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Variant interpretation report

BRCA2 c.5946del, p.(Ser1982ArgfsTer22)

NM_000059.3:c.5946del NP_000050.2:p.(Ser1982ArgfsTer22) View identifiers
Classification
Pathogenic

Variant description:

No variant summary was recorded for this case.

Five-step scale from benign to pathogenic. This variant is pathogenic. Select a step to read what it means.

Pathogenic.A pathogenic classification under the recorded framework.

In plain language

Gene-level background from the recorded interpretation.

About BRCA2

No gene-level summary was recorded for this case.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is ClinGen BRCA2 VCEP v1.2.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 4 Benign evidence criteria: 0
Pathogenic criteria applied · 4
PVS1Very strong
PVS1 · very strong

This variant is a frameshift deletion predicted to cause p.(Ser1982ArgfsTer22) / p.(S1982Rfs*22). BRCA2 loss of function is an established disease mechanism, and the BRCA2 ENIGMA Table 4 exon 11 rule assigns PVS1 for truncating variants in this exon, supporting PVS1 at very strong strength.

PM5Strong
PM5 · strong

This variant creates a premature termination codon in BRCA2 exon 11. In the BRCA2 ENIGMA exon-level Table 4, exon 11 is designated PM5_Strong for PTC variants, indicating that different proven pathogenic truncating variants have been observed in this exon and supporting PM5 at strong strength.

PP4Strong
PP4 · strong

In the BRCA2 clinical-history likelihood-ratio dataset, this variant is listed as c.5946delT with LR 31.79 from 149 probands. This exceeds the BRCA2 ENIGMA PP4_Strong threshold of 18.7, supporting PP4 at strong strength.

PP5Supporting
PP5 · supporting

Expert panel ClinGen ENIGMA BRCA1 and BRCA2 Variant Curation Expert Panel, ClinGen classified as Pathogenic.

Benign criteria applied · 0

No benign criterion marked as applied in the recorded assessment.

Recorded classification: Pathogenic

ENIGMA BRCA1 and BRCA2 Specification v1.2 Table 3 criteria-combination framework (official ClinGen/CSPEC final-classification framework).

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

gnomAD v4.1
gnomAD v2.1
Population frequency
225 / 1,613,878 alleles

gnomAD v4.1: 225 / 1,613,878 alleles. Recorded AF 0.000139416. Recorded homozygote count 0.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000276509; MAF= 0.02765%, 78/282088 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00588576; MAF= 0.58858%, 61/10364 alleles, homozygotes = 0); grpmax FAF= 5.39e-05.

No listed criterion applied
SpliceAI score
0.000 maximum delta

Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.

No listed criterion applied SpliceAI ↗
Functional evidence
Statement recorded

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.

No listed criterion applied OncoKB ↗
COSMIC
Cancer Hotspots
Somatic evidence
10 recorded samples

This variant has previously been reported in somatic cancers (COSMIC; COSV66447676, n = 10 times).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under ClinGen BRCA2 VCEP v1.2.0, with the data and sources behind each one.

28 criteria with recorded statuses: 4 met · 4 not met · 7 not assessed · 13 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

The BRCA2 c.5946del (p.(Ser1982ArgfsTer22)) variant has been observed in somatic cancers in COSMIC (COSV66447676, n=10) and has been reported in ClinVar as pathogenic with expert-panel review by the ClinGen ENIGMA BRCA1/2 Variant Curation Expert Panel.

This variant is present in population databases, including gnomAD v2.1 at AF 0.000276509 (78/282088 alleles) and gnomAD v4.1 at AF 0.000139416 (225/1613878 alleles), with highest frequency in the Ashkenazi Jewish population; therefore it is not absent from controls and does not meet PM2.

Clinical-history evidence supports pathogenicity: in the BRCA2 likelihood-ratio dataset, c.5946delT has an LR of 31.79 from 149 probands, exceeding the ENIGMA PP4_Strong threshold of 18.7.

Computational and predicted consequence data show a frameshift leading to p.(Ser1982ArgfsTer22), while SpliceAI predicts no additional splice alteration (max delta 0.00); under the BRCA2 ENIGMA exon-specific truncating-variant framework, exon 11 supports PVS1 and PM5_Strong for this protein-truncating variant.

