rs80359198

Variant summary

Our verdict is Pathogenic. Variant got 24 ACMG points: 24P and 0B. PS1_Very_StrongPM2PM5PP3_StrongPP5_Very_Strong

The NM_000059.4(BRCA2):​c.9285C>A​(p.Asp3095Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Pathogenicin ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D3095G) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)

Consequence

BRCA2
NM_000059.4 missense

Scores

6
6
4

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 1.46
Variant links:
Genes affected
BRCA2 (HGNC:1101): (BRCA2 DNA repair associated) Inherited mutations in BRCA1 and this gene, BRCA2, confer increased lifetime risk of developing breast or ovarian cancer. Both BRCA1 and BRCA2 are involved in maintenance of genome stability, specifically the homologous recombination pathway for double-strand DNA repair. The largest exon in both genes is exon 11, which harbors the most important and frequent mutations in breast cancer patients. The BRCA2 gene was found on chromosome 13q12.3 in human. The BRCA2 protein contains several copies of a 70 aa motif called the BRC motif, and these motifs mediate binding to the RAD51 recombinase which functions in DNA repair. BRCA2 is considered a tumor suppressor gene, as tumors with BRCA2 mutations generally exhibit loss of heterozygosity (LOH) of the wild-type allele. [provided by RefSeq, May 2020]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 24 ACMG points.

PS1
Transcript NM_000059.4 (BRCA2) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in ClinVar as 52805
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr13-32394716-A-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 409512.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.965
PP5
Variant 13-32394717-C-A is Pathogenic according to our data. Variant chr13-32394717-C-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 252859.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
BRCA2NM_000059.4 linkuse as main transcriptc.9285C>A p.Asp3095Glu missense_variant 25/27 ENST00000380152.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
BRCA2ENST00000380152.8 linkuse as main transcriptc.9285C>A p.Asp3095Glu missense_variant 25/275 NM_000059.4 A2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Breast-ovarian cancer, familial, susceptibility to, 2 Pathogenic:2
Likely pathogenic, criteria provided, single submitterclinical testingMGZ Medical Genetics CenterJan 17, 2022- -
Pathogenic, no assertion criteria providedclinical testingSharing Clinical Reports Project (SCRP)Jul 17, 2013- -
Familial cancer of breast Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsMay 19, 2022- -
Hereditary cancer-predisposing syndrome Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthFeb 07, 2020This missense variant replaces aspartic acid with glutamic acid at codon 3095 of the BRCA2 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function (internally defined REVEL score threshold 0.5 < inconclusive < 0.7, PMID: 27666373). Splice site prediction tools suggest that this variant may not impact RNA splicing. This variant has not been identified in the general population by the Genome Aggregation Database (gnomAD). While this particular variant has not been reported in the literature, a different variant (c.9285C>G) resulting in the same protein effect has been shown to disrupt homology-directed DNA repair activity (PMID: 18451181, 23108138, 29884841) and to fail to complement cell lethality phenotype induced by loss of BRCA2 in mouse embryonic stem cell-based assays (PMID: 24323938, 29988080). c.9285C>G has also been reported in many individuals affected with breast cancer (PMID: 16875939, 18951446, 28477318, 30728895) and prostate cancer (PMID: 29368341, 29439820, 29983880, 30293905). In addition, several multifactorial likelihood models using health history, in silico, and experimental data have suggested p.Asp3095Glu have a high probability of being pathogenic (PMID: 17924331, 19043619, 21990134, 25085752, 29394989). These data indicate that replacing aspartic acid with glutamic acid at this codon position is disease-causing. Based on the available evidence, this variant is classified as Pathogenic. -
Hereditary breast ovarian cancer syndrome Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingInvitaeDec 21, 2023This sequence change replaces aspartic acid, which is acidic and polar, with glutamic acid, which is acidic and polar, at codon 3095 of the BRCA2 protein (p.Asp3095Glu). This variant is not present in population databases (gnomAD no frequency). A different variant (c.9285C>G) giving rise to the same protein effect has been determined to be pathogenic (PMID: 17924331, 18451181, 18951446, 21990134, 22678057, 23108138). This suggests that this variant is also likely to be causative of disease. ClinVar contains an entry for this variant (Variation ID: 252859). Advanced modeling performed at Invitae incorporating data from internal and/or published experimental studies (PMID: 33609447) indicates that this missense variant is expected to disrupt BRCA2 function with a positive predictive value of 95%. Experimental studies have shown that this missense change affects BRCA2 function (PMID: 32444794). For these reasons, this variant has been classified as Pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.84
BayesDel_addAF
Pathogenic
0.40
D
BayesDel_noAF
Pathogenic
0.34
CADD
Benign
16
DANN
Uncertain
0.99
Eigen
Benign
0.19
Eigen_PC
Benign
0.085
FATHMM_MKL
Uncertain
0.77
D
M_CAP
Uncertain
0.29
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Uncertain
0.66
D
MutationTaster
Benign
0.99
D;D
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-1.2
N;N
REVEL
Pathogenic
0.69
Sift
Pathogenic
0.0
D;D
Sift4G
Uncertain
0.023
D;D
Vest4
0.68
MutPred
0.96
Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);
MVP
0.96
MPC
0.16
ClinPred
0.99
D
GERP RS
3.5
gMVP
0.71

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs80359198; hg19: chr13-32968854; COSMIC: COSV66461589; COSMIC: COSV66461589; API