chr13-32363313-C-T

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BP6

The NM_000059.4(BRCA2):​c.8111C>T​(p.Ser2704Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000167 in 1,614,030 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000016 ( 0 hom. )

Consequence

BRCA2
NM_000059.4 missense

Scores

9
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:8B:7

Conservation

PhyloP100: 0.0710
Variant links:
Genes affected
BRCA2 (HGNC:1101): (BRCA2 DNA repair associated) Inherited mutations in BRCA1 and this gene, BRCA2, confer increased lifetime risk of developing breast or ovarian cancer. Both BRCA1 and BRCA2 are involved in maintenance of genome stability, specifically the homologous recombination pathway for double-strand DNA repair. The largest exon in both genes is exon 11, which harbors the most important and frequent mutations in breast cancer patients. The BRCA2 gene was found on chromosome 13q12.3 in human. The BRCA2 protein contains several copies of a 70 aa motif called the BRC motif, and these motifs mediate binding to the RAD51 recombinase which functions in DNA repair. BRCA2 is considered a tumor suppressor gene, as tumors with BRCA2 mutations generally exhibit loss of heterozygosity (LOH) of the wild-type allele. [provided by RefSeq, May 2020]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

BP6
Variant 13-32363313-C-T is Benign according to our data. Variant chr13-32363313-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 52507.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Uncertain_significance=6, Benign=1}. Variant chr13-32363313-C-T is described in Lovd as [Likely_benign].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BRCA2NM_000059.4 linkuse as main transcriptc.8111C>T p.Ser2704Phe missense_variant 18/27 ENST00000380152.8 NP_000050.3 P51587

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BRCA2ENST00000380152.8 linkuse as main transcriptc.8111C>T p.Ser2704Phe missense_variant 18/275 NM_000059.4 ENSP00000369497.3 P51587
BRCA2ENST00000530893.7 linkuse as main transcriptc.7742C>T p.Ser2581Phe missense_variant 18/271 ENSP00000499438.2 A0A590UJI7
BRCA2ENST00000614259.2 linkuse as main transcriptn.*169C>T non_coding_transcript_exon_variant 17/262 ENSP00000506251.1 A0A7P0TAP7
BRCA2ENST00000614259 linkuse as main transcriptn.*169C>T 3_prime_UTR_variant 17/252 ENSP00000506251.1 A0A7P0TAP7