Met · 4

PVS1 Very strongThis variant is a frameshift deletion predicted to cause p.(Ser1982ArgfsTer22) / p.(S1982Rfs*22). BRCA2 loss of function is an established disease mechanism, and the BRCA2 ENIGMA Table 4 exon 11 rule assigns PVS1 for truncating variants in this exon, supporting PVS1 at very strong strength. Details ▾Hide ▴
Rule
ENIGMA BRCA2 v1.2 Table 4 exon 11: PVS1 for PTC/truncating variants
Evidence considered
  • Predicted protein consequence p.(Ser1982ArgfsTer22)
  • BRCA2 exon 11 truncating-variant PVS1 rule
Sources
cspec ↗pvs1_gene_contextpvs1_variant_assessmentvcep_specifications_table4_v1_2_2024_11_18
PM5 StrongThis variant creates a premature termination codon in BRCA2 exon 11. In the BRCA2 ENIGMA exon-level Table 4, exon 11 is designated PM5_Strong for PTC variants, indicating that different proven pathogenic truncating variants have been observed in this exon and supporting PM5 at strong strength. Details ▾Hide ▴
Rule
ENIGMA BRCA2 v1.2 Table 4 exon 11: PM5_Strong (PTC)
Evidence considered
  • PM5 repurposed PTC logic for BRCA2
  • Exon 11 Table 4 assignment PM5_Strong (PTC)
Sources
cspec ↗pm5_candidatesvcep_specifications_table4_v1_2_2024_11_18
PP4 StrongIn the BRCA2 clinical-history likelihood-ratio dataset, this variant is listed as c.5946delT with LR 31.79 from 149 probands. This exceeds the BRCA2 ENIGMA PP4_Strong threshold of 18.7, supporting PP4 at strong strength. Details ▾Hide ▴
Rule
PP4_Strong if LR >= 18.7
Evidence considered
  • Clinical-history LR 31.79339476332673
  • 149 probands
Sources
cspec ↗vcep_pmid_31853058_brca2_clinical_history_lrPMID:31853058 ↗
PP5 SupportingExpert panel ClinGen ENIGMA BRCA1 and BRCA2 Variant Curation Expert Panel, ClinGen classified as Pathogenic. Details ▾Hide ▴
Rule
PP5 marked not applicable in BRCA2 ENIGMA specification
Evidence considered
  • ClinVar expert panel classification
Sources

Not met · 4 · evaluated, threshold not reached

PM2 This variant is not absent from population databases. It is present in gnomAD v2.1 at AF 0.000276509 (78/282088 alleles) and in gnomAD v4.1 at AF 0.000139416 (225/1613878 alleles), so the BRCA2 ENIGMA PM2 requirement for absence from controls is not met. Details ▾Hide ▴
Rule
PM2_Supporting requires absence from controls
Evidence considered
  • gnomAD v2.1 AF 0.000276509
  • gnomAD v4.1 AF 0.000139416
Sources
BA1 The BRCA2 ENIGMA BA1 threshold requires non-founder population filter allele frequency greater than 0.001. The observed grpmax founder filter allele frequency is 5.39e-05 in gnomAD v2.1 and 2.154e-05 in gnomAD v4.1, both below 0.001, so BA1 is not met. Details ▾Hide ▴
Rule
BA1 requires non-founder FAF > 0.001
Evidence considered
  • gnomAD v2.1 grpmax FAF 5.39e-05
  • gnomAD v4.1 grpmax FAF 2.154e-05
Sources
BS1 The BRCA2 ENIGMA BS1 rule is based on non-founder population filter allele frequency. Although this founder variant is enriched in the Ashkenazi Jewish population, the reviewed data do not show a qualifying non-founder FAF above 0.00002 or 0.0001, so BS1 is not met. Details ▾Hide ▴
Rule
BS1 requires qualifying non-founder FAF threshold
Evidence considered
  • Founder-enriched Ashkenazi Jewish frequency
  • No qualifying non-founder FAF demonstrated
Sources
BP5 The variant-specific BRCA2 clinical-history likelihood ratio is 31.79, which is in the pathogenic direction and well above the BP5 thresholds of 0.48, 0.23, 0.05, and 0.00285. BP5 is therefore not met. Details ▾Hide ▴
Rule
BP5 requires LR <= 0.48, with stronger benign weights at lower LR
Evidence considered
  • Clinical-history LR 31.79339476332673
Sources
cspec ↗vcep_pmid_31853058_brca2_clinical_history_lrPMID:31853058 ↗

