5-80654922-GCCCCCAGCT-GCCCCCAGCTCCCCCAGCT

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM4

The NM_002439.5(MSH3):​c.199_207dupCCAGCTCCC​(p.Pro67_Pro69dup) variant causes a conservative inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. A70A) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 20)
Exomes 𝑓: 0.000017 ( 1 hom. )

Consequence

MSH3
NM_002439.5 conservative_inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0550

Publications

10 publications found
Variant links:
Genes affected
MSH3 (HGNC:7326): (mutS homolog 3) The protein encoded by this gene forms a heterodimer with MSH2 to form MutS beta, part of the post-replicative DNA mismatch repair system. MutS beta initiates mismatch repair by binding to a mismatch and then forming a complex with MutL alpha heterodimer. This gene contains a polymorphic 9 bp tandem repeat sequence in the first exon. The repeat is present 6 times in the reference genome sequence and 3-7 repeats have been reported. Defects in this gene are a cause of susceptibility to endometrial cancer. [provided by RefSeq, Mar 2011]
DHFR (HGNC:2861): (dihydrofolate reductase) Dihydrofolate reductase converts dihydrofolate into tetrahydrofolate, a methyl group shuttle required for the de novo synthesis of purines, thymidylic acid, and certain amino acids. While the functional dihydrofolate reductase gene has been mapped to chromosome 5, multiple intronless processed pseudogenes or dihydrofolate reductase-like genes have been identified on separate chromosomes. Dihydrofolate reductase deficiency has been linked to megaloblastic anemia. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2014]
DHFR Gene-Disease associations (from GenCC):
  • constitutional megaloblastic anemia with severe neurologic disease
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_002439.5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MSH3NM_002439.5 linkc.199_207dupCCAGCTCCC p.Pro67_Pro69dup conservative_inframe_insertion Exon 1 of 24 ENST00000265081.7 NP_002430.3 P20585
DHFRNM_000791.4 linkc.-442_-434dupAGCTGGGGG 5_prime_UTR_variant Exon 1 of 6 ENST00000439211.7 NP_000782.1 P00374-1B0YJ76

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MSH3ENST00000265081.7 linkc.199_207dupCCAGCTCCC p.Pro67_Pro69dup conservative_inframe_insertion Exon 1 of 24 1 NM_002439.5 ENSP00000265081.6 P20585
MSH3ENST00000667069.1 linkc.199_207dupCCAGCTCCC p.Pro67_Pro69dup conservative_inframe_insertion Exon 1 of 22 ENSP00000499502.1 A0A590UJN8
MSH3ENST00000670357.1 linkn.199_207dupCCAGCTCCC non_coding_transcript_exon_variant Exon 1 of 25 ENSP00000499791.1 A0A590UKC9
DHFRENST00000439211.7 linkc.-442_-434dupAGCTGGGGG 5_prime_UTR_variant Exon 1 of 6 1 NM_000791.4 ENSP00000396308.2 P00374-1
MSH3ENST00000658259.1 linkc.-272_-271insCCCCCAGCT upstream_gene_variant ENSP00000499617.1 A0A590UJW0

Frequencies

GnomAD3 genomes
Cov.:
20
GnomAD2 exomes
AF:
0.0000237
AC:
3
AN:
126454
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000167
AC:
23
AN:
1380954
Hom.:
1
Cov.:
16
AF XY:
0.0000132
AC XY:
9
AN XY:
683602
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
29094
American (AMR)
AF:
0.000134
AC:
4
AN:
29760
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23634
East Asian (EAS)
AF:
0.00
AC:
0
AN:
33142
South Asian (SAS)
AF:
0.0000255
AC:
2
AN:
78392
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47962
Middle Eastern (MID)
AF:
0.000183
AC:
1
AN:
5474
European-Non Finnish (NFE)
AF:
0.0000121
AC:
13
AN:
1076462
Other (OTH)
AF:
0.0000526
AC:
3
AN:
57034
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.449
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
20
Alfa
AF:
0.00
Hom.:
557

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Endometrial carcinoma;C4310719:Familial adenomatous polyposis 4 Uncertain:1
Feb 29, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.055
Mutation Taster
=83/17
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs3045983; hg19: chr5-79950741; API