rs80359640
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Variant summary
Our verdict is Uncertain significance. Variant got 1 ACMG points: 1P and 0B. PM4_Supporting
The NM_000059.4(BRCA2):c.714_716dup(p.Glu238_Ser239insArg) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000329 in 1,613,062 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000035 ( 0 hom. )
Consequence
BRCA2
NM_000059.4 inframe_insertion
NM_000059.4 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 1.82
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 Uncertain_significance. Variant got 1 ACMG points.
PM4
Nonframeshift variant in NON repetitive region in NM_000059.4. Strenght limited to Supporting due to length of the change: 1aa.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
BRCA2 | NM_000059.4 | c.714_716dup | p.Glu238_Ser239insArg | inframe_insertion | 9/27 | ENST00000380152.8 | NP_000050.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BRCA2 | ENST00000380152.8 | c.714_716dup | p.Glu238_Ser239insArg | inframe_insertion | 9/27 | 5 | NM_000059.4 | ENSP00000369497 | A2 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152230Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.00000798 AC: 2AN: 250512Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135416
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GnomAD4 exome AF: 0.0000349 AC: 51AN: 1460832Hom.: 0 Cov.: 30 AF XY: 0.0000385 AC XY: 28AN XY: 726740
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GnomAD4 genome AF: 0.0000131 AC: 2AN: 152230Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74378
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:12Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Uncertain:4
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Aug 09, 2023 | In-frame insertion of one amino acid in a non-repeat region; In silico analysis supports that this variant does not alter protein structure/function; Observed in individuals with familial colorectal and/or other cancers undergoing multi-gene panel testing (Hansen et al., 2017; Li et al., 2020); Not observed at significant frequency in large population cohorts (gnomAD); Also known as 942_944dup; This variant is associated with the following publications: (PMID: 24728327, 31853058, 28195393) - |
Uncertain significance, criteria provided, single submitter | clinical testing | Quest Diagnostics Nichols Institute San Juan Capistrano | Aug 26, 2020 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Aug 11, 2023 | The p.Glu238_Ser239insArg variant in BRCA2 has been reported in 1 individual with ovarian cancer (Alsop 2012 PMID 22711857). It has also been identified in 0.0029% (2/68040) of European chromosomes by gnomAD (http://gnomad.broadinstitute.org). This variant has also been reported in ClinVar (Variation ID 126202). In summary, the clinical significance of this variant is uncertain. ACMG/AMP Criteria applied: None. - |
Uncertain significance, criteria provided, single submitter | clinical testing | ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories | Jul 30, 2021 | The BRCA2 c.714_716dupAAG; p.Glu238_Ser239insArg variant (rs80359640) is reported in the literature in individuals affected with ovarian or colorectal cancer (Alsop 2012, Hansen 2017). This variant is also reported in ClinVar (Variation ID: 126202), and is only observed on two alleles in the Genome Aggregation Database, indicating it is not a common polymorphism. This variant inserts a single arginine residue leaving the rest of the protein in-frame. Given the lack of clinical and functional data, the significance of the p.Glu238_Ser239insArg variant is uncertain at this time. References: Alsop K et al. BRCA mutation frequency and patterns of treatment response in BRCA mutation-positive women with ovarian cancer: a report from the Australian Ovarian Cancer Study Group. J Clin Oncol. 2012 Jul 20;30(21):2654-63. PMID: 22711857. Hansen MF et al. Use of multigene-panel identifies pathogenic variants in several CRC-predisposing genes in patients previously tested for Lynch Syndrome. Clin Genet. 2017 Oct;92(4):405-414. PMID: 28195393. - |
not specified Uncertain:2Other:1
Uncertain significance, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Jul 02, 2020 | Variant summary: BRCA2 c.714_716dupAAG (p.Glu238_Ser239insArg) results in an in-frame insertion that is predicted to insert one amino acids into the encoded protein. The variant allele was found at a frequency of 8e-06 in 250512 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.714_716dupAAG has been reported in the literature in individuals affected with ovarian cancer and colorectal cancer (Alsop_2012, Hansen_2017). These reports do not provide unequivocal conclusions about association of the variant with Hereditary Breast And Ovarian Cancer Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Five 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 uncertain significance. - |
not provided, no classification provided | reference population | ITMI | Sep 19, 2013 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Genetic Services Laboratory, University of Chicago | Jan 25, 2018 | - - |
Breast-ovarian cancer, familial, susceptibility to, 2 Uncertain:2
Uncertain significance, criteria provided, single submitter | clinical testing | All of Us Research Program, National Institutes of Health | Oct 02, 2023 | This variant causes an in-frame insertion of one amino acid at exon 9 of the BRCA2 protein. Splice site prediction tools suggest that this variant may not impact RNA splicing. To our knowledge, functional studies have not been performed for this variant. This variant has been reported in an individual affected with colorectal cancer (PMID: 28195393). This variant has also been identified in 2/250512 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. - |
Uncertain significance, no assertion criteria provided | clinical testing | Breast Cancer Information Core (BIC) (BRCA2) | Dec 23, 2003 | - - |
Hereditary cancer-predisposing syndrome Uncertain:2
Uncertain significance, criteria provided, single submitter | clinical testing | Color Diagnostics, LLC DBA Color Health | Dec 09, 2022 | This variant causes an in-frame insertion of one amino acid at exon 9 of the BRCA2 protein. To our knowledge, functional studies have not been reported for this variant. This variant has not been reported in individuals affected with BRCA2-related disorders in the literature. This variant has been identified in 2/250512 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. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Nov 01, 2022 | The c.714_716dupAAG variant (also known as p.E238_S239insR), located in coding exon 8 of the BRCA2 gene, results from an in-frame duplication of AAG at nucleotide positions 714 to 716. This results in the insertion of an extra arginine residue between codons 238 and 239. This alteration was detected in 1/681 healthy individuals from an ancestrally diverse cohort (Bodian DL et al. PLoS One. 2014 Apr 11;9(4):e94554). This alteration was also identified in an individual diagnosed with colorectal cancer (Hansen MF et al, Clin. Genet. 2017 Oct;92:405-414). Of note, this alteration is also designated as designated as c.713_714insAAG in published literature. This amino acid region is not well conserved in available vertebrate species. In addition, this alteration is predicted to be inconclusive by in silico analysis (Choi Y et al. PLoS ONE. 2012; 7(10):e46688). Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. - |
Familial cancer of breast Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 08, 2024 | - - |
Hereditary breast ovarian cancer syndrome Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 14, 2024 | This variant, c.714_716dup, results in the insertion of 1 amino acid(s) of the BRCA2 protein (p.Glu238_Ser239insArg), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (rs587778130, gnomAD 0.002%). This variant has been observed in individual(s) with colon cancer and ovarian cancer (PMID: 22711857, 28195393). This variant is also known as c.716_717het insAAG. ClinVar contains an entry for this variant (Variation ID: 126202). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at