Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_001258281.1(MSH2):c.-132_-130delTTGinsCTT variant causes a 5 prime UTR change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★).
MSH2 (HGNC:7325): (mutS homolog 2) This locus is frequently mutated in hereditary nonpolyposis colon cancer (HNPCC). When cloned, it was discovered to be a human homolog of the E. coli mismatch repair gene mutS, consistent with the characteristic alterations in microsatellite sequences (RER+ phenotype) found in HNPCC. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2012]
Review Status: criteria provided, single submitter
Collection Method: clinical testing
The c.-118_-116delTTGinsCTT variant, located in in the 5' untranslated region (5’UTR) of the MSH2 gene, results from the deletion of 3 nucleotides and the insertion of 3 nucleotides at nucleotide positions -118 to -116. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -