chr13-32379882-C-T
Variant summary
Our verdict is Likely benign. Variant got -1 ACMG points: 0P and 1B. BP6
The NM_000059.4(BRCA2):c.9086C>T(p.Ala3029Val) variant causes a missense change. The variant allele was found at a frequency of 0.0000116 in 1,461,302 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). Synonymous variant affecting the same amino acid position (i.e. A3029A) has been classified as Likely benign.
Frequency
Consequence
NM_000059.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -1 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.9086C>T | p.Ala3029Val | missense_variant | Exon 23 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.8717C>T | p.Ala2906Val | missense_variant | Exon 23 of 27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.*1144C>T | non_coding_transcript_exon_variant | Exon 22 of 26 | 2 | ENSP00000506251.1 | ||||
BRCA2 | ENST00000614259 | n.*1144C>T | 3_prime_UTR_variant | Exon 22 of 25 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD3 exomes AF: 0.0000321 AC: 8AN: 249594Hom.: 0 AF XY: 0.0000370 AC XY: 5AN XY: 134976
GnomAD4 exome AF: 0.0000116 AC: 17AN: 1461302Hom.: 0 Cov.: 32 AF XY: 0.0000138 AC XY: 10AN XY: 726934
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:5
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This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 3029 of the BRCA2 protein (p.Ala3029Val). This variant is present in population databases (rs80359162, gnomAD 0.02%). This variant has been reported in an individual affected with breast cancer and another individual affected with leukemia (PMID: 31102422, 33471991; Leiden Open Variation Database DB-ID BRCA2_000401). Eight other ClinVar submitters (evaluation after 2014) cite the variant as uncertain significance. (Variation ID: 52744) . A functional study has reported that this variant does not impact BRCA1 function in a homology-directed repair assay (PMID: 29884841).in-silico tools predict a damaging effect of the variant on protein function.. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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not provided Uncertain:2Benign:1
This variant is denoted BRCA2 c.9086C>T at the cDNA level, p.Ala3029Val (A3029V) at the protein level, and results in the change of an Alanine to a Valine (GCG>GTG). Using alternate nomenclature, this variant would be defined as BRCA2 9314C>T. This variant has not, to our knowledge, been published in the literature as a pathogenic or benign germline variant. BRCA2 Ala3029Val was not observed at a significant allele frequency in large population cohorts (Lek 2016). This variant is located in the DNA binding domain (Yang 2002). In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function. Based on currently available evidence, it is unclear whether BRCA2 Ala3029Val is a pathogenic or benign variant. We consider it to be a variant of uncertain significance. -
The BRCA2 c.9086C>T; p.Ala3029Val variant (rs80359162, ClinVar Variation ID: 52744) is reported in the literature in an individual affected with acute lymphoblastic leukemia (de Smith 2019). This variant is found in the Admixed American population with an allele frequency of 0.02% (7/34,468 alleles) in the Genome Aggregation Database (v2.1.1). Computational analyses (SpliceAI: 0.3) predict that this variant may impact splicing by weakening the nearby canonical donor splice site. Functional analyses of the variant protein using a homology directed repair assay show a neutral effect (Hart 2019, Hu 2022, Richardson 2021). Due to limited information, the clinical significance of this variant is uncertain at this time. References: de Smith AJ et al. Predisposing germline mutations in high hyperdiploid acute lymphoblastic leukemia in children. Genes Chromosomes Cancer. 2019 Oct;58(10):723-730. PMID: 31102422. Hart SN et al. Comprehensive annotation of BRCA1 and BRCA2 missense variants by functionally validated sequence-based computational prediction models. Genet Med. 2019 Jan;21(1):71-80. PMID: 29884841. Hu C et al. Classification of BRCA2 Variants of Uncertain Significance (VUS) Using an ACMG/AMP Model Incorporating a Homology-Directed Repair (HDR) Functional Assay. Clin Cancer Res. 2022 Sep 1;28(17):3742-3751. PMID: 35736817. Richardson ME et al. Strong functional data for pathogenicity or neutrality classify BRCA2 DNA-binding-domain variants of uncertain significance. Am J Hum Genet. 2021 Mar 4;108(3):458-468. PMID: 33609447. -
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Hereditary cancer-predisposing syndrome Uncertain:1Benign:1
This missense variant replaces alanine with valine at codon 3029 of the BRCA2 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). A functional study has reported that this variant does not impact BRCA2 function in a homology-directed repair assay (PMID: 29884841, 35736817). This variant has been reported in an individual affected with breast cancer and another individual affected with leukemia (PMID: 31102422, 33471991; Leiden Open Variation Database DB-ID BRCA2_000401).This variant has been identified in 8/249594 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. -
This 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. -
not specified Uncertain:1
Variant summary: BRCA2 c.9086C>T (p.Ala3029Val) results in a non-conservative amino acid change in 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 3.2e-05 in 249594 control chromosomes (gnomAD). The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.9086C>T has been reported in the literature without strong evidence for or against pathogenicity (Karchin_2008, de Smith_2016). In a cell-based homology directed DNA repair activity assay, this variant was found to have neutral effect (Hart_2019). Six other ClinVar submitters (evaluation after 2014) cite the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as VUS possibly benign. -
BRCA2-related cancer predisposition Uncertain:1
This missense variant replaces alanine with valine at codon 3029 of the BRCA2 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). A functional study has reported that this variant does not impact BRCA2 function in a homology-directed repair assay (PMID: 29884841, 35736817). This variant has been reported in an individual affected with breast cancer and another individual affected with leukemia (PMID: 31102422, 33471991; Leiden Open Variation Database DB-ID BRCA2_000401).This variant has been identified in 8/249594 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.9086C>T variant is predicted to result in the amino acid substitution p.Ala3029Val. This variant has been reported in an individual with acute lymphoblastic leukemia (Table S1, de Smith et al. 2019. PubMed ID: 31102422). This variant is reported in 0.020% of alleles in individuals of Latino descent in gnomAD (http://gnomad.broadinstitute.org/variant/13-32954019-C-T). IT is interpreted as uncertain significance in ClinVar (https://preview.ncbi.nlm.nih.gov/clinvar/variation/52744/). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Familial cancer of breast Uncertain:1
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Hereditary breast ovarian cancer syndrome Uncertain:1
This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 3029 of the BRCA2 protein (p.Ala3029Val). This variant is present in population databases (rs80359162, gnomAD 0.02%). This missense change has been observed in individual(s) with acute lymphoblastic leukemia (PMID: 31102422). ClinVar contains an entry for this variant (Variation ID: 52744). Invitae Evidence Modeling incorporating data from in vitro experimental studies (PMID: 33609447) indicates that this missense variant is not expected to disrupt BRCA2 function with a negative predictive value of 95%. Experimental studies have shown that this missense change does not substantially affect BRCA2 function (PMID: 29884841). RNA analysis performed to evaluate the impact of this missense change on mRNA splicing indicates it does not significantly alter splicing (internal data). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Breast and/or ovarian cancer Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at