文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

Functional evaluation and clinical classification of BRCA2 variants.

作者信息

Huang Huaizhi, Hu Chunling, Na Jie, Hart Steven N, Gnanaolivu Rohan David, Abozaid Mohamed, Rao Tara, Tecleab Yohannes A, Pesaran Tina, Lyra Paulo Cilas Morais, Karam Rachid, Yadav Siddhartha, Nathanson Katherine L, Domchek Susan M, de la Hoya Miguel, Robson Mark, Mehine Miika, Bandlamudi Chaitanya, Mandelker Diana, Monteiro Alvaro N A, Iversen Edwin S, Boddicker Nicholas, Chen Wenan, Richardson Marcy E, Couch Fergus J

机构信息

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.

Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.

出版信息

Nature. 2025 Feb;638(8050):528-537. doi: 10.1038/s41586-024-08388-8. Epub 2025 Jan 8.


DOI:10.1038/s41586-024-08388-8
PMID:39779857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11821525/
Abstract

Germline BRCA2 loss-of function variants, which can be identified through clinical genetic testing, predispose to several cancers. However, variants of uncertain significance limit the clinical utility of test results. Thus, there is a need for functional characterization and clinical classification of all BRCA2 variants to facilitate the clinical management of individuals with these variants. Here we analysed all possible single-nucleotide variants from exons 15 to 26 that encode the BRCA2 DNA-binding domain hotspot for pathogenic missense variants. To enable this, we used saturation genome editing CRISPR-Cas9-based knock-in endogenous targeting of human haploid HAP1 cells. The assay was calibrated relative to nonsense and silent variants and was validated using pathogenic and benign standards from ClinVar and results from a homology-directed repair functional assay. Variants (6,959 out of 6,960 evaluated) were assigned to seven categories of pathogenicity based on a VarCall Bayesian model. Single-nucleotide variants that encode loss-of-function missense variants were associated with increased risks of breast cancer and ovarian cancer. The functional assay results were integrated into models from ClinGen, the American College of Medical Genetics and Genomics, and the Association for Molecular Pathology for clinical classification of BRCA2 variants. Using this approach, 91% were classified as pathogenic or likely pathogenic or as benign or likely benign. These classified variants can be used to improve clinical management of individuals with a BRCA2 variant.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/645738edb3d2/41586_2024_8388_Fig7_ESM.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/928c842bf52b/41586_2024_8388_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/89d8f8dd6e77/41586_2024_8388_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/44bd7ccc9b13/41586_2024_8388_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/f6ecc773261d/41586_2024_8388_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/02727719ad70/41586_2024_8388_Fig5_ESM.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/804dedb4d4cc/41586_2024_8388_Fig6_ESM.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/645738edb3d2/41586_2024_8388_Fig7_ESM.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/928c842bf52b/41586_2024_8388_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/89d8f8dd6e77/41586_2024_8388_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/44bd7ccc9b13/41586_2024_8388_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/f6ecc773261d/41586_2024_8388_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/02727719ad70/41586_2024_8388_Fig5_ESM.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/804dedb4d4cc/41586_2024_8388_Fig6_ESM.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d0/11821525/645738edb3d2/41586_2024_8388_Fig7_ESM.jpg

相似文献

[1]
Functional evaluation and clinical classification of BRCA2 variants.

Nature. 2025-2

[2]
Saturation genome editing-based functional evaluation and clinical classification of BRCA2 single nucleotide variants.

bioRxiv. 2023-12-15

[3]
Analysis of the conditions for applying BRCA genetic testing to women with breast cancer using the Japanese HBOC consortium and the Japanese organization of hereditary breast and ovarian cancer (JOHBOC) registry project database.

Breast Cancer. 2025-5-5

[4]
Cost-effectiveness of using prognostic information to select women with breast cancer for adjuvant systemic therapy.

Health Technol Assess. 2006-9

[5]
Evaluating the breast cancer predisposition role of rare variants in genes associated with low-penetrance breast cancer risk SNPs.

Breast Cancer Res. 2018-1-9

[6]
A rapid and systematic review of the clinical effectiveness and cost-effectiveness of topotecan for ovarian cancer.

Health Technol Assess. 2001

[7]
Reclassifying BRCA1 c.4358-2A > G and BRCA2 c.475 + 5G > C variants from "Uncertain Significance" to "Pathogenic" based on minigene assays and clinical evidence.

J Cancer Res Clin Oncol. 2024-2-1

[8]
Risk-reducing bilateral salpingo-oophorectomy in women with BRCA1 or BRCA2 mutations.

Cochrane Database Syst Rev. 2018-8-24

[9]
Intraoperative frozen section analysis for the diagnosis of early stage ovarian cancer in suspicious pelvic masses.

Cochrane Database Syst Rev. 2016-3-1

[10]
Home treatment for mental health problems: a systematic review.

Health Technol Assess. 2001

引用本文的文献

[1]
Mutational landscape of triple-negative breast cancer in African American women.

Nat Genet. 2025-8-26

[2]
Global research trends in PARP inhibitors for ovarian cancer: a bibliometric analysis.

Discov Oncol. 2025-8-25

[3]
Tracing the evolution of sequencing into the era of genomic medicine.

Nat Rev Genet. 2025-8-15

[4]
AlphaMissense for Identifying Pathogenic Missense Mutations in DNA Damage Repair Genes in Cancer.

JCO Precis Oncol. 2025-6

[5]
Analysis of , and related Fanconi anemia identifies scope to expand disease phenotypic features and predict breast cancer risk in heterozygotes.

medRxiv. 2025-5-26

[6]
Analysis of more than 400,000 women provides case-control evidence for BRCA1 and BRCA2 variant classification.

Nat Commun. 2025-5-25

[7]
Combining multiplexed functional data to improve variant classification.

ArXiv. 2025-3-24

[8]
Active telomere elongation by a subclass of cancer-associated POT1 mutations.

Genes Dev. 2025-4-1

本文引用的文献

[1]
Saturation genome editing-based clinical classification of BRCA2 variants.

Nature. 2025-2

[2]
Functional analysis and clinical classification of 462 germline BRCA2 missense variants affecting the DNA binding domain.

Am J Hum Genet. 2024-3-7

[3]
Accurate proteome-wide missense variant effect prediction with AlphaMissense.

Science. 2023-9-22

[4]
Saturation genome editing of 11 codons and exon 13 of BRCA2 coupled with chemotherapeutic drug response accurately determines pathogenicity of variants.

PLoS Genet. 2023-9

[5]
Germline Mutations in 12 Genes and Risk of Ovarian Cancer in Three Population-Based Cohorts.

Cancer Epidemiol Biomarkers Prev. 2023-10-2

[6]
Functional annotation of variants of the BRCA2 gene via locally haploid human pluripotent stem cells.

Nat Biomed Eng. 2024-2

[7]
Calibration of computational tools for missense variant pathogenicity classification and ClinGen recommendations for PP3/BP4 criteria.

Am J Hum Genet. 2022-12-1

[8]
Classification of BRCA2 Variants of Uncertain Significance (VUS) Using an ACMG/AMP Model Incorporating a Homology-Directed Repair (HDR) Functional Assay.

Clin Cancer Res. 2022-9-1

[9]
Comprehensive evaluation and efficient classification of BRCA1 RING domain missense substitutions.

Am J Hum Genet. 2022-6-2

[10]
Saturation variant interpretation using CRISPR prime editing.

Nat Biotechnol. 2022-6

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索