Not assessed · 7 · no assessment recorded

PS3 No calibrated variant-specific functional assay result for c.5946del was identified from the BRCA2 ENIGMA functional evidence sources reviewed. General BRCA2 loss-of-function literature supports the disease mechanism, but it does not provide a variant-specific PS3 assignment here. Details ▾Hide ▴
Rule
PS3 requires well-established variant-specific functional evidence
Evidence considered
  • No exact c.5946del/Table 9 match identified
  • OncoKB-linked literature provides general BRCA2 loss-of-function context
Still missing
  • No exact-variant calibrated PS3 assignment was identified in the reviewed BRCA2 functional resources.
Sources
vcep_specifications_table9_v1_2_2024_11_18oncokb ↗PMID:10570174 ↗PMID:11239455 ↗
PS4 This founder variant has been widely reported in affected individuals, but no reviewed case-control analysis with explicit odds ratio meeting the BRCA2 ENIGMA PS4 requirement was identified here. Available observation data therefore do not support a direct PS4 assignment in this pass. Details ▾Hide ▴
Rule
PS4 requires significantly increased prevalence in affected individuals versus controls
Evidence considered
  • ClinVar expert-panel pathogenic classification
  • Published reports of this founder variant
Still missing
  • A validated case-control comparison with ancestry-matched controls and qualifying odds ratio was not extracted.
Sources
PM3 No evidence was identified showing this variant in trans with another BRCA2 variant in an individual with a phenotype consistent with BRCA2-related Fanconi anemia. PM3 was therefore not assessed. Details ▾Hide ▴
Rule
PM3 in BRCA2 is reserved for recessive Fanconi-anemia context
Still missing
  • No BRCA2-related Fanconi anemia proband and in-trans data were identified.
Sources
PP1 No quantitative co-segregation likelihood ratio meeting BRCA2 ENIGMA PP1 thresholds was identified for this variant. Segregation evidence was therefore not assessed. Details ▾Hide ▴
Rule
PP1 requires quantitative co-segregation evidence
Evidence considered
  • No usable quantitative segregation metric identified
Still missing
  • No variant-specific segregation LR or pedigree-based PP1 calculation was identified.
Sources
BS2 No point-based BRCA2 ENIGMA BS2 evidence was identified showing this variant in individuals without features of BRCA2-related Fanconi anemia under the framework rules. BS2 was therefore not assessed. Details ▾Hide ▴
Rule
BS2 in BRCA2 requires point-based evidence in the recessive disease context
Still missing
  • No BS2 point assignment data were identified.
Sources
BS3 No calibrated benign functional assay result for c.5946del was identified in the reviewed BRCA2 functional evidence sources. BS3 was therefore not assessed. Details ▾Hide ▴
Rule
BS3 requires well-established functional evidence showing no damaging effect
Evidence considered
  • No exact c.5946del/Table 9 benign functional match identified
Still missing
  • No exact-variant benign functional evidence was identified.
Sources
vcep_specifications_table9_v1_2_2024_11_18
BS4 No quantitative non-segregation likelihood ratio meeting BRCA2 ENIGMA BS4 thresholds was identified for this variant. BS4 was therefore not assessed. Details ▾Hide ▴
Rule
BS4 requires quantitative lack-of-segregation evidence
Evidence considered
  • No usable quantitative non-segregation metric identified
Still missing
  • No variant-specific lack-of-segregation LR was identified.
Sources
Not applicable · 13· recorded as not applicable Show reasons ▾Hide reasons ▴
PS1 N/AThis criterion is defined for same amino-acid substitutions or equivalent splicing effects relative to a previously classified variant. This variant is a frameshift deletion, so PS1 is not applicable. Details ▾Hide ▴
Rule
ENIGMA BRCA2 PS1 applies to missense or equivalent splicing comparators
Evidence considered
  • Variant type is frameshift
Sources
PS2 VCEPDe novo evidence is not part of the applicable BRCA2 ENIGMA framework for this variant assessment, and no validated de novo data were identified. Details ▾Hide ▴
VCEP rule
PS2 marked not applicable in BRCA2 ENIGMA specification
Sources
PM1 VCEPPM1 is not applicable in the BRCA2 ENIGMA framework for this truncating variant assessment. Details ▾Hide ▴
VCEP rule
PM1 marked not applicable in BRCA2 ENIGMA specification
Sources
PM4 VCEPPM4 is not applicable in the BRCA2 ENIGMA framework for this truncating variant assessment. Details ▾Hide ▴
VCEP rule
PM4 marked not applicable in BRCA2 ENIGMA specification
Sources
PM6 VCEPDe novo evidence is not part of the applicable BRCA2 ENIGMA framework for this variant assessment, and no validated de novo data were used here. Details ▾Hide ▴
VCEP rule
PM6 marked not applicable in BRCA2 ENIGMA specification
Sources
PP2 VCEPPP2 is not applicable in the BRCA2 ENIGMA framework. Details ▾Hide ▴
VCEP rule
PP2 marked not applicable in BRCA2 ENIGMA specification
Sources
PP3 N/AThe BRCA2 ENIGMA PP3 rule is for missense, in-frame, or non-canonical splicing contexts. This variant is a frameshift deletion already evaluated under the truncating-variant framework, so PP3 is not applicable. Details ▾Hide ▴
Rule
ENIGMA BRCA2 PP3 does not apply to this frameshift context
Evidence considered
  • Variant type is frameshift
  • SpliceAI max delta 0.00
Sources
BP1 N/AThe BRCA2 ENIGMA BP1 rule applies to silent, missense, or in-frame variants outside clinically important domains with no predicted splice effect. This variant is a frameshift deletion, so BP1 is not applicable. Details ▾Hide ▴
Rule
ENIGMA BRCA2 BP1 applies to non-truncating variants only
Evidence considered
  • Variant type is frameshift
Sources
BP2 VCEPBP2 is not applicable in the BRCA2 ENIGMA framework. Details ▾Hide ▴
VCEP rule
BP2 marked not applicable in BRCA2 ENIGMA specification
Sources
BP3 VCEPBP3 is not applicable in the BRCA2 ENIGMA framework. Details ▾Hide ▴
VCEP rule
BP3 marked not applicable in BRCA2 ENIGMA specification
Sources
BP4 N/AThe BRCA2 ENIGMA BP4 rule applies to selected missense, in-frame, silent, or intronic variants with low predicted impact. This variant is a frameshift deletion, so BP4 is not applicable, even though SpliceAI does not predict an additional splice effect (max delta 0.00). Details ▾Hide ▴
Rule
ENIGMA BRCA2 BP4 applies to non-truncating computational contexts
Evidence considered
  • Variant type is frameshift
  • SpliceAI max delta 0.00
Sources
BP6 VCEPBP6 is not applicable in the BRCA2 ENIGMA framework. Details ▾Hide ▴
VCEP rule
BP6 marked not applicable in BRCA2 ENIGMA specification
Sources
BP7 N/AThe BRCA2 ENIGMA BP7 rule applies to silent or intronic variants and selected RNA-only contexts. This variant is a frameshift deletion, so BP7 is not applicable. Details ▾Hide ▴
Rule
ENIGMA BRCA2 BP7 applies to silent/intronic or RNA-only contexts
Evidence considered
  • Variant type is frameshift
  • SpliceAI max delta 0.00
Sources

