Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM1PP2PP5
The NM_001370259.2(MEN1):c.1074_1075delGGinsAA(p.Glu359Lys) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. It is difficult to determine the true allele frequency of this variant because it is of type MNV, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Pathogenic (no stars). Synonymous variant affecting the same amino acid position (i.e. E358E) has been classified as Likely benign.
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]
Our verdict: Uncertain_significance. The variant received 4 ACMG points.
PM1
In a hotspot region, there are 6 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 2 benign, 19 uncertain in NM_001370259.2
PP2
Missense variant in the MEN1 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 113 curated pathogenic missense variants (we use a threshold of 10). The gene has 20 curated benign missense variants. Trascript score misZ: 4.1921 (above the threshold of 3.09). GenCC associations: The gene is linked to multiple endocrine neoplasia type 1, hereditary pheochromocytoma-paraganglioma, pituitary gigantism, familial isolated hyperparathyroidism.
PP5
Variant 11-64805745-CC-TT is Pathogenic according to our data. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr11-64805745-CC-TT is described in CliVar as Pathogenic. Clinvar id is 16695.Status of the report is no_assertion_criteria_provided, 0 stars.