chr13-32330904-CTA-C
Variant summary
Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP6_Very_Strong
The NM_000059.4(BRCA2):c.682-12_682-11delTA variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000046 in 1,500,286 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Consequence
NM_000059.4 intron
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -8 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BRCA2 | ENST00000380152.8 | c.682-14_682-13delTA | intron_variant | Intron 8 of 26 | 5 | NM_000059.4 | ENSP00000369497.3 | |||
BRCA2 | ENST00000530893.7 | c.313-14_313-13delTA | intron_variant | Intron 8 of 26 | 1 | ENSP00000499438.2 | ||||
BRCA2 | ENST00000614259.2 | n.682-14_682-13delTA | intron_variant | Intron 7 of 25 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000132 AC: 2AN: 152078Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000994 AC: 24AN: 241450Hom.: 1 AF XY: 0.000130 AC XY: 17AN XY: 130766
GnomAD4 exome AF: 0.0000497 AC: 67AN: 1348208Hom.: 1 AF XY: 0.0000517 AC XY: 35AN XY: 676704
GnomAD4 genome AF: 0.0000132 AC: 2AN: 152078Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74270
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:1Benign:2
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not specified Benign:2
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Variant summary: BRCA2 c.682-12_682-11delTA alters a non-conserved nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. 5/5 computational tools predict no significant impact on normal splicing, which was confirmed by one functional study (Whiley_2011). The variant allele was found at a frequency of 0.00011 in 236946 control chromosomes in the gnomAD database, including 1 homozygotes. This frequency is not significantly higher than expected for a pathogenic variant in BRCA2 causing Hereditary Breast and Ovarian Cancer (0.00011 vs 0.00075), allowing no conclusion about variant significance. c.682-12_682-11delTA has been reported in the literature in individuals affected with Hereditary Breast and Ovarian Cancer (Borg_2010, Spearman_2008). These reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast and Ovarian Cancer. Three clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as benign/likely benign. Based on the evidence outlined above, the variant was classified as likely benign. -
not provided Benign:1
See Variant Classification Assertion Criteria. -
Malignant tumor of breast Benign:1
The BRCA2 c.682-12_682-11del variant was identified in the literature, in functional studies, to show no splicing defect in RNA analysis from lymphoblastoid cell lines of affected individuals when compared to controls (Whiley 2011, Spearman 2008). A quantitative bioinformatics predictive model (posterior probability) for assessing the clinical relevance of unclassified variants, assessed the variant to be likely not pathogenic (Lindor 2012). The variant was identified in dbSNP (ID: rs1451303962) as “NA”, ClinVar (classified with conflicting interpretations of pathogenicity; submitters: benign by Color, Invitae and SCRP (Sharing Clinical Reports Project), likely benign by GeneDx and Integrated Genetics/Laboratory Corporation of America, and uncertain significance by BIC), and LOVD 3.0 (1X). The variant was not identified in UMD-LSDB. The variant was identified in control databases in 24 (1 homozygous) of 241450 chromosomes at a frequency of 0.0001 increasing the likelihood this could be a low frequency benign variant (Genome Aggregation Database Feb 27, 2017). The variant was observed in the following populations: in 6 of 21348 chromosomes (freq: 0.0003), Other in 1 of 5916 chromosomes (freq: 0.0002), European (non-Finnish) in 14 of 107942 chromosomes (freq: 0.0001), and South Asian in 3 (1 homozygous) of 29548 chromosomes (freq: 0.0001), while not observed in the African, Latino, Ashkenazi Jewish, and East Asian populations. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) do not predict a difference in splicing. 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. -
Hereditary cancer-predisposing syndrome Benign:1
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Hereditary breast ovarian cancer syndrome Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at