2-47466649-A-T

Variant summary

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

The NM_000251.3(MSH2):​c.1511-9A>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.113 in 1,612,776 control chromosomes in the GnomAD database, including 12,225 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★).

Frequency

Genomes: 𝑓 0.088 ( 862 hom., cov: 32)
Exomes 𝑓: 0.12 ( 11363 hom. )

Consequence

MSH2
NM_000251.3 intron

Scores

2
Splicing: ADA: 0.0001214
2

Clinical Significance

Benign reviewed by expert panel B:23

Conservation

PhyloP100: 0.684
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=-0.8).
BP6
Variant 2-47466649-A-T is Benign according to our data. Variant chr2-47466649-A-T is described in ClinVar as [Benign]. Clinvar id is 36566.Status of the report is reviewed_by_expert_panel, 3 stars. Variant chr2-47466649-A-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.131 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MSH2NM_000251.3 linkuse as main transcriptc.1511-9A>T intron_variant ENST00000233146.7 NP_000242.1 P43246-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MSH2ENST00000233146.7 linkuse as main transcriptc.1511-9A>T intron_variant 1 NM_000251.3 ENSP00000233146.2 P43246-1

Frequencies

GnomAD3 genomes
AF:
0.0882
AC:
13409
AN:
152108
Hom.:
862
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0221
Gnomad AMI
AF:
0.177
Gnomad AMR
AF:
0.0771
Gnomad ASJ
AF:
0.0464
Gnomad EAS
AF:
0.000769
Gnomad SAS
AF:
0.0225
Gnomad FIN
AF:
0.153
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.133
Gnomad OTH
AF:
0.0942
GnomAD3 exomes
AF:
0.0872
AC:
21885
AN:
250964
Hom.:
1316
AF XY:
0.0869
AC XY:
11794
AN XY:
135782
show subpopulations
Gnomad AFR exome
AF:
0.0197
Gnomad AMR exome
AF:
0.0520
Gnomad ASJ exome
AF:
0.0503
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.0257
Gnomad FIN exome
AF:
0.151
Gnomad NFE exome
AF:
0.129
Gnomad OTH exome
AF:
0.0896
GnomAD4 exome
AF:
0.116
AC:
169095
AN:
1460550
Hom.:
11363
Cov.:
32
AF XY:
0.114
AC XY:
82633
AN XY:
726652
show subpopulations
Gnomad4 AFR exome
AF:
0.0171
Gnomad4 AMR exome
AF:
0.0550
Gnomad4 ASJ exome
AF:
0.0539
Gnomad4 EAS exome
AF:
0.000277
Gnomad4 SAS exome
AF:
0.0265
Gnomad4 FIN exome
AF:
0.148
Gnomad4 NFE exome
AF:
0.134
Gnomad4 OTH exome
AF:
0.0993
GnomAD4 genome
AF:
0.0881
AC:
13411
AN:
152226
Hom.:
862
Cov.:
32
AF XY:
0.0862
AC XY:
6413
AN XY:
74424
show subpopulations
Gnomad4 AFR
AF:
0.0220
Gnomad4 AMR
AF:
0.0770
Gnomad4 ASJ
AF:
0.0464
Gnomad4 EAS
AF:
0.000771
Gnomad4 SAS
AF:
0.0230
Gnomad4 FIN
AF:
0.153
Gnomad4 NFE
AF:
0.133
Gnomad4 OTH
AF:
0.0932
Alfa
AF:
0.116
Hom.:
385
Bravo
AF:
0.0799
Asia WGS
AF:
0.0150
AC:
54
AN:
3476
EpiCase
AF:
0.112
EpiControl
AF:
0.115

ClinVar

Significance: Benign
Submissions summary: Benign:23
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, no assertion criteria providedresearchMayo Clinic Laboratories, Mayo Clinic-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineDec 03, 20121511-9A>T in intron 9 of MSH2: This variant is not expected to have clinical sig nificance because it is not located within the conserved +/- 1, 2 invariant regi on. It has been identified in 12.2% (1053/8600) of European American chromosomes from a broad population by the NHLBI Exome Sequencing Project (http://evs.gs.wa shington.edu/EVS/; rs12998837). 1511-9A>T in intron 9 of MSH2 (rs12998837; alle le frequency= 12.2%, 1053/8600) ** -
Benign, no assertion criteria providedclinical testingClinical Genetics Laboratory, Department of Pathology, Netherlands Cancer Institute-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Oct 24, 2013- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Lynch syndrome 1 Benign:6
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical CenterSep 21, 2015- -
Benign, no assertion criteria providedclinical testingPathway GenomicsJul 24, 2014- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 28, 2023- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
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- -
Hereditary cancer-predisposing syndrome Benign:2
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 submitterclinical testingColor Diagnostics, LLC DBA Color HealthJan 02, 2022- -
Carcinoma of colon Benign:1
Benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-This variant is not expected to have clinical significance because it does not alter an amino acid residue, is not located near a splice junction, is listed in dbSNP (rs12998837) with a frequency of ~10%, and is reported as benign in over 10 publications. -
Hereditary nonpolyposis colorectal neoplasms Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Muir-Torré syndrome;C2936783:Lynch syndrome 1;C5436806:Mismatch repair cancer syndrome 2 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMay 16, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.80
CADD
Benign
8.2
DANN
Benign
0.68

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00012
dbscSNV1_RF
Benign
0.050
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: rs12998837; hg19: chr2-47693788; COSMIC: COSV99253305; API