chr13-32339634-C-G
Variant summary
Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_000059.4(BRCA2):c.5279C>G(p.Ser1760*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000411 in 1,459,844 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★★). Synonymous variant affecting the same amino acid position (i.e. S1760S) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_000059.4 stop_gained
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: Pathogenic. The variant received 16 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_000059.4. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | NM_000059.4 | MANE Select | c.5279C>G | p.Ser1760* | stop_gained | Exon 11 of 27 | NP_000050.3 | ||
| BRCA2 | NM_001432077.1 | c.5279C>G | p.Ser1760* | stop_gained | Exon 11 of 27 | NP_001419006.1 | |||
| BRCA2 | NM_001406720.1 | c.5279C>G | p.Ser1760* | stop_gained | Exon 11 of 27 | NP_001393649.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | ENST00000380152.8 | TSL:5 MANE Select | c.5279C>G | p.Ser1760* | stop_gained | Exon 11 of 27 | ENSP00000369497.3 | ||
| BRCA2 | ENST00000544455.6 | TSL:1 | c.5279C>G | p.Ser1760* | stop_gained | Exon 11 of 27 | ENSP00000439902.1 | ||
| BRCA2 | ENST00000530893.7 | TSL:1 | c.4910C>G | p.Ser1637* | stop_gained | Exon 11 of 27 | ENSP00000499438.2 |
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD4 exome AF: 0.00000411 AC: 6AN: 1459844Hom.: 0 Cov.: 44 AF XY: 0.00000551 AC XY: 4AN XY: 726326 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
Hereditary breast ovarian cancer syndrome Pathogenic:5
Variant summary: BRCA2 c.5279C>G (p.Ser1760X) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant was absent in 245312 control chromosomes (gnomAD). c.5279C>G has been reported in the literature in multiple individuals affected with Hereditary Breast and Ovarian Cancer (Rebbeck_2018). These data indicate that the variant is very likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Six ClinVar submissions from clinical diagnostic laboratories (evaluation after 2014) cite the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
This sequence change creates a premature translational stop signal (p.Ser1760*) in the BRCA2 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in BRCA2 are known to be pathogenic (PMID: 20104584). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with breast cancer (PMID: 21895635). This variant is also known as 5507C>G. ClinVar contains an entry for this variant (Variation ID: 51833). For these reasons, this variant has been classified as Pathogenic.
The p.Ser1760X variant in BRCA2 has been reported in 2 individuals with breast cancer (Gutiérrez Espleta 2012, Breast Cancer Information Core (BIC) database), and was absent from large population studies. This nonsense variant leads to a premature termination codon at position 1760, which is predicted to lead to a truncated or absent protein. Heterozygous loss of BRCA2 function is an established disease mechanism in Hereditary breast and ovarian cancer. In summary, this variant meets our criteria to be classified as pathogenic for Hereditary breast and ovarian cancer in an autosomal dominant manner (http://www.partners.org/personalizedmedicine/LMM) based on the predicted impact to the protein and absence in controls.
This variant, located in coding exon 11 of the BRCA2 gene, is a single base substitution at nucleotide position 5279, c.(5279C>G), replacing Serine with a premature termination stop signal at codon 1760, p.(Ser1760*). This is expected to result in an absent or disrupted protein product. Truncating variants in BRCA2 are known to be pathogenic (PMID:20104584). This variant is not present in population databases (rs80358751). In international literature it is also known as 5507C>G and has been reported in individuals affected with breast cancer (PMID:21895635). ClinVar contains entries for this variant where is listed as pathogenic (VCV000051833.23). Based on the classification criteria set by the ACMG and AMP (PMID:25741868) this variant has been classified as pathogenic.
Breast-ovarian cancer, familial, susceptibility to, 2 Pathogenic:4
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.
Variant allele predicted to encode a truncated non-functional protein.
Hereditary cancer-predisposing syndrome Pathogenic:3
The p.S1760* pathogenic mutation (also known as c.5279C>G), located in coding exon 10 of the BRCA2 gene, results from a C to G substitution at nucleotide position 5279. This changes the amino acid from a serine to a stop codon within coding exon 10. This mutation (designated as 5507C>G) was identified in a Costa Rican female diagnosed with breast cancer at age 51, who also had a family history of breast cancer (Gutierrez Espeleta GA. et al. Clin Genet. 2012 Nov;82(5):484-8). This variant is considered to be rare based on population cohorts in the Genome Aggregation Database (gnomAD). This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation.
This variant changes 1 nucleotide in exon 11 of the BRCA2 gene, creating a premature translation stop signal. This variant is expected to result in an absent or non-functional protein product. To our knowledge, functional studies have not been reported for this variant. This variant has been reported in individuals affected with breast cancer (PMID: 21895635, 34218100, DOI: https://doi.org/10.1182/blood.V114.22.1102.1102) and ovarian cancer (PMID: 30441849). This variant has been identified in 10 families among the CIMBA participants (PMID: 29446198). In a large breast cancer case-control study this variant was reported in 1/60466 cases and 0/53461 controls (p-value=1), (PMID: 33471991). This variant has not been identified in the general population by the Genome Aggregation Database (gnomAD). Loss of BRCA2 function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic.
not provided Pathogenic:1
The BRCA2 c.5279C>G (p.Ser1760*) variant alters the translational reading frame of the BRCA2 mRNA and causes the premature termination of BRCA2 protein synthesis. This variant has been reported in the published literature in affected individuals with breast and/or ovarian cancer (PMIDs: 21895635 (2012), 28888541 (2017), and 34218100 (2021)). This variant has not been reported in large, multi-ethnic general populations (Genome Aggregation Database, http://gnomad.broadinstitute.org). Based on the available information, this variant is classified as pathogenic.
Familial cancer of breast Pathogenic:1
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at