3-37025608-ATTTTTTTTT-ATTTTTTTTTTT

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_000249.4(MLH1):​c.1039-9_1039-8dupTT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0022 ( 2 hom., cov: 0)
Exomes 𝑓: 0.0024 ( 2 hom. )

Consequence

MLH1
NM_000249.4 splice_region, intron

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: -0.0340
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 -9 ACMG points.

BP6
Variant 3-37025608-A-ATT is Benign according to our data. Variant chr3-37025608-A-ATT is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 413381.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Benign=1, Uncertain_significance=1}. Variant chr3-37025608-A-ATT is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.0022 (106/48268) while in subpopulation SAS AF= 0.00374 (5/1336). AF 95% confidence interval is 0.00213. There are 2 homozygotes in gnomad4. There are 52 alleles in male gnomad4 subpopulation. Median coverage is 0. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MLH1NM_000249.4 linkc.1039-9_1039-8dupTT splice_region_variant, intron_variant Intron 11 of 18 ENST00000231790.8 NP_000240.1 P40692-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MLH1ENST00000231790.8 linkc.1039-29_1039-28insTT intron_variant Intron 11 of 18 1 NM_000249.4 ENSP00000231790.3 P40692-1

Frequencies

GnomAD3 genomes
AF:
0.00220
AC:
106
AN:
48280
Hom.:
2
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.00216
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00369
Gnomad ASJ
AF:
0.0112
Gnomad EAS
AF:
0.00337
Gnomad SAS
AF:
0.00373
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00134
Gnomad OTH
AF:
0.00658
GnomAD4 exome
AF:
0.00236
AC:
609
AN:
257724
Hom.:
2
Cov.:
0
AF XY:
0.00224
AC XY:
287
AN XY:
127930
show subpopulations
Gnomad4 AFR exome
AF:
0.00600
Gnomad4 AMR exome
AF:
0.00236
Gnomad4 ASJ exome
AF:
0.00338
Gnomad4 EAS exome
AF:
0.00198
Gnomad4 SAS exome
AF:
0.00322
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00229
Gnomad4 OTH exome
AF:
0.00253
GnomAD4 genome
AF:
0.00220
AC:
106
AN:
48268
Hom.:
2
Cov.:
0
AF XY:
0.00242
AC XY:
52
AN XY:
21490
show subpopulations
Gnomad4 AFR
AF:
0.00216
Gnomad4 AMR
AF:
0.00369
Gnomad4 ASJ
AF:
0.0112
Gnomad4 EAS
AF:
0.00339
Gnomad4 SAS
AF:
0.00374
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00134
Gnomad4 OTH
AF:
0.00658

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Breast and/or ovarian cancer Uncertain:1
Jun 02, 2022
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:1
Mar 04, 2025
Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:1
Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

MLH1: BP4, BS2 -

Hereditary nonpolyposis colorectal neoplasms Benign:1
Apr 23, 2017
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hereditary cancer-predisposing syndrome Benign:1
Nov 21, 2018
Color Diagnostics, LLC DBA Color Health
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
La Branchor
0.24
BranchPoint Hunter
2.0

Splicing

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