LYFE Sciences · Project HERA
Variant Interpretation · Classification Report
Variant classification summary
NM_000059.3:c.8059G>T
BRCA2
· NP_000050.2:p.(Val2687Phe)
· NM_000059.3
GRCh37: chr13:32937398 G>T
·
GRCh38: chr13:32363261 G>T
Gene:
BRCA2
Transcript:
NM_000059.3
Final call
PS3_Strong
PP3_Supporting
Variant details
Gene
BRCA2
Transcript
NM_000059.3
Protein
NP_000050.2:p.(Val2687Phe)
gnomAD AF
ClinVar
OncoKB
Likely Oncogenic
Classification rationale
Interpretation summary
Generated evidence synthesis
1
The BRCA2 c.8059G>T (p.Val2687Phe, p.V2687F) variant has been observed in somatic cancer once in COSMIC (COSV66454617) and has been reported in ClinVar with an ENIGMA expert-panel classification of uncertain significance alongside mixed clinical-laboratory submissions.
2
This variant is absent from gnomAD v2.1 and gnomAD v4.1, supporting rarity in population databases.
3
In a published calibrated BRCA2 functional study, p.(Val2687Phe) showed protein function similar to pathogenic control variants, and the ENIGMA BRCA2 functional table assigns PS3 at Strong strength for this damaging result.
4
Computational data support a damaging protein effect, with BayesDel no-AF 0.369316 above the BRCA2 ENIGMA PP3 threshold of 0.30 and REVEL 0.811, while SpliceAI is low at 0.01 and does not suggest a meaningful splice effect.
Final determination:
PS3_Strong plus PP3_Supporting does not meet an ENIGMA BRCA1/BRCA2 Table 3 combination for Likely Pathogenic or Pathogenic classification, and no benign combination is met; therefore the variant is classified as Uncertain Significance.
Criteria assessment
ACMG/AMP criteria review
Criteria shown when status is available
All criteria require review: For research and educational purposes only.
| Criterion | Status | Rationale | Evidence used |
|---|---|---|---|
| PVS1 | Not met | This variant is a missense substitution, p.(Val2687Phe), rather than a nonsense, frameshift, canonical ±1/2 splice, initiation-codon, or exon-level loss-of-function variant, and no RNA evidence was identified showing an abnormal transcript effect that would justify PVS1 under the BRCA2 ENIGMA framework. |
cspec
pvs1_gene_context
pvs1_variant_assessment
vcep_specifications_v1_2_2024_11_18
|
| PS1 | Not assessed | No previously classified pathogenic or likely pathogenic BRCA2 variant producing the same amino-acid change was identified in the available evidence, so PS1 could not be established from the reviewed materials. |
cspec
vcep_specifications_v1_2_2024_11_18
clinvar
|
| PS2 | N/A | De novo occurrence evidence is not used in this BRCA2 ENIGMA framework because BRCA1/2-related cancers are relatively common and the predictive value of de novo occurrence has not been calibrated for these genes. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PS3 | Met | In a calibrated published functional study, c.8059G>T (p.Val2687Phe) showed protein function similar to pathogenic control variants, consistent with a damaging effect on BRCA2 function; the BRCA2 ENIGMA functional table assigns PS3 at Strong strength for this variant. |
vcep_specifications_table9_v1_2_2024_11_18
PMID:33609447
cspec
|
| PS4 | Not assessed | The variant has been observed in ClinVar submissions and once in COSMIC, but no case-control study, odds ratio, or calibrated case-enrichment dataset meeting BRCA2 ENIGMA PS4 requirements was identified. |
clinvar
cspec
vcep_specifications_v1_2_2024_11_18
vcep_humu_40_1557_s001
vcep_supplementarytables_v1_2_2024_11_18
|
| PM1 | N/A | Although p.(Val2687Phe) lies within the BRCA2 DNA-binding region, the BRCA2 ENIGMA specification does not use PM1 as a standalone code and instead captures domain-based evidence within the PP3/BP4 framework. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| PM2 | Not assessed | This variant is absent from gnomAD v2.1 and gnomAD v4.1, which supports rarity, but the BRCA2 ENIGMA PM2 rule specifically calls for absence in gnomAD v2.1 and v3.1 with average regional depth at least 25, and a v3.1-specific result and depth confirmation were not available here. |
gnomad_v2
gnomad_v4
cspec
vcep_specifications_v1_2_2024_11_18
|
| PM3 | Not assessed | No evidence was identified that this variant occurred in trans with another BRCA2 pathogenic or likely pathogenic variant in an individual with BRCA2-related Fanconi anemia, so PM3 could not be applied. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PM4 | N/A | PM4 is not used in this BRCA2 ENIGMA framework and protein-length or domain-context effects are handled in the VCEP bioinformatic workflow instead. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PM5 | N/A | In the BRCA2 ENIGMA specification, PM5 is used only for protein-termination-codon variants in eligible exons. This variant is a missense substitution and does not meet that use case. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_specifications_table4_v1_2_2024_11_18
