Starting
Initialising…
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BRCA2
Final classification
Pathogenic
BRCA2 c.2830A>T · p.Lys944Ter
BRCA2

The BRCA2 c.2830A>T (p.Lys944Ter; p.K944*) variant has been reported in ClinVar as pathogenic by an expert panel and is classified by OncoKB as likely oncogenic with likely loss of function.

Gene
BRCA2
Transcript
NM_000059.4
HGVS · transcript:coding
NM_000059.4:c.2830A>T
Consequence
N/A
GRCh38
chr13:32337185 A>T
GRCh37
chr13:32911322 A>T
Basis ClinGen ENIGMA BRCA1/BRCA2 Specification v1.2.0 final-classification framework using Table 3 criteria-combination rules from final_classification_framework.
ClinGen ENIGMA BRCA1/BRCA2 Specification v1.2.0 final-classification framework using Table 3 criteria-combination rules from final_classification_framework.
Classification rationale
PVS1PM5 Pathogenic
BRCA2 c.2830A>T

The BRCA2 c.2830A>T (p.Lys944Ter; p.K944*) variant has been reported in ClinVar as pathogenic by an expert panel and is classified by OncoKB as likely oncogenic with likely loss of function.1 This variant is present at very low frequency in gnomAD, with AF 1.06375e-05 (3/282020 alleles) in v2.1 and AF 3.71824e-06 (6/1613668 alleles) in v4.1, which is below ENIGMA BRCA2 BS1 and BA1 thresholds but means PM2 is not met because the variant is not absent from controls.2 This nonsense variant occurs in BRCA2 exon 11, a PVS1-eligible exon in the ENIGMA BRCA2 specification, and exon 11 protein termination codon variants are assigned PM5_Strong (PTC), supporting a loss-of-function interpretation.3 SpliceAI predicts no significant splice impact for this variant, with a maximum delta score of 0.00.4

PVS1 + PM5 Pathogenic
3 cspec ↗pvs1_gene_contextpvs1_variant_assessmentvcep_s_p_e_c_i_f_i_c_a_t_i_o_n_s___t_a_b_l_e_4___v_1___2___2_0_2_4___1_1___1_8
Gene diagram · NM_000059.4 · variants mapped to exon structure
BRCA2 NM_000059.4
Fetching transcript structure from UCSC…
Applied criteria · 2 met · select any tile
Met
Not met
Not assessed
N/A
Strength very strong supporting
Pathogenic evidence
PVS
PS
PM
PP
Benign evidence
BA
BS
BP
Rationale
Select a criterion.
Sources
Evidence used
    Gaps remaining
      Rule
      Research & evidence
      Population frequency · supports pathogenic
      gnomAD v4.1 screenshot
      gnomAD v4.1
      gnomAD v2.1 screenshot
      gnomAD v2.1
      v4.1
      This variant is present in gnomAD v4.1 (AF= 3.71824e-06; MAF= 0.00037%, 6/1613668 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 1.33461e-05; MAF= 0.00133%, 1/74928 alleles, homozygotes = 0); grpmax FAF= 7.9e-07.
      v2.1
      This variant is present in gnomAD v2.1 (AF= 1.06375e-05; MAF= 0.00106%, 3/282020 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 4.02123e-05; MAF= 0.00402%, 1/24868 alleles, homozygotes = 0).
      Allele frequency by ancestry
      three datasets · side by side
      gnomAD v4.1
      0.00037% · 6 / 1,613,668
      0 hom · FAF 7.9e-05%
      African/African American
      1 / 74,928
      0.0013%
      South Asian
      1 / 91,010
      0.0011%
      European (non-Finnish)
      4 / 1,179,850
      0.00034%
      + 7 not observed (Remaining individuals, Admixed American, European (Finnish), Amish, East Asian, Middle Eastern, Ashkenazi Jewish)
      gnomAD v2.1
      0.0011% · 3 / 282,020
      0 hom
      African/African American
      1 / 24,868
      0.004%
      South Asian
      1 / 30,514
      0.0033%
      European (non-Finnish)
      1 / 128,752
      0.00078%
      + 5 not observed (Admixed American, Ashkenazi Jewish, East Asian, European (Finnish), Remaining individuals)
      ClinVar screenshot
      ClinVar
      This variant has been reported in ClinVar as Pathogenic (37 clinical laboratories) and as pathogenic (1 clinical laboratory) and as Pathogenic by Evidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA) (expert panel).
      SpliceAI screenshot
      In silico
      SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
      Functional / OncoKB screenshot
      Functional Likely Oncogenic
      OncoKB classifies this variant as Likely Oncogenic; biological effect: Likely Loss-of-function.
      OncoKB ↗
      COSMIC screenshot
      COSMIC
      Cancer hotspots screenshot
      Cancer hotspots
      Somatic evidence Not in COSMIC / hotspots
      COSMIC
      This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV66450359, n = 4 times).
      Hotspots
      This variant does not lie in a statistically significant hotspot.
      Literature · how each cited paper was used
      2papers cited
      Each card is an audit: what was searched, what was found, whether it names the variant, which criteria it fed, and why.
      PMID PMID:16760289
      Found
      Structured finding pending for this record — see source link.
      Applied to
      PVS1 supports · met
      PMID PMID:23096105
      Found
      Structured finding pending for this record — see source link.
      Applied to
      PVS1 supports · met
      Sources & reference links
      8Sources
      CSpec VCEP
      ClinVar
      gnomAD v2.1
      gnomAD v4.1
      SpliceAI
      OncoKB
      COSMIC
      Cancer hotspots