rs1114167851
Variant summary
Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PVS1_ModeratePP3PP5_Moderate
The NM_000251.3(MSH2):c.646-4_655del variant causes a splice acceptor, coding sequence, intron change involving the alteration of a conserved nucleotide. Variant has been reported in ClinVar as Pathogenic (★).
Frequency
Genomes: not found (cov: 32)
Consequence
MSH2
NM_000251.3 splice_acceptor, coding_sequence, intron
NM_000251.3 splice_acceptor, coding_sequence, intron
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 9.62
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]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 5 ACMG points.
PVS1
?
Splicing variant, NOT destroyed by nmd, known LOF gene, truncates exone, which is 0.052049913 fraction of the gene. Cryptic splice site detected, with MaxEntScore 5, offset of -3, new splice context is: ttaaactatttctttcaaAGagg. Cryptic site results in inframe change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
PP3
?
No computational evidence supports a deleterious effect, but strongly conserved according to phyloP
PP5
?
Variant 2-47412403-TTTCAAAATAGATAA-T is Pathogenic according to our data. Variant chr2-47412403-TTTCAAAATAGATAA-T is described in ClinVar as [Pathogenic]. Clinvar id is 428516.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
MSH2 | NM_000251.3 | c.646-4_655del | splice_acceptor_variant, coding_sequence_variant, intron_variant | 4/16 | ENST00000233146.7 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
MSH2 | ENST00000233146.7 | c.646-4_655del | splice_acceptor_variant, coding_sequence_variant, intron_variant | 4/16 | 1 | NM_000251.3 | P1 |
Frequencies
GnomAD3 genomes ? Cov.: 32
GnomAD3 genomes
?
Cov.:
32
We have no GnomAD4 exomes data on this position. Probably position not covered by the project.
GnomAD4 genome ? Cov.: 32
GnomAD4 genome
?
Cov.:
32
ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Hereditary cancer-predisposing syndrome Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | Aug 22, 2023 | The c.646-4_655del14 pathogenic mutation spans the last four nucleotides of intron 3 (ATAG) through the first 10 nucleotides of coding exon 4 (ATAATTCAAA) in the MSH2 gene. This pathogenic mutation results from a deletion of 14 nucleotides and disrupts the canonical splice acceptor site. To our knowledge, this specific alteration has not been reported in the literature to date. However, a deletion of 12 nucleotides which disrupts the same splice acceptor site (c.646-5_654del12), has been reported in a German family with suspected HNPCC (Mangold E et al. Int. J. Cancer 2005 Sep;116(5):692-702). In silico splice site analysis predicts that this alteration will weaken the native acceptor site and may result in the creation or strengthening of a novel splice acceptor site. Alterations that disrupt the canonical splice site are expected to cause aberrant splicing, resulting in an abnormal protein or a transcript that is subject to nonsense-mediated mRNA decay. As such, this alteration is classified as a disease-causing mutation. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at