rs750903875
Variant summary
Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PVS1PP5
The NM_005431.2(XRCC2):c.49C>T(p.Arg17*) variant causes a stop gained change. The variant allele was found at a frequency of 0.000011 in 1,459,546 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_005431.2 stop_gained
Scores
Clinical Significance
Conservation
Publications
- Fanconi anemia complementation group UInheritance: AR Classification: MODERATE, LIMITED Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics
- male infertility with azoospermia or oligozoospermia due to single gene mutationInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Fanconi anemiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- premature ovarian failure 17Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
- spermatogenic failure 50Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
- breast cancerInheritance: AD Classification: NO_KNOWN Submitted by: Ambry Genetics
- familial ovarian cancerInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
- hereditary breast carcinomaInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 9 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| XRCC2 | NM_005431.2 | c.49C>T | p.Arg17* | stop_gained | Exon 2 of 3 | ENST00000359321.2 | NP_005422.1 |
Ensembl
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD2 exomes AF: 0.0000120 AC: 3AN: 249298 AF XY: 0.00000741 show subpopulations
GnomAD4 exome AF: 0.0000110 AC: 16AN: 1459546Hom.: 0 Cov.: 30 AF XY: 0.0000110 AC XY: 8AN XY: 726054 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
not provided Uncertain:2
This variant has been observed in individuals with breast cancer (PMID: 22464251, 28724667). ClinVar contains an entry for this variant (Variation ID: 486731). This variant has been reported to have conflicting or insufficient data to determine the effect on XRCC2 protein function (PMID: 27233470). The current clinical and genetic evidence is not sufficient to establish whether loss-of-function variants in XRCC2 cause disease. 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. This variant is present in population databases (rs750903875, ExAC 0.006%). This sequence change creates a premature translational stop signal (p.Arg17*) in the XRCC2 gene. It is expected to result in an absent or disrupted protein product. -
Curator: Arleen D. Auerbach. Submitter to LOVD: Johan den Dunnen. -
Hereditary cancer-predisposing syndrome Pathogenic:1
The p.R17* variant (also known as c.49C>T), located in coding exon 2 of the XRCC2 gene, results from a C to T substitution at nucleotide position 49. This changes the amino acid from an arginine to a stop codon within coding exon 2. The predicted stop codon occurs in the 5’ end of theXRCC2 gene. Premature termination codons in the 5’ end of a gene have been reported to escape nonsense-mediated mRNAdecay and/or lead to re-initiation (Rivas et al. Science. 2015 May 8;348(6235):666-9; Lindeboom et al. Nat Genet. 2016 Oct;48(10):1112-8; Rhee et al. Sci Rep. 2017 May 10;7(1):1653). Direct evidence for this alteration is unavailable, however premature termination codons are typically deleterious in nature. This alteration has been identified in individuals with familial breast cancer (Park DJ et al. Am. J. Hum. Genet., 2012 Apr;90:734-9; Sun J et al. Clin. Cancer Res. 2017 Oct;23(20):6113-6119). In a functional study, this alteration was used as a negative control, however, it had unexpectedly high rescue activity in both Rad51C foci formation and homologous repair activity compared to other, longer, truncating mutations. This study ruled out the possibility of a translational start site after amino acid 17 but did identify some read-through of translation at this new TGA stop codon that could explain the higher level of function in these in vitro assays (Hilbers FS et al. Hum. Mutat., 2016 Sep;37:914-25). Based on the majority of available evidence to date, this variant is likely to be pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at