Our verdict is Likely benign. The variant received -5 ACMG points: 2P and 7B. PM2BP4_StrongBP6_ModerateBP7
The NM_000251.3(MSH2):c.1221C>T(p.Leu407Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,796 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Synonymous variant affecting the same amino acid position (i.e. L407L) has been classified as Likely benign.
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]
MSH2 Gene-Disease associations (from GenCC):
Lynch syndrome
Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, ClinGen, Orphanet
Lynch syndrome 1
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
Muir-Torre syndrome
Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P
mismatch repair cancer syndrome 1
Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
Our verdict: Likely_benign. The variant received -5 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (REVEL=0.015).
BP6
Variant 2-47429886-C-T is Benign according to our data. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47429886-C-T is described in CliVar as Likely_benign. Clinvar id is 3230808.Status of the report is criteria_provided_single_submitter, 1 stars.
BP7
Synonymous conserved (PhyloP=-0.068 with no splicing effect.
This alteration is classified as likely 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. -