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2-47403411-C-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000251.3(MSH2):​c.211+9C>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.432 in 1,587,578 control chromosomes in the GnomAD database, including 157,528 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★).

Frequency

Genomes: 𝑓 0.53 ( 23530 hom., cov: 34)
Exomes 𝑓: 0.42 ( 133998 hom. )

Consequence

MSH2
NM_000251.3 intron

Scores

2

Clinical Significance

Benign reviewed by expert panel B:21

Conservation

PhyloP100: -3.39
Variant links:
Genes affected
MSH2 (HGNC:7325): (mutS homolog 2) This locus is frequently mutated in hereditary nonpolyposis colon cancer (HNPCC). When cloned, it was discovered to be a human homolog of the E. coli mismatch repair gene mutS, consistent with the characteristic alterations in microsatellite sequences (RER+ phenotype) found in HNPCC. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BP6
Variant 2-47403411-C-G is Benign according to our data. Variant chr2-47403411-C-G is described in ClinVar as [Benign]. Clinvar id is 36573.Status of the report is reviewed_by_expert_panel, 3 stars. Variant chr2-47403411-C-G is described in Lovd as [Benign]. Variant chr2-47403411-C-G is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.781 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MSH2NM_000251.3 linkuse as main transcriptc.211+9C>G intron_variant ENST00000233146.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MSH2ENST00000233146.7 linkuse as main transcriptc.211+9C>G intron_variant 1 NM_000251.3 P1P43246-1

Frequencies

GnomAD3 genomes
AF:
0.530
AC:
80592
AN:
151992
Hom.:
23493
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.757
Gnomad AMI
AF:
0.343
Gnomad AMR
AF:
0.471
Gnomad ASJ
AF:
0.336
Gnomad EAS
AF:
0.803
Gnomad SAS
AF:
0.473
Gnomad FIN
AF:
0.576
Gnomad MID
AF:
0.335
Gnomad NFE
AF:
0.396
Gnomad OTH
AF:
0.488
GnomAD3 exomes
AF:
0.473
AC:
101041
AN:
213394
Hom.:
25877
AF XY:
0.462
AC XY:
54163
AN XY:
117226
show subpopulations
Gnomad AFR exome
AF:
0.766
Gnomad AMR exome
AF:
0.453
Gnomad ASJ exome
AF:
0.335
Gnomad EAS exome
AF:
0.815
Gnomad SAS exome
AF:
0.457
Gnomad FIN exome
AF:
0.575
Gnomad NFE exome
AF:
0.386
Gnomad OTH exome
AF:
0.423
GnomAD4 exome
AF:
0.421
AC:
604488
AN:
1435464
Hom.:
133998
Cov.:
36
AF XY:
0.420
AC XY:
298308
AN XY:
710378
show subpopulations
Gnomad4 AFR exome
AF:
0.768
Gnomad4 AMR exome
AF:
0.452
Gnomad4 ASJ exome
AF:
0.337
Gnomad4 EAS exome
AF:
0.775
Gnomad4 SAS exome
AF:
0.454
Gnomad4 FIN exome
AF:
0.570
Gnomad4 NFE exome
AF:
0.388
Gnomad4 OTH exome
AF:
0.450
GnomAD4 genome
AF:
0.530
AC:
80679
AN:
152114
Hom.:
23530
Cov.:
34
AF XY:
0.538
AC XY:
39972
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.757
Gnomad4 AMR
AF:
0.471
Gnomad4 ASJ
AF:
0.336
Gnomad4 EAS
AF:
0.802
Gnomad4 SAS
AF:
0.473
Gnomad4 FIN
AF:
0.576
Gnomad4 NFE
AF:
0.396
Gnomad4 OTH
AF:
0.486
Alfa
AF:
0.371
Hom.:
3171
Bravo
AF:
0.531
Asia WGS
AF:
0.637
AC:
2216
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:21
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, no assertion criteria providedclinical testingClinical Genetics Laboratory, Department of Pathology, Netherlands Cancer Institute-- -
Benign, no assertion criteria providedclinical testingMayo Clinic Laboratories, Mayo Clinic-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 27, 2015- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineDec 03, 2012211+9C>G in intron 1 of MSH2: This variant is not expected to have clinical sign ificance because it is not located within the conserved +/- 1, 2 invariant regio n. It has been identified in 36% (3011/8418) of European American chromosomes fr om a broad population by the NHLBI Exome Sequencing Project (http://evs.gs.washi ngton.edu/EVS/; rs23033426). 211+9C>G in intron 1 of MSH2 (rs23033426; allele f requency= 36%, 3011/8418) ** -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Lynch syndrome 1 Benign:5
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
Benign, no assertion criteria providedclinical testingPathway GenomicsJul 24, 2014- -
Benign, criteria provided, single submitterclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical CenterSep 21, 2015- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Hereditary cancer-predisposing syndrome Benign:3
Benign, criteria provided, single submitterclinical testingAmbry GeneticsNov 18, 2014This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Benign, criteria provided, single submittercurationSema4, Sema4Oct 19, 2020- -
Benign, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthDec 01, 2014- -
Lynch syndrome Benign:2
Benign, reviewed by expert panelresearchInternational Society for Gastrointestinal Hereditary Tumours (InSiGHT)Sep 05, 2013MAF >1% -
Benign, criteria provided, single submitterclinical testing;curationWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 18, 2011- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 30, 2023- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015This variant is associated with the following publications: (PMID: 30093976) -
Carcinoma of colon Benign:1
Benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-The c.211+9C>G variant is not expected to have clinical significance because it is not located in the conserved region of the splicing consensus sequence. Furthermore, this variant is reported as a common polymorphism in dbSNP (rs2303426) and reported as a benign polymorphism in the literature. Average Heterozygosity: 0.488+/-0.075 -
Hereditary nonpolyposis colorectal neoplasms Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
0.060
DANN
Benign
0.52

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs2303426; hg19: chr2-47630550; API