Identifiers

Gene
BRCA2
Transcript
NM_000059.3
Coding (HGVS c.)
NM_000059.3:c.5946del
Protein (HGVS p.)
NP_000050.2:p.(Ser1982ArgfsTer22)
GRCh38
chr13:32340300 GT>G
GRCh37
chr13:32914437 GT>G
ClinVar
9325
COSMIC
COSV66447676

Gene diagram

Every interpreted variant in BRCA2, mapped onto the exon structure of NM_000059.3. Select a row to find it on the plot.

BRCA2NM_000059.3
Fetching transcript structure from UCSC…
gnomAD v4.1 225 / 1,613,878 alleles AF 0.000139 · 0 homozygotes · FAF 2.15e-05
gnomAD v2.1 78 / 282,088 alleles AF 0.000277 · 0 homozygotes · FAF 5.39e-05

By genetic ancestry

gnomAD v4.1

AF 0.00014 · 225 / 1,613,878 alleles · 0 hom · FAF 2.2e-05
Ashkenazi Jewish158 / 29,596 0.0053
Remaining individuals31 / 62,478 0.0005
European (non-Finnish)35 / 1,179,918 3e-05
African/African American1 / 74,912 1.3e-05
0 alternate alleles recorded in 6 other groups: Admixed American, European (Finnish), Amish, East Asian, Middle Eastern, South Asian.

gnomAD v2.1

AF 0.00028 · 78 / 282,088 alleles · 0 hom · FAF 5.4e-05
Ashkenazi Jewish61 / 10,364 0.0059
Remaining individuals3 / 7,180 0.00042
European (non-Finnish)14 / 128,890 0.00011
0 alternate alleles recorded in 5 other groups: African/African American, Admixed American, East Asian, European (Finnish), South Asian.