|
| PM6 | N/A | Assumed de novo occurrence evidence is not used in this BRCA2 ENIGMA framework because the predictive value of de novo occurrence has not been calibrated for BRCA1/2-related cancers. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP1 | Not assessed | No segregation data or quantitative co-segregation likelihood ratio was identified for this variant, so PP1 could not be applied. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP2 | N/A | PP2 is not used in this BRCA2 ENIGMA framework because BRCA2 has a substantial background rate of benign missense variation. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP3 | Met | This missense variant lies within the BRCA2 DNA-binding domain encompassed by the ENIGMA computational framework, and the BayesDel no-AF score is 0.369316, which is above the PP3 threshold of 0.30. REVEL is also elevated at 0.811, while SpliceAI is low at 0.01, supporting a predicted damaging protein effect rather than a splice-driven effect. |
cspec
vcep_specifications_v1_2_2024_11_18
bayesdel
revel
spliceai
vcep_appendices_v1_2_2024_11_18
|
| PP4 | Not met | Variant-specific clinical-history likelihood data showed LR 1.1629 in 1 proband, which is below the BRCA2 ENIGMA PP4 threshold of 2.08, so this evidence does not support PP4. |
vcep_pmid_31853058_brca2_clinical_history_lr
PMID:31853058
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP5 | N/A | PP5 is not used in this VCEP framework. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BA1 | Not met | This variant is absent from gnomAD v2.1 and gnomAD v4.1 and therefore does not exceed the BRCA2 ENIGMA BA1 stand-alone frequency threshold of FAF greater than 0.1%. |
gnomad_v2
gnomad_v4
cspec
vcep_specifications_v1_2_2024_11_18
|
| BS1 | Not met | This variant is absent from gnomAD v2.1 and gnomAD v4.1 and therefore does not meet the BRCA2 ENIGMA BS1 frequency thresholds of FAF above 0.002% or 0.01%. |
gnomad_v2
gnomad_v4
cspec
vcep_specifications_v1_2_2024_11_18
|
| BS2 | Not assessed | No calibrated BRCA2 recessive-disease or unaffected-carrier point-based evidence was identified to support BS2. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BS3 | Not met | Available calibrated functional evidence does not show normal BRCA2 function for this variant; instead, the reviewed ENIGMA functional table assigns a damaging result supporting PS3, so BS3 is not met. |
vcep_specifications_table9_v1_2_2024_11_18
PMID:33609447
cspec
|
| BS4 | Not assessed | No quantitative non-segregation likelihood ratio or pedigree evidence showing failure to track with disease was identified for this variant, so BS4 could not be applied. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
|
| BP1 | Not met | The variant affects codon 2687 within the BRCA2 DNA-binding domain, so it is not outside a clinically important functional domain and does not meet the BP1_Strong requirement. SpliceAI is low at 0.01, but the domain criterion for BP1 is not satisfied. |
cspec
vcep_specifications_v1_2_2024_11_18
spliceai
vcep_appendices_v1_2_2024_11_18
|
| BP2 | N/A | BP2 is not used independently in this BRCA2 ENIGMA framework and is applied only in the context of BS2. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BP3 | N/A | BP3 is not applicable in this BRCA2 ENIGMA framework. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BP4 | Not met | Although SpliceAI is low at 0.01, the BayesDel no-AF score is 0.369316, which is above the BRCA2 ENIGMA BP4 threshold of 0.18 or less. This does not support a benign computational interpretation. |
cspec
vcep_specifications_v1_2_2024_11_18
bayesdel
spliceai
revel
|
| BP5 | Not met | Variant-specific clinical-history likelihood data showed LR 1.1629 in 1 proband, which is above the BRCA2 ENIGMA BP5 threshold of 0.48 or less, so this evidence does not support BP5. |
vcep_pmid_31853058_brca2_clinical_history_lr
PMID:31853058
cspec
vcep_specifications_v1_2_2024_11_18
|
| BP6 | N/A | BP6 is not used in this VCEP framework. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BP7 | N/A | BP7 in the BRCA2 ENIGMA framework is intended for silent or intronic variants, or for RNA-only benign evidence in specific settings. This variant is a missense substitution within a clinically important domain and no benign RNA assay evidence was identified. |
cspec
vcep_specifications_v1_2_2024_11_18
spliceai
|
Disclaimer:
The content and results provided by LYFE Sciences are for research and educational purposes only and must not be used as a substitute for professional medical judgment, diagnosis, or treatment. Always consult a qualified healthcare professional before making any clinical decisions.