About BRCA2
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
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.
The applied criteria and their strengths are shown as assessed under the stated framework.
SpliceAI predicts a splicing impact with a maximum delta score of 0.91, which exceeds the ENIGMA PP3 threshold of ≥0.2 for missense variants irrespective of location in clinically important functional domains. Per ENIGMA Figure 1A, PP3 Supporting is applied for missense variants with predicted splicing alteration (SpliceAI ≥0.2). The variant is annotated as missense_variant/splice_region_variant. The amino acid substitution (p.Ser142Asn) is located outside the BRCA2 clinically important functional domains (PALB2-binding aa 10-40; DNA-binding aa 2481-3186), so protein-level prediction (BayesDel no-AF = -0.314, REVEL = 0.153) is not used for PP3; the splicing prediction alone supports PP3.
The gnomAD v4.1 grpmax filter allele frequency (FAF) is 0.00024125 (0.024%), which exceeds the ENIGMA BS1 Strong threshold of FAF >0.01% (FAF >0.0001). However, the ENIGMA v1.2 rule specifies gnomAD v2.1 and v3.1; the variant is absent from gnomAD v2.1 and confirmed present only in the newer v4.1 release. Given this version discrepancy, BS1 is applied at Supporting strength rather than Strong. The variant is observed in 44 of 1,544,990 alleles (AF=0.00285%), including 1 homozygote, with highest frequency in the South Asian population (30/89,438 alleles, AF=0.034%). These observations support that the variant is unlikely to be a highly penetrant pathogenic allele.
ENIGMA BRCA1/BRCA2 v1.2.0 Table 3 conflicting-evidence point system: PP3_Supporting (+1 pathogenic point) + BS1_Supporting (-1 benign point) = 0 total points, which falls in the VUS range (-1 to 5). No other criteria are met. The single pathogenic supporting criterion and single benign supporting criterion are insufficient to reach Likely Pathogenic or Likely Benign thresholds under the ENIGMA all_of combination rules, and the point system resolves the conflict to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 44 / 1,544,990 alleles. Recorded AF 2.84791e-05. Recorded homozygote count 1.
Absent from gnomAD v2.1.
Recorded SpliceAI maximum delta score: 0.910. Refer to the recorded PP3/BP4 rationale for interpretation.
4 Uncertain significance · 3 Likely pathogenic · 2 Pathogenic.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BRCA2, a tumor suppressor involved in the DNA damage response, is mutated in various cancer types.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen BRCA2 VCEP v1.2.0, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 8 not met · 6 not assessed · 10 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000059.4:c.425G>A (p.Ser142Asn) is a missense variant in BRCA2 exon 4, located outside the established clinically important functional domains (PALB2-binding domain aa 10-40; DNA-binding domain aa 2481-3186).
This variant is absent from gnomAD v2.1 but present in gnomAD v4.1 in 44 of 1,544,990 alleles (AF=0.00285%), including 1 homozygote, with a grpmax filter allele frequency of 0.024% (0.00024125). The highest subpopulation frequency is in the South Asian population (30/89,438 alleles, AF=0.034%).
SpliceAI predicts a splicing alteration with a maximum delta score of 0.91, exceeding the ENIGMA PP3 threshold of ≥0.2 for missense variants, supporting a potential splice effect (PP3_Supporting). However, the specific SpliceAI sub-scores (donor gain/loss, acceptor gain/loss) are not available, and no RNA splicing assay has been performed to confirm this prediction.
The population frequency evidence meets ENIGMA BS1 at Supporting strength: the grpmax FAF of 0.00024125 exceeds the 0.01% threshold, and the observation of a homozygous individual in gnomAD v4.1 argues against high-penetrance pathogenicity. The variant is absent from gnomAD v2.1 per the ENIGMA-specified dataset, but the larger v4.1 release confirms population presence.
Multifactorial likelihood analysis from Parsons et al. 2019 (PMID:31131967) yields a combined LR of 1.383 (neutral), with segregation LR=1.554 and pathology LR=0.89. Neither PP1 (co-segregation) nor BS4 (lack of segregation) thresholds are met. The clinical-history LR from Li et al. 2020 (PMID:31853058) is 1.027 (1 proband, neutral zone); PP4 and BP5 are not met.
The variant is not listed in ENIGMA Table 9 for calibrated functional assay results (PS3/BS3 not assessed). No variant-specific functional evidence was identified in the literature or in OncoKB.
In ClinVar, this variant is classified as Uncertain Significance by 4 clinical laboratories, as Likely Pathogenic by 3, and as Pathogenic by 2 (ClinVar Variation ID: 197099), with review status of criteria provided, single submitter and no expert panel classification.
Under the ENIGMA BRCA1/2 v1.2.0 combining rules (Table 3): PP3_Supporting (1 pathogenic supporting) and BS1_Supporting (1 benign supporting) are the only met criteria. Neither Likely Pathogenic nor Likely Benign thresholds are reached. The variant is classified as a Variant of Uncertain Significance (VUS).
No criteria match.
Every interpreted variant in BRCA2, mapped onto the exon structure of NM_000059.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| South Asian30 / 89,438 | 0.000341 hom |
| European (non-Finnish)14 / 1,118,544 | 1.3e-05 |
This variant is present in gnomAD v4.1 (AF= 2.84791e-05; MAF= 0.00285%, 44/1544990 alleles, homozygotes = 1) and has highest observed frequency in the South Asian population (AF= 0.000335428; MAF= 0.03354%, 30/89438 alleles, homozygotes = 1); grpmax FAF= 0.00024125.
Absent from gnomAD v2.1.
SpliceAI predicts possible splice impact for this variant (max delta score = 0.91). REVEL score = 0.153. BayesDel score = -0.314007.
8 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.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 2.84791e-05; MAF= 0.00285%, 44/1544990 alleles, homozygotes = 1) and has highest observed frequency in the South Asian population (AF= 0.000335428; MAF= 0.03354%, 30/89438 alleles, homozygotes = 1); grpmax FAF= 0.00024125.
Absent from gnomAD v2.1.
This variant has been reported in ClinVar as Uncertain significance (4 clinical laboratories) and as Likely pathogenic (3 clinical laboratories) and as Pathogenic (2 clinical laboratories). (ClinVarID = 197099)
SpliceAI predicts possible splice impact for this variant (max delta score = 0.91). REVEL score = 0.153. BayesDel score = -0.314007.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BRCA2, a tumor suppressor involved in the DNA damage response, is mutated in various cancer types.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.