Table 1.
Summary and description of BRCA2 mutations identified by circulating tumor DNA analysis.
Mutation (HGVS designation) | Protein (HGVS designation) | Indel type | Functional consequence | Indel length (nt) | Net nt loss resulting from | Mutant allele fraction in ctDNA | Cis/trans to germline mutation | |
---|---|---|---|---|---|---|---|---|
ALLELE 1 | c.5946delT* | p.SeM982fs | Deletion | Germline loss of function | −1 | NA | 42.4% | N/A |
c.5946_5990delTGGAAAATCTGTCCAGGTATCAGATGCTTCATTACAAAACGCAAG | p.Ser1982_Ala1996del | Deletion | Somatic reversion | −45 | −46 | 1.0% | cis | |
C.5949_5952dupAAAA | p.Ser1985fs | Duplication | Somatic reversion | +4 | −3 | 0.5% | cis | |
c.5964_5998delATCAGATGCTTCATTACAAAACGCAAGACAAGTGT | p.Ser1989fs | Deletion | Somatic reversion | −35 | −36 | 0.4% | cis | |
c.5959_596SclelCAGGTATC | p.Gln1987fs | Deletion | Somatic reversion | −8 | −9 | 0.3% | cis | |
c.5992_6005delCAAGTGTTTTCTGA | p.Gln1998fs | Deletion | Somatic reversion | −14 | −15 | 0.3% | cis | |
c.5941_5956delGCAAGTGGAAAATCTGinsA | pAla1981_Val1986delinslle | Insertion-Deletion | Somatic reversion | −15 | −15 | 0.3% | cis | |
c.599_5S99delAGTGTTinsTATC | p.Gln1998fs | Insertion-Deletion | Somatic reversion | −3 | −3 | 0.2% | cis | |
c.5998_6008demTTCTGAAATinsCAA | p.Phe2000fs | Insertion-Deletion | Somatic reversion | −8 | −9 | 0.2% | cis | |
c.5944_5952delAGTGGAAAA | p.Ser1982_Lys1984del | Deletion | Somatic reversion | −9 | −9 | 0.1% | cis | |
ALLELE 2 | c.5754_5755dBlAT | p.His1918fs | Deletion | Somatic secondary mutation | −2 | NA | 23.6% | trans |
c.5736pelA | p.Glu1912fs | Deletion | Somatic reversion | −1 | −3 | 0.2% | tranŝ | |
c.5748_5754delTTCACATinsC | p.Seri917_His1918del | Insertion-Deletion | Somatic reversion | −6 | −6 | 0.1% | tranŝ |
The c.5946delT mutation corresponds to the 6174delT mutation in BRCA2. c.5946delT uses the Human Genomic Variation Society (HGVS) nomenclature and 6174delT, the Breast Cancer International Consortium (BIC) nomenclature. Indel = Insertion or deletion or compound insertion/deletion. nt = nucleotide.