chr13-32340570-C-G
Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM1BP4BP6
The NM_000059.4(BRCA2):āc.6215C>Gā(p.Ser2072Cys) variant causes a missense change. The variant allele was found at a frequency of 0.0000422 in 1,611,920 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 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 |
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BRCA2 | ENST00000380152.8 | c.6215C>G | p.Ser2072Cys | missense_variant | Exon 11 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.5846C>G | p.Ser1949Cys | missense_variant | Exon 11 of 27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.6215C>G | non_coding_transcript_exon_variant | Exon 10 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000592 AC: 9AN: 152102Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.0000160 AC: 4AN: 249774Hom.: 0 AF XY: 0.0000222 AC XY: 3AN XY: 135118
GnomAD4 exome AF: 0.0000404 AC: 59AN: 1459818Hom.: 0 Cov.: 47 AF XY: 0.0000441 AC XY: 32AN XY: 726088
GnomAD4 genome AF: 0.0000592 AC: 9AN: 152102Hom.: 0 Cov.: 33 AF XY: 0.0000807 AC XY: 6AN XY: 74316
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:4
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Hereditary cancer-predisposing syndrome Uncertain:1Benign:2
The p.S2072C variant (also known as c.6215C>G), located in coding exon 10 of the BRCA2 gene, results from a C to G substitution at nucleotide position 6215. The serine at codon 2072 is replaced by cysteine, an amino acid with dissimilar properties. This variant (designated as 6443C>G) has been reported in a family with two diagnosed cases of breast cancer at ages 46 and 64, one case of stomach cancer diagnosed at age 45, and one case of larynx cancer (Jakubowska A et al. Br. J. Cancer. 2002 Oct;87:888-91). This variant was also identified in a cohort of 681 ancestrally diverse, healthy subjects (Bodian DL et al. PLoS One. 2014 Apr;9(4):e94554). In addition, this alteration was cited as likely benign in a multifactorial model of variant interpretation that incorporates co-segregation, family history, co-occurrence and tumor pathology and case-control data (Parsons MT et al. Hum Mutat, 2019 09;40:1557-1578). This amino acid position is poorly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Missense variant in a coldspot region where missense variants are very unlikely to be pathogenic (PMID:31911673). -
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Hereditary breast ovarian cancer syndrome Uncertain:1Benign:1
The BRCA2 c.6215C>G (p.Ser2072Cys) missense change has a maximum subpopulation frequency of 0.0054% in gnomAD v2.1.1 (PM2_Supporting; https://gnomad.broadinstitute.org/variant/13-32914707-C-G?dataset=gnomad_r2_1). Five of seven in silico tools predict a deleterious effect of this variant on protein function (PP3), but to our knowledge these predictions have not been confirmed by functional assays. This variant is absent in the FLOSSIES database which contains genetic variants from women older than 70 years of age who have never had cancer (https://whi.color.com/). This variant has been reported in at least three individuals with a personal or family history of breast and/or ovarian cancer (PMID: 12373604, 21120943, 25136594). In summary, this variant meets criteria to be classified as of uncertain significance based on the ACMG/AMP criteria: PP3 -
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not specified Uncertain:1Other:1
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Variant summary: BRCA2 c.6215C>G (p.Ser2072Cys) results in a non-conservative amino acid change in 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 2e-05 in 251336 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.6215C>G has been reported in the literature in individuals affected with breast and/or ovarian cancer (e.g. Caux-Moncoutier_2011, Jakubowska_2002, Ruiz_2014, Coulet_2010, Konstantinopoulos_2021). These reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. At least one co-occurrence with another pathogenic variant has been reported in the BIC database (BRCA1 c.1175_1214del, p.Leu392fs), providing supporting evidence for a benign role. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 12373604, 20858050, 21120943, 24728327, 25136594, 25348012, 34552099, 36451132, Wu et al._I.J. Engineering and Manufacturing_2011 (No PMID)). ClinVar contains an entry for this variant (Variation ID: 38027). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Breast and/or ovarian cancer Uncertain:1
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BRCA2-related cancer predisposition Uncertain:1
This missense variant replaces serine with cysteine at codon 2072 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 affected with breast and ovarian cancer (PMID: 12373604, 25136594, 21120943, 33471991) and in individuals unaffected with cancer (PMID: 33471991). This variant also has been observed in at least two individuals affected with BRCA2-associated cancers with another pathogenic variant in BRCA2, suggesting that this variant may not be the cause of observed phenotype in these individuals (ClinVar SCV000072885.9, Color internal data). In a meta-analysis of breast cancer case-control study, this variant has been observed in 3/60463 cases and 3/53458 controls (OR=0.884; 95%CI [0.178 to 4.381]) (PMID: 33471991). This variant has been identified in 8/281176 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. -
BRCA2-related disorder Uncertain:1
The BRCA2 c.6215C>G variant is predicted to result in the amino acid substitution p.Ser2072Cys. This variant has been reported in at least three individuals with personal and/or family histories of breast and ovarian cancers (Jakubowska et al. 2002. PubMed ID: 12373604; Table S2B, Caux-Moncoutier et al. 2011. PubMed ID: 21120943; Ruiz et al. 2014. PubMed ID: 25136594). It has also been reported in an individual with malignant peripheral nerve sheath tumors (MPNSTs) more commonly associated with NF1-related disease (Table S2B, Huang et al. 2018. PubMed ID: 29625052; see OMIM #162200). However, no functional studies have been performed to directly evaluate the pathogenicity of this variant, and it occurs within a region of the BRCA2 gene that is predicted to be tolerant to variation (Table 2, Dines et al. 2020. PubMed ID: 31911673). This variant is reported in 0.0054% of alleles in individuals of European (Non-Finnish) descent in gnomAD and has conflicting interpretations in ClinVar ranging from uncertain significance to likely benign (https://www.ncbi.nlm.nih.gov/clinvar/variation/38027/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
not provided Benign:1
This variant is associated with the following publications: (PMID: 12373604, 24728327, 21120943, 25136594, 31131967, 29625052) -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at