rs431825358
Variant summary
Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5
The NM_000059.4(BRCA2):c.7871A>G(p.Tyr2624Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000031 in 1,614,032 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic 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
Genome browser will be placed here
ACMG classification
Verdict is Likely_pathogenic. Variant got 7 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BRCA2 | ENST00000380152.8 | c.7871A>G | p.Tyr2624Cys | missense_variant | Exon 17 of 27 | 5 | NM_000059.4 | ENSP00000369497.3 | ||
BRCA2 | ENST00000530893.7 | c.7502A>G | p.Tyr2501Cys | missense_variant | Exon 17 of 27 | 1 | ENSP00000499438.2 | |||
BRCA2 | ENST00000614259.2 | n.7879A>G | non_coding_transcript_exon_variant | Exon 16 of 26 | 2 | ENSP00000506251.1 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152242Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.00000398 AC: 1AN: 251290Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135800
GnomAD4 exome AF: 0.00000205 AC: 3AN: 1461790Hom.: 0 Cov.: 33 AF XY: 0.00000275 AC XY: 2AN XY: 727206
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152242Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74384
ClinVar
Submissions by phenotype
not provided Pathogenic:2Uncertain:2
This variant is denoted BRCA2 c.7871A>G at the cDNA level, p.Tyr2624Cys (Y2624C) at the protein level, and results in the change of a Tyrosine to a Cysteine (TAT>TGT). Using alternate nomenclature, this variant has been previously published as BRCA2 8099A>G. This variant was observed in at least two individuals with breast cancer (Infante 2006, Wong-Brown 2015). BRCA2 Tyr2624Cys was not observed in large population cohorts (Lek 2016). Since Tyrosine and Cysteine differ in polarity, charge, size or other properties, this is considered a non-conservative amino acid substitution. BRCA2 Tyr2624Cys is located within the DNA binding domain (Yang 2002). In-silico analyses, including protein predictors and evolutionary conservation, support that this variant does not alter protein structure or function. Based on currently available evidence, it is unclear whether BRCA2 Tyr2624Cys is a pathogenic or benign variant. We consider it to be a variant of uncertain significance. -
The BRCA2 c.7871A>G; p.Tyr2624Cys variant (rs431825358), is reported in individuals with hereditary breast and ovarian cancer syndrome (Infante 2006, Patruno 2021, Wong-Brown 2015). Homology-directed repair functional assays showed this variant to be non-functional (Richardson 2021). This variant is also reported in ClinVar (Variation ID: 96860). It is only found on one allele in the Genome Aggregation Database, indicating it is not a common polymorphism. Computational analyses predict that this variant is deleterious (REVEL: 0.903). Based on available information, this variant is considered to be likely pathogenic. References: Infante M et al. High proportion of novel mutations of BRCA1 and BRCA2 in breast/ovarian cancer patients from Castilla-Leon (central Spain). J Hum Genet. 2006;51(7):611-7. PMID: 16758124. Patruno M et al. Spectrum of Germline Pathogenic Variants in BRCA1/2 Genes in the Apulian Southern Italy Population: Geographic Distribution and Evidence for Targeted Genetic Testing. Cancers (Basel). 2021 Sep 21;13(18):4714. PMID: 34572941. 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. Wong-Brown MW et al. Prevalence of BRCA1 and BRCA2 germline mutations in patients with triple-negative breast cancer. Breast Cancer Res Treat. 2015 Feb;150(1):71-80. PMID: 25682074. -
The frequency of this variant in the general population, 0.000004 (1/251290 chromosomes, http://gnomad.broadinstitute.org), is uninformative in assessment of its pathogenicity. In the published literature, the variant has been reported in individuals with breast cancer (PMIDs: 34572941 (2021), 26689913 (2015), 25682074 (2015), 16758124 (2006)). Functional studies have reported that this variant results in a deleterious effect on BRCA2 homology directed repair (HDR) activity (PMIDs: 33609447 (2021), 29884841 (2019)). 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, this variant is classified as likely pathogenic. -
BRCA2: PM1, PM5, PM2:Supporting, PS3:Supporting, BP1 -
Breast-ovarian cancer, familial, susceptibility to, 2 Pathogenic:1Uncertain:1
- -
Criteria applied: PS3,PM3_SUP,PP3 -
not specified Uncertain:2
- -
Variant summary: BRCA2 c.7871A>G (p.Tyr2624Cys) results in a non-conservative amino acid change located in the helical domain (IPR015252) of the encoded protein sequence. This domain binds the 70-amino acid DSS1 (deleted in split-hand/split foot syndrome) protein. 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 4e-06 in 251290 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.7871A>G has been reported in the literature in individuals affected with Hereditary Breast and Ovarian Cancer (Infante 2006, Wong-Brown 2015). These reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast and Ovarian Cancer. The variant was reported to be non-functional in HDR assays (Hart_2019, Richardson_2021). Eight clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as VUS - possibly pathogenic. -
Hereditary cancer-predisposing syndrome Uncertain:2
This missense variant replaces tyrosine with cysteine at codon 2624 of the BRCA2 protein. Computational prediction suggests that this variant may have deleterious impact on protein structure and function. Functional studies have shown that this variant impacts homology-directed DNA repair activity (PMID: 29884841, 33609447). This variant has been reported in individuals affected with breast cancer (PMID: 16758124, 25682074, 26689913). This variant has been identified in 1/251290 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. -
The p.Y2624C variant (also known as c.7871A>G), located in coding exon 16 of the BRCA2 gene, results from an A to G substitution at nucleotide position 7871. The tyrosine at codon 2624 is replaced by cysteine, an amino acid with highly dissimilar properties. This alteration was detected in a cohort of breast and/or ovarian cancer patients (Infante M et al. J. Hum. Genet., 2006 Jul;51:611-7). This alteration was non-functional in homology-directed DNA repair (HDR) assays (Hart SN et al. Genet. Med., 2019 01;21:71-80; Richardson ME et al. Am J Hum Genet, 2021 03;108:458-468). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on internal structural analysis, this variant is anticipated to result in a significant decrease in structural stability (Yang H et al. Science, 2002 Sep;297:1837-48). However cumulative clinical data suggest that this variant may not convey traditional risks associated with pathogenic BRCA2 variants. Based on the available evidence, the clinical significance of this variant remains unclear. -
Breast and/or ovarian cancer Uncertain:1
- -
Familial cancer of breast Uncertain:1
- -
Hereditary breast ovarian cancer syndrome Uncertain:1
This sequence change replaces tyrosine, which is neutral and polar, with cysteine, which is neutral and slightly polar, at codon 2624 of the BRCA2 protein (p.Tyr2624Cys). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with breast and/or ovarian cancer (PMID: 16758124, 25682074, 26689913, 31131967). ClinVar contains an entry for this variant (Variation ID: 96860). Invitae Evidence Modeling incorporating data from in vitro experimental studies (PMID: 33609447) did not meet the statistical confidence thresholds required to predict the impact of this variant on BRCA2 function. Experimental studies have shown that this missense change affects BRCA2 function (PMID: 29884841, 33609447). 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