2-189795860-C-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_000534.5(PMS1):​c.224C>T​(p.Thr75Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00129 in 1,612,500 control chromosomes in the GnomAD database, including 4 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00060 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0014 ( 3 hom. )

Consequence

PMS1
NM_000534.5 missense

Scores

14
4
1

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 7.86
Variant links:
Genes affected
PMS1 (HGNC:9121): (PMS1 homolog 1, mismatch repair system component) This gene encodes a protein belonging to the DNA mismatch repair mutL/hexB family. This protein is thought to be involved in the repair of DNA mismatches, and it can form heterodimers with MLH1, a known DNA mismatch repair protein. Mutations in this gene cause hereditary nonpolyposis colorectal cancer type 3 (HNPCC3) either alone or in combination with mutations in other genes involved in the HNPCC phenotype, which is also known as Lynch syndrome. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Homozygotes in GnomAdExome4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PMS1NM_000534.5 linkuse as main transcriptc.224C>T p.Thr75Ile missense_variant 3/13 ENST00000441310.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PMS1ENST00000441310.7 linkuse as main transcriptc.224C>T p.Thr75Ile missense_variant 3/131 NM_000534.5 P1P54277-1

Frequencies

GnomAD3 genomes
AF:
0.000605
AC:
92
AN:
152076
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000590
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.0000945
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00107
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000613
AC:
154
AN:
251426
Hom.:
0
AF XY:
0.000670
AC XY:
91
AN XY:
135888
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000520
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000196
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00105
Gnomad OTH exome
AF:
0.00163
GnomAD4 exome
AF:
0.00136
AC:
1991
AN:
1460306
Hom.:
3
Cov.:
30
AF XY:
0.00130
AC XY:
943
AN XY:
726558
show subpopulations
Gnomad4 AFR exome
AF:
0.0000598
Gnomad4 AMR exome
AF:
0.000648
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000186
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.00168
Gnomad4 OTH exome
AF:
0.00121
GnomAD4 genome
AF:
0.000604
AC:
92
AN:
152194
Hom.:
1
Cov.:
32
AF XY:
0.000591
AC XY:
44
AN XY:
74404
show subpopulations
Gnomad4 AFR
AF:
0.000120
Gnomad4 AMR
AF:
0.000589
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.0000945
Gnomad4 NFE
AF:
0.00107
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.00104
Hom.:
0
Bravo
AF:
0.000767
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00140
AC:
12
ExAC
AF:
0.000535
AC:
65
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000981
EpiControl
AF:
0.00113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2022- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoSep 21, 2021DNA sequence analysis of the PMS1 gene demonstrated a sequence change, c.224C>T, in exon 3 that results in an amino acid change, p.Thr75Ile. This sequence change has been described in the gnomAD database with a frequency of 0.1% in the European sub-population (dbSNP rs61756360). The p.Thr75Ile change has been described in the homozygous state in individuals with colorectal cancer (PMID: 26553438). The p.Thr75Ile change affects a highly conserved amino acid residue located in a domain of the PMS1 protein that is known to be functional. The p.Thr75Ile substitution appears to be deleterious using several in-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL). Due to these contrasting evidences and the lack of functional studies, the clinical significance of the p.Thr75Ile change remains unknown at this time. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Uncertain
0.16
D
BayesDel_noAF
Pathogenic
0.40
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.86
D;D;D;D;D;.;D;D;.
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
1.0
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.97
D;D;D;D;D;D;D;D;D
M_CAP
Uncertain
0.20
D
MetaRNN
Uncertain
0.63
D;D;D;D;D;D;D;D;D
MetaSVM
Pathogenic
0.90
D
MutationAssessor
Pathogenic
4.6
.;.;.;H;.;H;.;.;H
MutationTaster
Benign
1.0
D;D;D;D;D;D;D
PrimateAI
Uncertain
0.66
T
PROVEAN
Pathogenic
-5.8
.;.;.;D;D;D;D;D;D
REVEL
Pathogenic
0.84
Sift
Pathogenic
0.0
.;.;.;D;D;D;D;D;D
Sift4G
Pathogenic
0.0
.;D;D;D;D;D;D;D;D
Polyphen
1.0
.;D;D;D;D;.;.;.;.
Vest4
0.97, 0.98, 0.96, 0.98, 0.99
MVP
1.0
MPC
0.39
ClinPred
0.53
D
GERP RS
5.8
Varity_R
0.80
gMVP
0.87

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs61756360; hg19: chr2-190660586; COSMIC: COSV59717541; COSMIC: COSV59717541; API