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 pathogenic. Select a step to read what it means.
Pathogenic.A pathogenic classification under the recorded framework.
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. 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.
NM_000059.4:c.4284dup is a frameshift duplication in BRCA2 exon 11 (c.1910-6841) predicted to cause a premature termination codon at p.(Gln1429SerfsTer9). Per ENIGMA Specifications Table 4, BRCA2 exon 11 PTC variants are assigned PVS1 (very strong). BRCA2 loss of function is an established disease mechanism for hereditary breast and ovarian cancer. NMD is expected given the truncation occurs well upstream of the final exon.
Per ENIGMA Specifications Table 4, BRCA2 exon 11 PTC variants are assigned PM5_Strong (PTC). Exon 11 is not in the PM5_N/A exclusion list (E12, E27, E6). This criterion provides additional weight for PTC variants already annotated as PVS1, reflecting the established pathogenicity of other PTC variants in this exon.
Per ENIGMA PP4, the clinical history likelihood ratio from Li et al. 2020 (PMID:31853058) for BRCA2 c.4284dup is LR=2.23 based on 21 probands, exceeding the PP4_Supporting threshold of LR≥2.08. This indicates that the personal and family cancer history of carriers is more consistent with a pathogenic variant than with a benign finding.
Expert panel Evidence-based Network for the Interpretation of Germline Mutant Alleles (ENIGMA) classified as Pathogenic.
No benign criterion marked as applied in the recorded assessment.
ENIGMA BRCA1/BRCA2 v1.2 Table 3 criteria combination rules applied to adjudicated criteria from criteria_assessment.json. The variant has PVS1 (very strong), PM5_Strong (strong), PP4_Supporting, and PP5_Supporting. Under Table 3, 1×Very Strong + ≥1×Strong → Pathogenic, and also 1×Very Strong + ≥2×Supporting → Pathogenic. Both independently meet the Pathogenic threshold. No benign criteria are met, so no conflicting-evidence point calculation is required.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 17 / 1,598,752 alleles. Recorded AF 1.06333e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 4.09122e-06; MAF= 0.00041%, 1/244426 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.96411e-06; MAF= 0.00090%, 1/111556 alleles, homozygotes = 0).
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
33 Pathogenic · 1 pathogenic. ClinVar API review status: reviewed by expert panel.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV66465921, n = 2 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen BRCA2 VCEP v1.2, with the data and sources behind each one.
28 criteria with recorded statuses: 4 met · 6 not met · 6 not assessed · 12 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000059.4:c.4284dup is a frameshift duplication in BRCA2 exon 11, predicted to generate a premature termination codon at p.(Gln1429SerfsTer9) with expected NMD.
PVS1 (very strong) is applied per ENIGMA Specifications Table 4, which assigns PVS1 to BRCA2 exon 11 PTC variants. BRCA2 loss of function is an established mechanism for hereditary breast and ovarian cancer.
PM5_Strong (PTC) is applied per ENIGMA Table 4, reflecting that exon 11 harbors multiple proven pathogenic PTC variants supporting additional weight beyond PVS1.
PP4_Supporting is applied based on clinical history likelihood ratio of 2.23 from 21 probands in the Li et al. 2020 cohort, exceeding the ENIGMA PP4 supporting threshold of LR ≥ 2.08.
PP5_Supporting is applied per standing adjudication rule: ClinVar classifies this variant as Pathogenic with ENIGMA expert panel review (3-star), warranting PP5 at supporting strength.
Under ENIGMA Table 3 combining rules, 1×PVS1 (very strong) + 1×PM5_Strong (strong) satisfies the pathogenic classification threshold (1×Very Strong + ≥1×Strong). Additionally, 1×Very Strong + ≥2×Supporting (PP4 + PP5) independently meets the pathogenic threshold.
Final classification: PATHOGENIC, consistent with the ENIGMA expert panel classification in ClinVar (Variation ID 37892).
No criteria match.
No further detail was recorded.
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 Asian2 / 88,534 | 2.3e-05 |
| African/African American1 / 74,480 | 1.3e-05 |
| European (non-Finnish)14 / 1,170,438 | 1.2e-05 |
| European (non-Finnish)1 / 111,556 | 9e-06 |
This variant is present in gnomAD v4.1 (AF= 1.06333e-05; MAF= 0.00106%, 17/1598752 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 2.25902e-05; MAF= 0.00226%, 2/88534 alleles, homozygotes = 0); grpmax FAF= 6.94e-06.
This variant is present in gnomAD v2.1 (AF= 4.09122e-06; MAF= 0.00041%, 1/244426 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.96411e-06; MAF= 0.00090%, 1/111556 alleles, homozygotes = 0).
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
8 paper records listed. 1 cited in the classification. None of the listed paper records explicitly indicates that the variant is named.
BRCA2 c.4284dupT LOG(LR)=0.8019, N_Probands=21, LR=2.23
Location Clinical history LR spreadsheet (MOESM3): BRCA2 c.4284dupT, LR=2.23, N=21
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= 1.06333e-05; MAF= 0.00106%, 17/1598752 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 2.25902e-05; MAF= 0.00226%, 2/88534 alleles, homozygotes = 0); grpmax FAF= 6.94e-06.
This variant is present in gnomAD v2.1 (AF= 4.09122e-06; MAF= 0.00041%, 1/244426 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.96411e-06; MAF= 0.00090%, 1/111556 alleles, homozygotes = 0).
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Pathogenic (33 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). (ClinVarID = 37892)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV66465921, n = 2 times).
This variant does not lie in a statistically significant hotspot.