Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBP6_Very_Strong
The NM_000535.7(PMS2):c.1145-17C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000223 in 1,524,840 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 -12 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88).
BP6
Variant 7-5987637-G-A is Benign according to our data. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-5987637-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 138699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
⚠️ 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:
41434
American (AMR)
AF:
0.00
AC:
0
AN:
15250
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5194
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10602
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68026
Other (OTH)
AF:
0.000478
AC:
1
AN:
2092
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.026173), 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
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Age Distribution
Genome 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
Alfa
AF:
0.00120
Hom.:
0
Bravo
AF:
0.0000113
ClinVar
Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
This variant is considered benign. This variant is intronic and is not expected to impact mRNA splicing. Homozygosity for this variant has been confirmed in one or more individuals lacking clinical features consistent with gene-specific recessive disease, indicating that this variant is unlikely to be pathogenic. -