chr13-32326589-AC-A
Variant summary
The NM_000059.4(BRCA2):c.610delC (p.Ser205ValfsTer6) variant causes a frameshift change. The variant is predicted to lead to nonsense-mediated mRNA decay (NMD). The variant is absent from the gnomAD population database at sites with sufficient sequencing coverage. Splicing prediction tools (SpliceAI) predict no significant impact on normal splicing. Variant has been reported in ClinVar as Pathogenic/Likely Pathogenic (★★★). ClinVar reports functional evidence for this variant: "SCV003934809: Experimental evidence from one publication has shown that alternative splicing of BRCA2 can restore the ORF, specifically when the variant of interest is found on a transcript missing exon 5, which typically results in a frameshift (Stauffer_2020).".
Frequency
Consequence
NM_000059.4 frameshift
Scores
Clinical Significance
Conservation
Publications
- BRCA2-related cancer predispositionInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- breast-ovarian cancer, familial, susceptibility to, 2Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
- Fanconi anemia complementation group D1Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics
- 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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Classification according to ACMG Germline Pathogenicity v2019
Our verdict: Pathogenic. The variant received 22 points.
| Apply | Criterion Code & Title / Strength | Rationale / Clinical Context | |
|---|---|---|---|
| PVS1Null variant in LOF gene | Frameshift/stop-gained, NMD predicted, LoF disease mechanism — very strong (PVS1); Frameshift (exon 7 of 27) at amino acid 204 of 3418, predicted to trigger nonsense-mediated mRNA decay. Loss of function is a known disease mechanism for this gene. A new stop codon is introduced in the shifted frame, truncating the protein to ~209 amino acids (3209 amino acids lost). | ||
| PS3Functional studies show damaging effect | Well-established functional study supports damaging effect (PS3); SCV003934809: Experimental evidence from one publication has shown that alternative splicing of BRCA2 can restore the ORF, specifically when the variant of interest is found on a transcript missing exon 5, which typically results in a frameshift (Stauffer_2020). | ||
| PM2Absent/extremely low in population databases | Absent from gnomAD (AD/XL gene) — PM2; Absent from gnomAD at well-covered site (MOI: AD+AR) (base 0.0001, raised to 0.000139 by highest known P/LP ClinVar AF 0.000139) — PM2 moderate. | ||
| PP5Reputable source reports pathogenic | ClinVar ≥3 stars pathogenic — very strong (PP5); ClinVar submissions overwhelmingly pathogenic (≥10 total, ≥80% P/LP, <10% B/LB) — strong (PP5, count-based); ClinVar germline classification: Pathogenic/Likely Pathogenic, 3 star(s). ClinVar submissions strongly and reliably favor pathogenicity (10/10 total P/LP). |
Variant Effect in Transcripts
Automated classification analysis was done for transcript: NM_000059.4. You can select a different transcript below to see updated classification assignments.
RefSeq Transcripts
| Sel. | Gene / Transcript | Tags | HGVSc / HGVSp | Effect | Exon rank | Protein / UniProt |
|---|---|---|---|---|---|---|
BRCA2 | MANE Select | c.610delC p.Ser205ValfsTer6 | frameshift | Exon 7 of 27 | Prot: NP_000050.3 UniProt: | |
BRCA2 | c.610delC p.Ser205ValfsTer6 | frameshift | Exon 7 of 27 | Prot: NP_001419006.1 UniProt: | ||
BRCA2 | c.610delC p.Ser205ValfsTer6 | frameshift | Exon 7 of 27 | Prot: NP_001393649.1 UniProt: |
Ensembl Transcripts
| Sel. | Gene / Transcript | Tags | HGVSc / HGVSp | Effect | Exon rank | Protein / UniProt |
|---|---|---|---|---|---|---|
BRCA2 | TSL:5MANE Select | c.610delC p.Ser205ValfsTer6 | frameshift | Exon 7 of 27 | Prot: ENSP00000369497.3 UniProt: | |
BRCA2 | TSL:1 | c.610delC p.Ser205ValfsTer6 | frameshift | Exon 7 of 27 | Prot: ENSP00000439902.1 UniProt: | |
BRCA2 | TSL:1 | c.241delC p.Ser82ValfsTer6 | frameshift | Exon 7 of 27 | Prot: ENSP00000499438.2 UniProt: |
Frequencies
Allele frequencies (AF), counts (AC/AN), homozygotes and coverage
| Source / population | AF | AC | Hom | AN | Coverage |
|---|---|---|---|---|---|
Global population databases 3 sources | |||||
GnomAD3 genomes | Cov:33 | ||||
GnomAD4 exome | Cov:30 | ||||
GnomAD4 genome | Cov:33 | ||||
ClinVar
Computational Scores
| Algorithm | Calibrated pred. | Score | Prediction |
|---|---|---|---|
Mutation Taster | N/A | 0/200 | disease causing (ClinVar) |
PhyloP100 | Uncertain | 5.3 |
Splicing Scores
| Algorithm | Calibrated pred. | Score | Prediction |
|---|---|---|---|
SpliceAI score (max) | Benign | 0.0 | Details are displayed if max score is > 0.2 |
Find out detailed SpliceAI scores and Pangolin per-transcript scores at
MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.