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.000139416; MAF= 0.01394%, 225/1613878 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00533856; MAF= 0.53386%, 158/29596 alleles, homozygotes = 0); grpmax FAF= 2.154e-05.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000276509; MAF= 0.02765%, 78/282088 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00588576; MAF= 0.58858%, 61/10364 alleles, homozygotes = 0); grpmax FAF= 5.39e-05.

SpliceAI and Pangolin

SpliceAI acceptor lossat -3 bp
0.000
SpliceAI acceptor gainat -8 bp
0.000
SpliceAI donor lossat +202 bp
0.000
SpliceAI donor gainat -445 bp
0.000
Pangolin splice lossmagnitude shown
-0.050
Pangolin splice gain
0.010

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

PP3 N/AThe BRCA2 ENIGMA PP3 rule is for missense, in-frame, or non-canonical splicing contexts. This variant is a frameshift deletion already evaluated under the truncating-variant framework, so PP3 is not applicable. Details ▾Hide ▴
Rule
ENIGMA BRCA2 PP3 does not apply to this frameshift context
Evidence considered
  • Variant type is frameshift
  • SpliceAI max delta 0.00
Sources
BP4 N/AThe BRCA2 ENIGMA BP4 rule applies to selected missense, in-frame, silent, or intronic variants with low predicted impact. This variant is a frameshift deletion, so BP4 is not applicable, even though SpliceAI does not predict an additional splice effect (max delta 0.00). Details ▾Hide ▴
Rule
ENIGMA BRCA2 BP4 applies to non-truncating computational contexts
Evidence considered
  • Variant type is frameshift
  • SpliceAI max delta 0.00
Sources
BP7 N/AThe BRCA2 ENIGMA BP7 rule applies to silent or intronic variants and selected RNA-only contexts. This variant is a frameshift deletion, so BP7 is not applicable. Details ▾Hide ▴
Rule
ENIGMA BRCA2 BP7 applies to silent/intronic or RNA-only contexts
Evidence considered
  • Variant type is frameshift
  • SpliceAI max delta 0.00
Sources

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.

Recorded publications

  • Truncated BRCA2 is cytoplasmic: implications for cancer-linked mutations.
    No paper-specific finding is recorded.
    PMID 10570174 ↗
  • BRCA2 is required for homology-directed repair of chromosomal breaks.
    No paper-specific finding is recorded.
    PMID 11239455 ↗
  • A new mutation of BRCA2 gene in an Italian healthy woman with familial breast cancer history.
    No paper-specific finding is recorded.
    PMID 20878484 ↗
  • BRCA1 and BRCA2: different roles in a common pathway of genome protection.
    No paper-specific finding is recorded.
    PMID 22193408 ↗
  • A comprehensive focus on global spectrum of BRCA1 and BRCA2 mutations in breast cancer.
    No paper-specific finding is recorded.
    PMID 24312913 ↗
  • De novo BRCA1 mutation in a patient with breast cancer and an inherited BRCA2 mutation.
    Tesoriero A et al. · 1999
    No paper-specific finding is recorded.
    PMID 10417300 ↗
  • Shared genetic susceptibility to breast cancer, brain tumors, and Fanconi anemia.
    Offit K et al. · 2003
    No paper-specific finding is recorded.
    PMID 14559878 ↗
  • The frequency of founder mutations in the BRCA1, BRCA2, and APC genes in Australian Ashkenazi Jews: implications for the generality of U.S. population data.
    No paper-specific finding is recorded.
    PMID 11466700 ↗
  • Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria.
    No paper-specific finding is recorded.
    PMID 28492532 ↗

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.000139416; MAF= 0.01394%, 225/1613878 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00533856; MAF= 0.53386%, 158/29596 alleles, homozygotes = 0); grpmax FAF= 2.154e-05.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000276509; MAF= 0.02765%, 78/282088 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.00588576; MAF= 0.58858%, 61/10364 alleles, homozygotes = 0); grpmax FAF= 5.39e-05.

ClinVar

This variant has been reported in ClinVar as Pathogenic (67 clinical laboratories) and as pathogenic (1 clinical laboratory) and as Pathogenic by ClinGen ENIGMA BRCA1 and BRCA2 Variant Curation Expert Panel, ClinGen (expert panel). (ClinVarID = 9325)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

Functional

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.

Somatic

This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV66447676, n = 10 times).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.