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3-37025608-ATTTTTTTTT-ATTTTTTT

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2

The NM_000249.4(MLH1):​c.1039-9_1039-8del variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00648 in 305,654 control chromosomes in the GnomAD database, including 31 homozygotes. Variant has been reported in ClinVar as Likely benign (★★). There are indicators that this mutation may affect the branch point..

Frequency

Genomes: 𝑓 0.00017 ( 0 hom., cov: 0)
Exomes 𝑓: 0.0077 ( 31 hom. )

Consequence

MLH1
NM_000249.4 intron

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.431
Variant links:
Genes affected
MLH1 (HGNC:7127): (mutL homolog 1) The protein encoded by this gene can heterodimerize with mismatch repair endonuclease PMS2 to form MutL alpha, part of the DNA mismatch repair system. When MutL alpha is bound by MutS beta and some accessory proteins, the PMS2 subunit of MutL alpha introduces a single-strand break near DNA mismatches, providing an entry point for exonuclease degradation. The encoded protein is also involved in DNA damage signaling and can heterodimerize with DNA mismatch repair protein MLH3 to form MutL gamma, which is involved in meiosis. This gene was identified as a locus frequently mutated in hereditary nonpolyposis colon cancer (HNPCC). [provided by RefSeq, Aug 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP6
Variant 3-37025608-ATT-A is Benign according to our data. Variant chr3-37025608-ATT-A is described in ClinVar as [Likely_benign]. Clinvar id is 433863.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population amr. gnomad4_exome allele frequency = 0.00767 (1974/257382) while in subpopulation AMR AF= 0.0142 (18/1268). AF 95% confidence interval is 0.0108. There are 31 homozygotes in gnomad4_exome. There are 956 alleles in male gnomad4_exome subpopulation. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 31 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MLH1NM_000249.4 linkuse as main transcriptc.1039-9_1039-8del intron_variant ENST00000231790.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MLH1ENST00000231790.8 linkuse as main transcriptc.1039-9_1039-8del intron_variant 1 NM_000249.4 P1P40692-1

Frequencies

GnomAD3 genomes
AF:
0.000166
AC:
8
AN:
48284
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.000250
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000481
Gnomad SAS
AF:
0.000745
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000115
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00810
AC:
113
AN:
13956
Hom.:
3
AF XY:
0.00536
AC XY:
45
AN XY:
8400
show subpopulations
Gnomad AFR exome
AF:
0.0746
Gnomad AMR exome
AF:
0.0144
Gnomad ASJ exome
AF:
0.00309
Gnomad EAS exome
AF:
0.0556
Gnomad SAS exome
AF:
0.00830
Gnomad FIN exome
AF:
0.00299
Gnomad NFE exome
AF:
0.00801
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00767
AC:
1974
AN:
257382
Hom.:
31
AF XY:
0.00748
AC XY:
956
AN XY:
127796
show subpopulations
Gnomad4 AFR exome
AF:
0.00839
Gnomad4 AMR exome
AF:
0.0142
Gnomad4 ASJ exome
AF:
0.00479
Gnomad4 EAS exome
AF:
0.00564
Gnomad4 SAS exome
AF:
0.0133
Gnomad4 FIN exome
AF:
0.0199
Gnomad4 NFE exome
AF:
0.00745
Gnomad4 OTH exome
AF:
0.00851
GnomAD4 genome
AF:
0.000166
AC:
8
AN:
48272
Hom.:
0
Cov.:
0
AF XY:
0.000233
AC XY:
5
AN XY:
21492
show subpopulations
Gnomad4 AFR
AF:
0.000249
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000484
Gnomad4 SAS
AF:
0.000749
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000115
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health SystemMar 21, 2016- -
Likely benign, criteria provided, single submitterclinical testingCenter for Genomic Medicine, Rigshospitalet, Copenhagen University HospitalJul 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
La Branchor
0.24
BranchPoint Hunter
2.0

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: rs57509953; hg19: chr3-37067099; API