rs276174886
Variant summary
Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4
The NM_000059.4(BRCA2):c.6929C>A(p.Thr2310Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000135 in 1,411,594 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 Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T2310I) 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
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ACMG classification
Our verdict: Likely_benign. The variant received -1 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | ENST00000380152.8 | c.6929C>A | p.Thr2310Asn | missense_variant | Exon 12 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
| BRCA2 | ENST00000530893.7 | c.6560C>A | p.Thr2187Asn | missense_variant | Exon 12 of 27 | 1 | ENSP00000499438.2 | |||
| BRCA2 | ENST00000614259.2 | n.6929C>A | non_coding_transcript_exon_variant | Exon 11 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD2 exomes AF: 0.0000280 AC: 7AN: 249990 AF XY: 0.0000295 show subpopulations
GnomAD4 exome AF: 0.0000135 AC: 19AN: 1411594Hom.: 0 Cov.: 28 AF XY: 0.0000170 AC XY: 12AN XY: 704996 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:4
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The missense variant p.T2310N in BRCA2 (NM_000059.4) has been reported in patients affected with breast and ovarian cancer ( Singh J et al, Thirthagiri E et al). The missense variant c.6929C>A (p.T2310N) in BRCA2 (NM_000059.4) is observed in 6/30556 (0.0196%) alleles from individuals of South Asian background in the gnomAD dataset (Exome Aggregation Consortium et al., 2016), but was not seen in the homozygous state.It has been submitted to ClinVar as Uncertain Significance. The p.T2310N missense variant are contradictory in their predictions (SIFT-Tolerated, Polyphen-2-Damaging). The nucleotide c.6929 in BRCA2 is predicted conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Uncertain Significance. -
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This missense variant replaces threonine with asparagine at codon 2310 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 shown that this variant does not impact cell viability or sensitivity to DNA damaging agents (PMID: 33314489). This variant has been reported in individuals affected with breast or ovarian cancer (PMID: 18627636, 29470806, 33314489). In a large breast cancer case-control study conducted by the BRIDGES consortium, this variant was reported in 1/60466 cases and 3/53461 unaffected controls (PMID: 33471991; Leiden Open Variation Database DB-ID BRCA2_008541). This variant has been identified in 7/249990 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. -
not provided Uncertain:2
Published functional studies demonstrate ability to rescue cell lethality and no sensitivity to DNA damaging agents in a mouse embryonic stem cell (mESC)-based assay, comparable to wild-type (PMID: 33314489); In silico analysis suggests that this missense variant does not alter protein structure/function; Also known as 7157C>A; This variant is associated with the following publications: (PMID: 18627636, 35693198, 33314489, 29470806, 33471991) -
The BRCA2 c.6929C>A (p.Thr2310Asn) variant has been reported in the published literature in individuals with breast cancer (PMIDs: 18627636 (2008) and 29470806 (2018)), as well as in a breast cancer cases and reportedly healthy individuals in a large scale breast cancer association study (PMID: 33471991 (2021), see also LOVD (http://databases.lovd.nl/shared/genes/BRCA2)). A functional study found that this variant did not affect protein function (PMID: 33314489 (2021)). The frequency of this variant in the general population, 0.0002 (6/30556 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 conflicting predictions that this variant is benign or damaging. Based on the available information, we are unable to determine the clinical significance of this variant. -
Hereditary cancer-predisposing syndrome Uncertain:2
The p.T2310N variant (also known as c.6929C>A), located in coding exon 11 of the BRCA2 gene, results from a C to A substitution at nucleotide position 6929. The threonine at codon 2310 is replaced by asparagine, an amino acid with similar properties. This alteration has been identified in multiple individuals with a personal and/or family history of breast and/or ovarian cancer (Thirthagiri E et al. Breast Cancer Res., 2008 Jul;10:R59; Singh J et al. Breast Cancer Res. Treat., 2018 Jul;170:189-196). In one study, functional analysis of this alteration indicates no effect on cell viability or sensitivity to DNA damaging agents (Sullivan T et al. Hum Mutat, 2021 Feb;42:200-212). Of note, this alteration is also known as 7157C>A in published literature. This amino acid position is well conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Based on the available evidence, the clinical significance of this alteration remains unclear. -
This missense variant replaces threonine with asparagine at codon 2310 of the BRCA2 protein. Computational prediction suggests that this variant may not impact protein structure and function. A functional study has shown that this variant does not impact cell viability or sensitivity to DNA damaging agents (PMID: 33314489). This variant has been reported in individuals affected with breast or ovarian cancer (PMID: 18627636, 29470806, 33314489). In a large breast cancer case-control study conducted by the BRIDGES consortium, this variant was reported in 1/60466 cases and 3/53461 unaffected controls (PMID: 33471991; Leiden Open Variation Database DB-ID BRCA2_008541). This variant has been identified in 7/249990 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. -
Fanconi anemia complementation group D1 Uncertain:1
The missense variant c.6929C>A (p.Thr2310Asn) in BRCA2 gene has been observed in several individuals affected with breast and/or ovarian cancer (Singh J et al., 2018). This variant is reported with the allele frequency (0.0028%) in the gnomad and novel in 1000 genome database. This variant has been reported to the ClinVar database as Uncertain significance. The amino acid Thr at position 2310 is changed to a Asn changing protein sequence and it might alter its composition and physico-chemical properties. The amino acid change p.Thr2310Asn in BRCA2 is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Uncertain Significance (VUS). -
Familial cancer of breast Uncertain:1
This sequence change replaces threonine, which is neutral and polar, with asparagine, which is neutral and polar, at codon 2310 of the BRCA2 protein (p.Thr2310Asn). This variant is present in population databases (rs276174886, gnomAD 0.02%). This missense change has been observed in individual(s) with breast and/or ovarian cancer (PMID: 18627636, 29470806). ClinVar contains an entry for this variant (Variation ID: 52219) classified as uncertain significance . This amino acid position is well moderately conserved (PhyloP=3.19).In addition, this alteration is predicted to be tolerated by in silico analysis. 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 -
Hereditary breast ovarian cancer syndrome Uncertain:1
This sequence change replaces threonine, which is neutral and polar, with asparagine, which is neutral and polar, at codon 2310 of the BRCA2 protein (p.Thr2310Asn). This variant is present in population databases (rs276174886, gnomAD 0.02%). This missense change has been observed in individual(s) with breast and/or ovarian cancer (PMID: 18627636, 29470806). ClinVar contains an entry for this variant (Variation ID: 52219). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt BRCA2 protein function with a negative predictive value of 95%. 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. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at