||||
BRCA2 | ENST00000614259 | n.*1307A>T | 3_prime_UTR_variant | Exon 23 of 25 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152214Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.00000799 AC: 2AN: 250258Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135302
GnomAD4 exome AF: 0.00000342 AC: 5AN: 1460648Hom.: 0 Cov.: 32 AF XY: 0.00000413 AC XY: 3AN XY: 726622
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152214Hom.: 0 Cov.: 33 AF XY: 0.0000134 AC XY: 1AN XY: 74360
ClinVar
Submissions by phenotype
not provided Uncertain:3
The p.Lys3083Asn variant was identified in dbSNP (ID: rs80359191) “With unknown allele” but no frequency information was provided, thus the prevalence of this variant in the general population is not known. The variant was also identified in LOVD, and once in the BIC database as a variant with unknown clinical importance. This residue is conserved in mammals but not in lower organisms. An in silico study using a protein likelihood-ratio model predicted this variant to be neutral (Karchin 2008); however, other computational analyses (PolyPhen-2, SIFT, AlignGVGD) provide inconsistent predictions regarding the impact of the variant amino acid to the protein and this information is not very predictive of pathogenicity. 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. -
This variant is denoted BRCA2 c.9249A>T at the cDNA level, p.Lys3083Asn (K3083N) at the protein level, and results in the change of a Lysine to an Asparagine (AAA>AAT). This variant has been observed in at least one individual with epithelial ovarian cancer and one individual with prostate cancer (Cunningham 2014, Maier 2014). BRCA2 Lys3083Asn was not observed at a significant allele frequency in large population cohorts (Lek 2016). This variant is located in the DNA binding domain (Yang 2000). In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function. Based on currently available evidence, it is unclear whether BRCA2 Lys3083Asn is a pathogenic or benign variant. We consider it to be a variant of uncertain significance. -
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Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:2
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Hereditary cancer-predisposing syndrome Uncertain:1Benign:1
This missense variant replaces lysine with asparagine at codon 3083 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). To our knowledge, functional studies have not been reported for this variant. This variant has been reported in individuals with a personal or family history of breast and/or ovarian cancer (PMID: 24504028, 31409081, 33471991; Leiden Open Variation Database DB-ID BRCA2_000431) and in an individual affected with prostate cancer (PMID: 25111659). This variant has been identified in 2/250258 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. -
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. -
not specified Uncertain:1
Variant summary: BRCA2 c.9249A>T (p.Lys3083Asn) results in a non-conservative amino acid change located in the OB3 domain (IPR015188) 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 8e-06 in 250258 control chromosomes (gnomAD). The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.9249A>T has been reported in the literature in individuals affected with prostate cancer and high grade serous epithelial ovarian cancer (Chien_2015, Cunningham_2014, Maier_2014). These reports however, do not provide unequivocal conclusions about association of the variant with Hereditary Breast and Ovarian Cancer. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. A computation study that produces a probabilistic likelihood ratio predictive of whether a missense variant impairs protein function report the variant to be neutral (Karchin_2008). Six ClinVar submitters (evaluation after 2014) cite the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
BRCA2-related cancer predisposition Uncertain:1
This missense variant replaces lysine with asparagine at codon 3083 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). To our knowledge, functional studies have not been reported for this variant. This variant has been reported in individuals with a personal or family history of breast and/or ovarian cancer (PMID: 24504028, 31409081, 33471991; Leiden Open Variation Database DB-ID BRCA2_000431) and in an individual affected with prostate cancer (PMID: 25111659). This variant has been identified in 2/250258 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. -
Familial cancer of breast Uncertain:1
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Hereditary breast ovarian cancer syndrome Uncertain:1
This sequence change replaces lysine, which is basic and polar, with asparagine, which is neutral and polar, at codon 3083 of the BRCA2 protein (p.Lys3083Asn). This variant is present in population databases (rs80359191, gnomAD 0.002%). This missense change has been observed in individual(s) with prostate cancer and a personal and/or family history of breast and ovarian cancer (PMID: 10923033, 24504028, 25111659, 31409081). ClinVar contains an entry for this variant (Variation ID: 52784). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt BRCA2 protein function with a negative predictive value of 95%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at