LYFE Sciences · Project HERA
Variant Interpretation · Classification Report
Variant classification summary
NM_000059.4:c.9257G>C
BRCA2
· NP_000050.3:p.(Gly3086Ala)
· NM_000059.4
GRCh37: chr13:32968826 G>C
·
GRCh38: chr13:32394689 G>C
Gene:
BRCA2
Transcript:
NM_000059.4
Final call
Likely Benign
BS1 strong
BP4 supporting
Variant details
Gene
BRCA2
Transcript
NM_000059.4
Protein
NP_000050.3:p.(Gly3086Ala)
gnomAD AF
2.9766186604223822e-05 (v4.1)
ClinVar
Uncertain significance
OncoKB
Likely Neutral
Classification rationale
Interpretation summary
Generated evidence synthesis
1
BS1 Strong: the maximum non-cancer filter allele frequency is 0.00043582, above the ENIGMA threshold of 0.0001.
2
BP4 Supporting: BayesDel -0.0288497 and SpliceAI 0.011 meet the ENIGMA BRCA2 no-impact thresholds.
Final determination:
Under ENIGMA BRCA2 VCEP Table 3, one Strong benign criterion plus one Supporting benign criterion yields Likely Benign.
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 | N/A | Not applicable: c.9257G>C is a missense p.Gly3086Ala substitution, whereas ENIGMA PVS1 applies to specified null variants. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_specifications_table4_v1_2_2024_11_18
PMID:31143303
|
| PS1 | Not assessed | Not assessed: SpliceAI max delta 0.011 meets the <=0.1 requirement, but no qualifying pathogenic same-amino-acid reference variant was found. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
vcep_specifications_table4_v1_2_2024_11_18
PMID:31143303
|
| PS2 | N/A | Not applicable: the VCEP explicitly says to not use PS2 because de novo occurrences lack calibrated predictive information for BRCA1/2-related cancers. |
cspec
|
| PS3 | Not assessed | Not assessed: no qualifying calibrated protein-function result was found, while the available variant-specific assay was mRNA-only and showed no splicing abnormality. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
vcep_specifications_table9_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
vcep_humu_40_1557_s001
PMID:31143303
|
| PS4 | Not assessed | Not assessed: no exact variant-level case-control p-value, OR, or confidence interval was available to test the ENIGMA PS4 thresholds. |
cspec
vcep_supplementarytables_v1_2_2024_11_18
vcep_humu_40_1557_s001
|
| PM1 | N/A | Not applicable: the ENIGMA specification says PM1 is not to be used, even though residue 3086 lies in the DNA-binding region. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| PM2 | Not met | Not met: the variant is present in gnomAD v2.1 non-cancer exomes at AF 8.4938e-05 and gnomAD v3.1 non-cancer genomes at AF 2.7096e-05. |
cspec
gnomad_v2
gnomad_v4
|
| PM3 | Not met | Not met: gnomAD maximum FAF is 0.00043457, exceeding the VCEP benign-evidence threshold of 0.0001, and no Fanconi-anemia proband with a same-gene co-occurring variant is documented. |
cspec
gnomad_v2
gnomad_v4
|
| PM4 | N/A | Not applicable: PM4 is explicitly not used by ENIGMA, and p.Gly3086Ala is a missense substitution without a protein-length change. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PM5 | N/A | Not applicable: PM5 is not used for missense variants under ENIGMA and the variant is not a protein-termination-codon change. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_specifications_table4_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
|
| PM6 | N/A | Not applicable: the VCEP explicitly says to not use PM6 because de novo occurrences lack calibrated predictive information for BRCA1/2-related cancers. |
cspec
|
| PP1 | Not assessed | Not assessed: no variant-specific pedigree or quantitative segregation likelihood ratio was available to compare with the VCEP's PP1 threshold of LR ≥2.08:1. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| PP2 | N/A | Not applicable: ENIGMA says PP2 is not to be used because BRCA2 has a high frequency of benign missense variants. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| PP3 | Not met | Not met: BayesDel -0.0288497 is below the 0.30 PP3 threshold and SpliceAI 0.011 is below the 0.2 splice threshold. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
bayesdel
spliceai
|
| PP4 | Not assessed | Not assessed: no exact combined clinical likelihood ratio was available to test the ENIGMA PP4 threshold of LR ≥2.08:1. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_pmid_31853058_brca2_clinical_history_lr
PMID:31853058
|
| PP5 | N/A | Not applicable: the ENIGMA BRCA2 specification explicitly says PP5 should not be used. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BA1 | Not met | Not met: maximum non-cancer grpmax FAF was 0.00043582, below the ENIGMA BA1 threshold of 0.001. |
cspec
gnomad_v2
gnomad_v4
|
| BS1 | Met | Met at strong: maximum non-cancer grpmax FAF was 0.00043582, exceeding the ENIGMA BS1 threshold of 0.0001. |
cspec
gnomad_v2
gnomad_v4
|
| BS2 | Not assessed | Not assessed: one gnomAD homozygote lacks the VCEP-required phenotyped-individual and age/follow-up data for BS2. |
cspec
gnomad_v2
|
| BS3 | Not assessed | Not assessed: the only variant-specific assay was mRNA-only, showing no splicing abnormality but providing no calibrated evidence that the encoded protein is functionally benign. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
vcep_specifications_table9_v1_2_2024_11_18
vcep_supplementarytables_v1_2_2024_11_18
vcep_humu_40_1557_s001
PMID:31143303
|
| BS4 | Not assessed | Not assessed: no variant-specific pedigree or quantitative negative-segregation likelihood ratio was available to compare with the VCEP's BS4 threshold of LR ≤0.48:1. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| BP1 | N/A | Not applicable: residue 3086 is inside the ENIGMA DNA-binding domain aa 2481-3186, whereas BP1 requires a variant outside that domain. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
| BP2 | N/A | Not applicable: the VCEP explicitly says BP2 is not used and permits it only in the context of BS2. |
cspec
|
| BP3 | N/A | Not applicable: BP3 is explicitly not used by ENIGMA, and p.Gly3086Ala is not an in-frame deletion or insertion in a repeat region. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BP4 | Met | Met, Supporting: BayesDel -0.0288497 is <=0.18 and SpliceAI 0.011 is <=0.1, satisfying both BRCA2 BP4 no-impact requirements. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
bayesdel
spliceai
PMID:31143303
|
| BP5 | Not assessed | Not assessed: no exact combined clinical LR was available to test the ENIGMA BP5 operator LR ≤0.48:1. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_pmid_31853058_brca2_clinical_history_lr
PMID:31853058
|
| BP6 | N/A | Not applicable: the ENIGMA BRCA2 specification explicitly says BP6 should not be used. |
cspec
vcep_specifications_v1_2_2024_11_18
|
| BP7 | N/A | Not applicable: BP7 covers silent or qualifying intronic variants, or missense variants outside domains, whereas p.Gly3086Ala is missense inside the DNA-binding domain. |
cspec
vcep_specifications_v1_2_2024_11_18
vcep_appendices_v1_2_2024_11_18
|
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.