Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PVS1PM2PP5
The NM_000251.3(MSH2):c.1692_1693delCA(p.Asn566fs) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.
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]
Verdict is Pathogenic. Variant got 11 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-47470994-CCA-C is Pathogenic according to our data. Variant chr2-47470994-CCA-C is described in ClinVar as [Pathogenic]. Clinvar id is 438795.Status of the report is no_assertion_criteria_provided, 0 stars.
Donald Williams Parsons Laboratory, Baylor College of Medicine
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: research
This frameshift variant is categorized as deleterious according to ACMG guidelines (PMID:18414213). It was found once in this study maternally inherited in a 13-year-old female with glioblastoma and family history of colorectal, uterine, pancreatic, and breast cancers. -