chr2-47475228-G-T

Variant names:

• chr2-47475228-G-T
• rs549467183
• NM_000251.3:c.1963G>T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 4P and 2B. PM1 PM2 BP6_Moderate

The NM_000251.3(MSH2):​c.1963G>T​(p.Val655Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V655I) has been classified as Uncertain significance.

• Frequency: Genomes: not found (cov: 32)
• Consequence: MSH2 NM_000251.3 missense
• Clinical Significance: Likely benign criteria provided, single submitter B:1
• Conservation: PhyloP100: 1.40
• Publications: 0 publications found

Genes affected

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]

MSH2 Gene-Disease associations (from GenCC):

• Lynch syndrome

  Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, ClinGen, Orphanet
• Lynch syndrome 1

  Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
• Muir-Torre syndrome

  Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P
• mismatch repair cancer syndrome 1

  Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
• mismatch repair cancer syndrome 2

  Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
• ovarian cancer

  Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
• malignant pancreatic neoplasm

  Inheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
• prostate cancer

  Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
• rhabdomyosarcoma

  Inheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
• breast cancer

  Inheritance: AD Classification: NO_KNOWN Submitted by: Ambry Genetics
• hereditary breast carcinoma

  Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

ACMG classification

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

• PM1: In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 23 benign, 34 uncertain in NM_000251.3
• PM2: Very rare variant in population databases, with high coverage
• BP6: Variant 2-47475228-G-T is Benign according to our data. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-47475228-G-T is described in CliVar as Likely_benign. Clinvar id is 2453504.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
MSH2	NM_000251.3	c.1963G>T	p.Val655Leu	missense_variant	Exon 12 of 16	ENST00000233146.7	NP_000242.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
MSH2	ENST00000233146.7	c.1963G>T	p.Val655Leu	missense_variant	Exon 12 of 16	1	NM_000251.3	ENSP00000233146.2

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 33

GnomAD4 genome Cov.: 32

ClinVar

Significance: Likely benign

Submissions summary: Benign:1

Revision: criteria provided, single submitter

Submissions by phenotype

Hereditary cancer-predisposing syndrome Benign:1

Mar 03, 2023

Ambry Genetics

Significance: Likely benign

Review Status: criteria provided, single submitter

Collection Method: clinical testing

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. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Uncertain	0.40
BayesDel_addAF	Uncertain	0.16	D
BayesDel_noAF	Uncertain	-0.010
CADD	Benign	20
DANN	Benign	0.93
DEOGEN2	Uncertain	0.56	D;.;.;.
Eigen	Benign	-0.59
Eigen_PC	Benign	-0.48
FATHMM_MKL	Uncertain	0.92	D
LIST_S2	Uncertain	0.92	D;D;D;D
M_CAP	Uncertain	0.088	D
MetaRNN	Uncertain	0.57	D;D;D;D
MetaSVM	Uncertain	-0.18	T
MutationAssessor	Benign	1.3	L;.;.;.
PhyloP100		1.4
PrimateAI	Benign	0.33	T
PROVEAN	Benign	-2.0	N;N;.;N
REVEL	Pathogenic	0.65
Sift	Benign	0.058	T;T;.;D
Sift4G	Benign	0.11	T;T;.;T
Polyphen		0.24	B;.;.;P
Vest4		0.58
MutPred		0.66		Loss of methylation at K659 (P = 0.131);.;Loss of methylation at K659 (P = 0.131);Loss of methylation at K659 (P = 0.131);
MVP		0.93
MPC		0.0088
ClinPred		0.77	D
GERP RS		2.8
Varity_R		0.23
gMVP		0.69
Mutation Taster		=67/33	polymorphism

Splicing

Name	Calibrated prediction	Score	Prediction
SpliceAI score (max)		0.0		Details are displayed if max score is > 0.2

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

Other links and lift over

dbSNP: rs549467183; hg19: chr2-47702367;