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152172
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000159
AC:
4
AN:
251328
Hom.:
0
AF XY:
0.0000221
AC XY:
3
AN XY:
135832
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000164
AC:
24
AN:
1461858
Hom.:
0
Cov.:
31
AF XY:
0.0000138
AC XY:
10
AN XY:
727224
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000189
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152172
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000427
Hom.:
0
Bravo
AF:
0.0000264
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.0000330
AC:
4
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:8Benign:7
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:3
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Uncertain significance, criteria provided, single submitterclinical testingQuest Diagnostics Nichols Institute San Juan CapistranoNov 19, 2024The BRCA2 c.8111C>T (p.Ser2704Phe) variant has been reported in the published literature in individuals with breast and/or ovarian cancer (PMIDs: 27208206 (2016), 19949876 (2010), 19471317 (2009), 11389159 (2001)). In a large case-control study, this variant was observed in additional individuals with breast cancer as well as in reportedly healthy individuals (PMID: 33471991 (2021), see also LOVD (http://databases.lovd.nl/shared)). Experimental studies indicate this variant has neutral effects on BRCA2 DNA repair activity (PMIDs: 35736817 (2022), 29988080 (2018)). Additionally, this variant has been characterized as a benign variant in a multifactorial likelihood study (PMID: 34597585 (2021)). The frequency of this variant in the general population, 0.000026 (3/113646 chromosomes (Genome Aggregation Database, http://gnomad.broadinstitute.org)), is uninformative in the assessment of its pathogenicity. Analysis of this variant using bioinformatics tools for the prediction of the effect of amino acid changes on protein structure and function yielded predictions that this variant is damaging. Based on the available information, we are unable to determine the clinical significance of this variant. -
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMar 01, 2021- -
Likely benign, criteria provided, single submitterclinical testingGeneDxJun 16, 2020Not observed at a significant frequency in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 25637381, 27208206, 28339459, 11389159, 19949876, 19471317, 19043619, 20215541, 30638113, 29988080, 26580448, 29884841) -
Likely benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:3
Uncertain significance, no assertion criteria providedclinical testingBreast Cancer Information Core (BIC) (BRCA2)Jun 22, 1999- -
Uncertain significance, criteria provided, single submitterclinical testingAll of Us Research Program, National Institutes of HealthAug 15, 2023This missense variant replaces serine with phenylalanine at codon 2704 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). Functional studies have reported that this variant does not impact BRCA2 function in murine cell models in homology-mediated repair and cisplatin sensitivity assays (PMID: 29884841, 29988080, 35736817) and in human cells in mitomycin C sensitivity and RAD51 foci formation assays (PMID: 30638113). This variant has been reported in a breast cancer case-control meta-analysis in 6 cases and in 4 unaffected individuals (PMID: 33471991; Leiden Open Variation Database DB-ID BRCA2_000281) and in individuals and families affected with breast and ovarian cancer (PMID: 11389159, 19471317, 19949876, 27208206) and an individual age 70 years or older without cancer (https://whi.color.com/variant/13-32937450-C-T). This variant has been identified in 4/251328 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. -
Uncertain significance, criteria provided, single submitterclinical testingCounsylJan 17, 2018- -
not specified Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 29, 2024Variant summary: BRCA2 c.8111C>T (p.Ser2704Phe) results in a non-conservative amino acid change located in the BRCA2, OB1 domain (IPR015187) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 1.6e-05 in 251328 control chromosomes. c.8111C>T has been reported in the literature as not-segregating with disease in families affected with Breast and/or Ovarian Cancer (exampe, Caputo_2021). Multiple publications report experimental evidence evaluating an impact on protein function (example, Mesman_2019, Richardson_2021). These results showed no damaging effect of this variant on homology directed repair (HDR) capacity and ability to complement the loss of cell viability following Cre-mediated deletion of a conditional Brca2 allele. HDR assays qualify as a recognized gold standard on the basis of updated guidance provided by the ClinGen Sequence Variant Interpretation (SVI) working group. This working group has recommended strong functional evidence (ACMG BS3) as sufficient weightage for categorization as likely benign (Tavtigian_2018). The following publications have been ascertained in the context of this evaluation (PMID: 34597585, 29988080, 33609447). ClinVar contains an entry for this variant (Variation ID: 52507). Based on the evidence outlined above, the variant was classified as likely benign. -
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoDec 03, 2021This sequence change has been previously described in individuals with personal and/or family history of breast and ovarian cancer (PMIDs: 27208206, 11389159, 19949876, 19471317). One functional assay showed unaffected DNA repair function of BRCA2 in cell lines with this variant (PMID: 30638113). Another functional study reported the variant to be proficient in complementation of BRCA2 deficient mouse embryonic stem cells and in homology-mediated DNA repair (PMID: 29988080). This sequence change has been described in the gnomAD database in 4 heterozygous individuals which corresponds to a population frequency of 0.0016% (dbSNP rs80359054). The p.Ser2704Phe change affects a moderately conserved amino acid residue located in a domain of the BRCA2 protein that is known to be functional. In-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL) provide contradictory results for the p.Ser2704Phe substitution. Due to insufficient evidence, the clinical significance of the p.Ser2704Phe change remains unknown at this time. -
Hereditary cancer-predisposing syndrome Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 23, 2020This alteration is classified as likely 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. -
Uncertain significance, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthMar 17, 2023This missense variant replaces serine with phenylalanine at codon 2704 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). Functional studies have reported that this variant does not impact BRCA2 function in murine cell models in homology-mediated repair and cisplatin sensitivity assays (PMID: 29884841, 29988080, 35736817) and in human cells in mitomycin C sensitivity and RAD51 foci formation assays (PMID: 30638113). This variant has been reported in a breast cancer case-control meta-analysis in 6 cases and in 4 unaffected individuals (PMID: 33471991; Leiden Open Variation Database DB-ID BRCA2_000281) and in individuals and families affected with breast and ovarian cancer (PMID: 11389159, 19471317, 19949876, 27208206) and an individual age 70 years or older without cancer (https://whi.color.com/variant/13-32937450-C-T). This variant has been identified in 4/251328 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. -
Hereditary breast ovarian cancer syndrome Benign:2
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 26, 2023- -
Benign, criteria provided, single submittercurationGerman Consortium for Hereditary Breast and Ovarian Cancer, University Hospital CologneJun 11, 2024According to the ClinGen ENIGMA BRCA2 v1.0.0 criteria we chose these criteria: BP4 (supporting benign): BayesDel no-AF score ≤ 0.15 AND SpliceAI ≤0.1, BS3 (strong benign): Reported by two calibrated studies to affect protein function similar to benign control variants (PMIDs:29988080, Mesman 2019; 33609447, Richardson) (table 9, BS3 met). -
Breast neoplasm Uncertain:1
Uncertain significance, no assertion criteria providedresearchCSER _CC_NCGL, University of WashingtonJun 01, 2014- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Uncertain
0.094
D
BayesDel_noAF
Uncertain
0.080
CADD
Benign
19
DANN
Uncertain
0.99
Eigen
Benign
-0.081
Eigen_PC
Benign
-0.28
FATHMM_MKL
Benign
0.093
N
M_CAP
Uncertain
0.22
D
MetaRNN
Uncertain
0.65
D;D
MetaSVM
Uncertain
-0.25
T
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-1.7
N;N
REVEL
Uncertain
0.52
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.018
D;D
Vest4
0.70
MVP
0.91
MPC
0.027
ClinPred
0.29
T
GERP RS
3.6
gMVP
0.43

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs80359054; hg19: chr13-32937450; COSMIC: COSV66453856; COSMIC: COSV66453856; API