PVS1
This variant is a missense substitution, not a nonsense, frameshift, canonical splice-site, initiation-codon, or exon-level loss-of-function variant, so PVS1 is not met for this BRCA2 change.
PS1
No same-amino-acid pathogenic comparison variant was identified in the retrieved evidence, so PS1 was not independently assessed.
PS4
This variant has been reported in ClinVar and once in COSMIC, and ENIGMA supplementary material lists a posterior pathogenicity of 0.9977 with IARC class 5.
PM2
This variant is absent from gnomAD v2.1 but present in gnomAD v4.1 at 4/1,614,168 alleles (AF 2.47806e-06; 0 homozygotes), so it is not absent from control datasets and PM2 is not met.
PM3
No evidence was identified for biallelic BRCA2 disease, Fanconi anemia phenotype, or a qualifying in-trans co-occurring BRCA2 pathogenic variant, so PM3 was not assessed.
PM5
No qualifying alternate pathogenic missense variant at the same codon was identified in the retrieved evidence, and the exon-level PM5_PTC framework is for protein-truncating variants rather than this missense substitution, so PM5 was not assessed.
PP1
No quantitative co-segregation likelihood ratio was identified, so PP1 was not assessed.
PP3
This missense variant lies within the BRCA2 DNA-binding domain, but SpliceAI predicts no significant splice effect (max delta score 0.07, below the PP3 splice threshold of 0.2).
PP4
The BRCA2 clinical-history likelihood ratio for this variant is 0.68 from 3 probands, which is below the PP4 Supporting threshold of 2.08, so PP4 is not met.