rs80359361
Variant summary
Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_000059.4(BRCA2):c.2899_2900delCT(p.Leu967ArgfsTer14) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,459,020 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★★). Synonymous variant affecting the same amino acid position (i.e. L967L) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_000059.4 frameshift
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: Pathogenic. The variant received 18 ACMG points.
Variant Effect in Transcripts
ACMG analysis was done for transcript: NM_000059.4. You can select a different transcript below to see updated ACMG assignments.
RefSeq Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | NM_000059.4 | MANE Select | c.2899_2900delCT | p.Leu967ArgfsTer14 | frameshift | Exon 11 of 27 | NP_000050.3 | ||
| BRCA2 | NM_001432077.1 | c.2899_2900delCT | p.Leu967ArgfsTer14 | frameshift | Exon 11 of 27 | NP_001419006.1 | |||
| BRCA2 | NM_001406720.1 | c.2899_2900delCT | p.Leu967ArgfsTer14 | frameshift | Exon 11 of 27 | NP_001393649.1 |
Ensembl Transcripts
| Selected | Gene | Transcript | Tags | HGVSc | HGVSp | Effect | Exon Rank | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|---|
| BRCA2 | ENST00000380152.8 | TSL:5 MANE Select | c.2899_2900delCT | p.Leu967ArgfsTer14 | frameshift | Exon 11 of 27 | ENSP00000369497.3 | ||
| BRCA2 | ENST00000544455.6 | TSL:1 | c.2899_2900delCT | p.Leu967ArgfsTer14 | frameshift | Exon 11 of 27 | ENSP00000439902.1 | ||
| BRCA2 | ENST00000530893.7 | TSL:1 | c.2530_2531delCT | p.Leu844ArgfsTer14 | frameshift | Exon 11 of 27 | ENSP00000499438.2 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD4 exome AF: 6.85e-7 AC: 1AN: 1459020Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 725726 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Breast-ovarian cancer, familial, susceptibility to, 2 Pathogenic:3
Variant allele predicted to encode a truncated non-functional protein.
Hereditary breast ovarian cancer syndrome Pathogenic:3
This is a two-nucleotide deletion in exon 11 of the BRCA2 mRNA c.(2899_2900delCT), causing a frameshift after codon 967 and the creation of a premature translational stop signal 14 amino acid residues later p.(Leu967Argfs*14). This is expected to result in an absent or disrupted protein product. Truncating variants in the BRCA2 gene are known to be pathogenic (PMID:20104584). This variant is not present in population databases (rs80359361). This variant, also known as 966_966del in the literature, has been reported in individuals affected with breast and ovarian cancer and in an individual with Fanconi anemia (PMID:21120943, 21548014, 24504028). ClinVar contains entries for this variant where it is listed as Pathogenic (VCV000125998.23). For these reasons, this variant has been classified as pathogenic. Based on the classification criteria set by the ACMG and AMP (PMID:25741868) this variant has been classified as pathogenic.
Variant summary: BRCA2 c.2899_2900delCT (p.Leu967ArgfsX14) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant was absent in 248436 control chromosomes (gnomAD). c.2899_2900delCT has been reported in the literature in multiple individuals affected with Breast and/or Ovarian Cancer (e.g. Caux-Moncoutier_2011, Cunningham_2014, Song_2014, Rebbeck_2018). The variant has also been reported in at least one individual with Fanconi anemia (Myers_2012, Degrolard-Courcet_2014). These data indicate that the variant is very likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Four submitters, including one expert panel (ENIGMA) have provided clinical-significance assessments for this variant in ClinVar after 2014, and all of them classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 125998). This variant is also known as 966_966del. This premature translational stop signal has been observed in individual(s) with breast and/or ovarian cancer and Fanconi anemia (PMID: 21120943, 21548014, 24504028). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Leu967Argfs*14) in the BRCA2 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in BRCA2 are known to be pathogenic (PMID: 20104584).
Hereditary cancer-predisposing syndrome Pathogenic:2
This variant deletes 2 nucleotides in exon 11 of the BRCA2 gene, creating a frameshift and premature translation stop signal. This variant is expected to result in an absent or non-functional protein product. This variant has not been identified in the general population by the Genome Aggregation Database (gnomAD). Loss of BRCA2 function is a known mechanism of disease (clinicalgenome.org). Based on the available evidence, this variant is classified as Pathogenic.
The c.2899_2900delCT pathogenic mutation, located in coding exon 10 of the BRCA2 gene, results from a deletion of two nucleotides at nucleotide positions 2899 to 2900, causing a translational frameshift with a predicted alternate stop codon (p.L967Rfs*14). This alteration has been reported in an individual with Fanconi anemia, who carried another pathogenic BRCA2 alteration (Myers K et al. Pediatr Blood Cancer 2012; 58:462-5). In one case control study, this alteration was detected in 1/2222 individuals with invasive epithelial ovarian cancer and 0/1528 matched controls. (Song H et al. Hum. Mol. Genet., 2014 Sep;23:4703-9) and in an individual diagnosed with breast cancer from Mexico (Millan Catalan O et al. Cancers (Basel), 2019 Aug;11:). This alteration was also identified in a large, worldwide study of BRCA1/2 mutation positive families (Rebbeck TR et al. Hum. Mutat., 2018 05;39:593-620). This variant is considered to be rare based on population cohorts in the Genome Aggregation Database (gnomAD). In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation.
Familial cancer of breast Pathogenic:1
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at