Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6_Very_StrongBP7
The NM_000535.7(PMS2):c.1368T>C(p.Ser456Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000805 in 1,614,070 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 (★★).
PMS2 (HGNC:9122): (PMS1 homolog 2, mismatch repair system component) The protein encoded by this gene is a key component of the mismatch repair system that functions to correct DNA mismatches and small insertions and deletions that can occur during DNA replication and homologous recombination. This protein forms heterodimers with the gene product of the mutL homolog 1 (MLH1) gene to form the MutL-alpha heterodimer. The MutL-alpha heterodimer possesses an endonucleolytic activity that is activated following recognition of mismatches and insertion/deletion loops by the MutS-alpha and MutS-beta heterodimers, and is necessary for removal of the mismatched DNA. There is a DQHA(X)2E(X)4E motif found at the C-terminus of the protein encoded by this gene that forms part of the active site of the nuclease. Mutations in this gene have been associated with hereditary nonpolyposis colorectal cancer (HNPCC; also known as Lynch syndrome) and Turcot syndrome. [provided by RefSeq, Apr 2016]
PMS2 Gene-Disease associations (from GenCC):
Lynch syndrome
Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
Lynch syndrome 4
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
mismatch repair cancer syndrome 1
Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
Our verdict: Benign. The variant received -13 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88).
BP6
Variant 7-5987397-A-G is Benign according to our data. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987397-A-G is described in CliVar as Benign/Likely_benign. Clinvar id is 135935.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.475 with no splicing effect.
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
41438
American (AMR)
AF:
0.00
AC:
0
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.029673), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.400
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000267
Hom.:
0
Bravo
AF:
0.0000113
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00
ClinVar
Significance: Benign/Likely benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
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. -
not specifiedBenign:1
Aug 03, 2020
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Breast and/or ovarian cancerBenign:1
Dec 07, 2021
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Lynch syndromeBenign:1
Feb 05, 2024
All of Us Research Program, National Institutes of Health