Is BRCA2 p.Ala2233Asp (c.6698C>A) pathogenic?

BRCA2 p.Ala2233Asp (c.6698C>A) is classified Conflicting classifications of pathogenicity in BRCA2 (ClinVar, Conflicting submitters, 11 submitters; last evaluated 2025-12-28). AlphaMissense: likely pathogenic (0.7296); Very rare (popmax 0.0022%, nfe); Associated with hereditary neoplastic syndrome.

What condition is associated with BRCA2 p.Ala2233Asp (c.6698C>A)?

BRCA2 p.Ala2233Asp (c.6698C>A) is associated with hereditary neoplastic syndrome, hereditary breast ovarian cancer syndrome, breast-ovarian cancer, familial, susceptibility to, 2 (ClinVar).

How common is BRCA2 p.Ala2233Asp (c.6698C>A) in the general population?

BRCA2 p.Ala2233Asp (c.6698C>A) is very rare (popmax 0.0022%, nfe) (gnomAD).

What do computational predictors say about BRCA2 p.Ala2233Asp (c.6698C>A)?

AlphaMissense predicts likely pathogenic (score 0.7296) — an in-silico prediction, not a clinical call.

BRCA2 p.Ala2233Asp

c.6698C>A · rs41293501 · VCV52159

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 11 submitters

AlphaMissense

likely pathogenic

0.7296 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.0022%, nfe)

Conditions

hereditary neoplastic syndrome

Computational evidence

Protein change
AlphaMissense	0.7296	likely pathogenic · top 4% in BRCA2
REVEL	0.602	indeterminate
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 7.6	GERP 2.3, phastCons 1
Regional constraint	o/e 1.03	unconstrained · MANE · 47 kb · p 0.059 · regional, not allelic
Overall
CADD	25.6	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0022% European (non-Finnish) · 26/1,179,920 alleles

Filtering AF 0.00153% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0013%

Overall 0.00212% 31/1,461,632 alleles · very rare

Ancestry group	Frequency	1 in
Remaining individualsnot grpmax-eligible	0.0064%	15,623
European (non-Finnish)grpmax	0.0022%	45,382
African / African-American	0.00133%	75,026

Remaining individuals shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene: BRCA2
Protein: p.Ala2233Asp
Coding: c.6698C>A
MANE Select: NM_000059
dbSNP: rs41293501
Type: single nucleotide variant
Location: chr13:32341053 (GRCh38)
Gene constraint: LOEUF 0.803 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)

Full BRCA2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hereditary neoplastic syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: hereditary breast ovarian cancer syndrome breast-ovarian cancer, familial, susceptibility to, 2

Similar variants

BRCA2 p.Ala2233Val Likely benign ★★ same residue
BRCA2 p.Ala2233Gly Conflicting classifications of pathogenicity ★ same residue
BRCA2 p.Ala2233Pro Conflicting classifications of pathogenicity ★ ⚠ same residue
BRCA2 p.Ala2233Thr Conflicting classifications of pathogenicity ★ same residue
BRCA2 p.Ala2233= Likely benign ★ same residue
BRCA2 p.Ala2233fs Pathogenic ★★★ same residue
BRCA2 c.316+1G>T Pathogenic ★★★ same condition
BRCA2 c.316+2T>C Pathogenic ★★★ same condition

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/brca2-p-ala2233asp (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown