Our verdict is Uncertain significance. Variant got 4 ACMG points: 5P and 1B. PM2PP3PP5_ModerateBP3
The NM_001370259.2(MEN1):c.776_781dupTGCAGC(p.Leu259_Gln260dup) variant causes a conservative inframe insertion, splice region 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 (★).
MEN1 (HGNC:7010): (menin 1) This gene encodes menin, a tumor suppressor associated with a syndrome known as multiple endocrine neoplasia type 1. Menin is a scaffold protein that functions in histone modification and epigenetic gene regulation. It is thought to regulate several pathways and processes by altering chromatin structure through the modification of histones. [provided by RefSeq, May 2019]
Verdict is Uncertain_significance. Variant got 4 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
No computational evidence supports a deleterious effect, but strongly conserved according to phyloP
PP5
Variant 11-64807553-T-TGCTGCA is Pathogenic according to our data. Variant chr11-64807553-T-TGCTGCA is described in ClinVar as [Pathogenic]. Clinvar id is 527275.Status of the report is criteria_provided_single_submitter, 1 stars.
BP3
Nonframeshift variant in repetitive region in NM_001370259.2
Review Status: criteria provided, single submitter
Collection Method: clinical testing
This variant, c.776_781dup, results in the insertion of 2 amino acid(s) of the MEN1 protein (p.Leu259_Gln260dup), but otherwise preserves the integrity of the reading frame. This variant is not present in population databases (gnomAD no frequency). This variant has been observed in individuals with clinical features of multiple endocrine neoplasia type 1 (PMID: 12417605; Invitae). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 527275). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. For these reasons, this variant has been classified as Pathogenic. -