DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service National Human Genome Research Institute National Institutes of Health 49 Convent Dr. MSC 4472 Room 4B75 Bethesda, Maryland 20892-4472 Phone (301) 594-3981 Email: jjohnsto@mail.nih.gov Fax (301) 402-2170 BRCA2 DNA TEST REPORT Patient Name: DOB: Lab Accession No: Mutation Analyzed: c.8297delC, p.T2766NfsX11 Gene/Position analyzed: BRCA2 c.8297 Sample type: Genomic DNA Sample Recd: Request date: Report Date: Affection Status: Test Indication: Alteration identified during research-driven sequence analysis of submitted DNA sample. Result: Heterozygous mutation c.8297delC, p.T2766NfsX11 was confirmed. Interpretation: The mutation predicts a frame shift in BRCA2 (breast cancer susceptibility gene 2). Heterozygous alterations in the BRCA2 gene cause Hereditory Breat/Ovarian Cancer. Individuals with mutations in BRCA2 have an increased risk of developing certain types of cancers. These results should be interpreted in the context of the patient's clinical history Method: Analysis was performed on genomic DNA isolated at the National Institutes of Health from a submitted blood sample. Exon 17 of the BRCA2 gene was PCR amplified, followed by direct DNA sequencing with the same forward and reverse primers. cDNA position numbers are based on reference sequence NM_000059.3 using nucleotide 228 as position 1 of the ATG. Bi-directional sequence was obtained and analyzed. Jennifer J. Johnston, PhD CLIA Laboratory Director Leslie G. Biesecker, MD, FACMG Clinical Consultant This test was developed and its performance determined at the NIH. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. Pursuant to the requirements of CLIA ‘88 this laboratory has established and verified the test’s accuracy and precision. CLIA ID#: 21D1062422. Page 1 of 2 General Limitations: As with any laboratory test, there is a possibility of incorrect or false results, and it is essential that this test result be interpreted in light of the clinical context of this patient. Some potential reasons for incorrect or false results include sample mixups or sample labeling errors or cross-contamination among samples. These can occur at a number of points in the sample handling process. Although we have no reason to be concerned about such an error in this case, clinicians should be alert for situations where this may have occurred. This report specifically confirms the presence or absence of the mutation(s) listed in the section of the report labeled “Mutation(s) analyzed". This report should not be used to infer information regarding any sequence other than the specific mutations listed. Reference: Tavtigian (1996) Nat Genet 12, 333. This test was developed and its performance determined at the NIH. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. Pursuant to the requirements of CLIA ‘88 this laboratory has established and verified the test’s accuracy and precision. CLIA ID#: 21D1062422. Page 2 of 2