rs148618542
Variant summary
Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP6
The NM_000059.4(BRCA2):c.5969A>C(p.Asp1990Ala) variant causes a missense change. The variant allele was found at a frequency of 0.0000254 in 1,614,068 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D1990N) has been classified as Uncertain significance.
Frequency
Consequence
NM_000059.4 missense
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
Genome browser will be placed here
ACMG classification
Our verdict: Likely_benign. The variant received -1 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| BRCA2 | NM_000059.4 | c.5969A>C | p.Asp1990Ala | missense_variant | Exon 11 of 27 | ENST00000380152.8 | NP_000050.3 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | ENST00000380152.8 | c.5969A>C | p.Asp1990Ala | missense_variant | Exon 11 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
| BRCA2 | ENST00000530893.7 | c.5600A>C | p.Asp1867Ala | missense_variant | Exon 11 of 27 | 1 | ENSP00000499438.2 | |||
| BRCA2 | ENST00000614259.2 | n.5969A>C | non_coding_transcript_exon_variant | Exon 10 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152210Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.0000399 AC: 10AN: 250616 AF XY: 0.0000221 show subpopulations
GnomAD4 exome AF: 0.0000267 AC: 39AN: 1461740Hom.: 0 Cov.: 46 AF XY: 0.0000275 AC XY: 20AN XY: 727168 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152328Hom.: 0 Cov.: 33 AF XY: 0.0000134 AC XY: 1AN XY: 74490 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Hereditary cancer-predisposing syndrome Benign:3
- -
Missense variant in a coldspot region where missense variants are very unlikely to be pathogenic (PMID:31911673). -
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 provided Uncertain:2
- -
This variant is denoted BRCA2 c.5969A>C at the cDNA level, p.Asp1990Ala (D1990A) at the protein level, and results in the change of an Aspartic Acid to an Alanine (GAT>GCT). This variant, also published as BRCA2 6197A>C, has been reported in several individuals of Asian decent with a history of breast and/or ovarian cancer (Han 2006, Kim 2006, Seong 2009, Jang 2012, Hirotsu 2015, Nakamura 2015, Park 2016, Arai 2017, Hwang 2017, Park 2017). BRCA2 Asp1990Ala was not observed at a significant allele frequency in large population cohorts (Lek 2016). This variant is located within the BRC7 domain and the region known to interact with RAD51 (Cole 2011, Roy 2012). In-silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect. Based on currently available evidence, it is unclear whether BRCA2 Asp1990Ala is a pathogenic or benign variant. We consider it to be a variant of uncertain significance. -
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:1
- -
not specified Benign:1
Variant summary: BRCA2 c.5969A>C (p.Asp1990Ala) results in a non-conservative amino acid change located in the seventh BRCA2 repeat domain (IPR002093) of the encoded protein sequence. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change. The variant allele was found at a frequency of 6.3e-05 in 1662398 control chromosomes, predominantly at a frequency of 0.00091 within the East Asian subpopulation in the gnomAD database. The observed variant frequency within East Asian control individuals in the gnomAD database (v4.0.0) is higher than the estimated maximal expected allele frequency for a pathogenic variant in BRCA2 causing Hereditary Breast And Ovarian Cancer Syndrome phenotype (0.00075).c.5969A>C, has been reported in individuals affected with breast and/or ovarian cancer (e.g. Han_2006, Seong_2009, Jang_2012, Hirotsu_2015, Nakamura_2013, Choi_2016, Kim_2017). However, these reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast and Ovarian Cancer. Co-occurrence with another BRCA pathogenic variant (variant not specified, Nakamura_2013) has also been reported for this variant, which further supports its 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: 19656164, 16949048, 17100994, 22217648, 24249303, 25802882, 26269718, 27124784, 26402875, 28351343, 28111427, 29215753, 29176636, 29240602, 30287823, 30415210). ClinVar contains an entry for this variant (Variation ID: 91431). Based on the evidence outlined above, the variant was classified as likely benign. -
Hereditary breast ovarian cancer syndrome Benign:1
- -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at