NM_000059.4:c.1964C>G
Variant summary
Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2
The NM_000059.4(BRCA2):c.1964C>G(p.Pro655Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000536 in 1,601,692 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P655S) has been classified as Likely benign.
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: Benign. The variant received -16 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | ENST00000380152.8 | c.1964C>G | p.Pro655Arg | missense_variant | Exon 11 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
| BRCA2 | ENST00000530893.7 | c.1595C>G | p.Pro532Arg | missense_variant | Exon 11 of 27 | 1 | ENSP00000499438.2 | |||
| BRCA2 | ENST00000614259.2 | n.1964C>G | non_coding_transcript_exon_variant | Exon 10 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.000532 AC: 81AN: 152154Hom.: 3 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000919 AC: 222AN: 241642 AF XY: 0.000850 show subpopulations
GnomAD4 exome AF: 0.000536 AC: 777AN: 1449538Hom.: 5 Cov.: 32 AF XY: 0.000521 AC XY: 375AN XY: 720094 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000532 AC: 81AN: 152154Hom.: 3 Cov.: 32 AF XY: 0.000511 AC XY: 38AN XY: 74318 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not specified Benign:11
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. -
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The p.Pro655Arg variant has been reported in the literature in 2 of 600 proband chromosomes of individuals with hereditary breast cancer and ovarian cancer, although no control chromosomes were tested to establish the frequency in the general population (Goldgar 2004, Frank 2002, Biswas 2012, Walsh 2006, Caux-Moncoutier 2009). Frank et al (2008) described the prevalence of this variant at >5% of the Ashkenazi Jewish population, supporting the likelihood that this variant has “little clinical consequence”. The p.Pro655 residue is not highly conserved in mammals; however, computational analyses (PolyPhen, SIFT, AlignGVGD) provide inconsistent predictions regarding the impact to the protein and this information is not very predictive of pathogenicity. The variant is listed in the dbSNP database (ID#: rs28897712) with a minor allele frequency of <0.003. Functional studies including protein structure prediction, detection of full-length protein and sensitivity to DNA damaging reagents, predict this variant to be "non-pathogenic" (Biswas 2012). In the UMD database, this variant is considered to have “neutral” biological significance. The UMD database has also reported this variant in one individual (out of 8) with breast or ovarian cancer, where a second pathogenic BRCA2 mutation was also detected, and in another individual where a pathogenic BRCA1 mutation was also detected, further suggesting that this is a benign variant. This variant has been reported 142 times in the BIC database. The exome variant server has reported this variant in 10/13006 normal chromosomes. In summary, based on the above information, this variant is classified as Benign. -
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Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:1Benign:7
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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. -
This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -
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IARC class based on posterior probability from multifactorial likelihood analysis, thresholds for class as per Plon et al. 2008 (PMID: 18951446). Class 1 based on posterior probability = 0.0000686 -
BS1 based on allele frequency in AJ population of 0.002115 in gnomAD. BP4 based on REVEL score of 0.150. PMID:15290653 provides evidence for co-occurrence with pathogenic variants and lack of segregation, BP5. -
Hereditary cancer-predisposing syndrome Benign:5
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This alteration is classified as 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 Benign:3
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Breast and/or ovarian cancer Benign:2
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not provided Benign:2
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BRCA2: BP4, BS1, BS2 -
Medulloblastoma;C0346153:Familial cancer of breast;C0376358:Prostate cancer;C1838457:Fanconi anemia complementation group D1;C2675520:Breast-ovarian cancer, familial, susceptibility to, 2;C2751641:Glioma susceptibility 3;C3150546:Pancreatic cancer, susceptibility to, 2;CN033288:Wilms tumor 1 Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at