rs267607988

Variant names:

• chr2-47476366-G-A
• rs267607988
• NM_000251.3:c.2006-1G>A

Your query was ambiguous. Multiple possible variants found:

• chr2-47476366-G-A
• chr2-47476366-G-C
• chr2-47476366-G-T

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1 PM2 PP5_Very_Strong

The NM_000251.3(MSH2):​c.2006-1G>A variant causes a splice acceptor, intron change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★★).

• Frequency: Genomes: not found (cov: 32)
• Consequence: MSH2 NM_000251.3 splice_acceptor, intron
• Scores: Splicing: ADA: 1.000
• Clinical Significance: Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:2
• Conservation: PhyloP100: 9.60
• 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: Pathogenic. The variant received 18 ACMG points.

• PVS1: Splicing +-2 bp (donor or acceptor) variant, LoF is a know mechanism of disease, No cryptic splice site detected. Exon removal results in frameshift change.
• PM2: Very rare variant in population databases, with high coverage
• PP5: Variant 2-47476366-G-A is Pathogenic according to our data. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-47476366-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 1784319.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
MSH2	NM_000251.3	c.2006-1G>A		splice_acceptor_variant, intron_variant	Intron 12 of 15	ENST00000233146.7	NP_000242.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
MSH2	ENST00000233146.7	c.2006-1G>A		splice_acceptor_variant, intron_variant	Intron 12 of 15	1	NM_000251.3	ENSP00000233146.2

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 32

GnomAD4 genome Cov.: 32

ClinVar

Significance: Pathogenic/Likely pathogenic

Submissions summary: Pathogenic:2

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Lynch syndrome 1 Pathogenic:1

Aug 07, 2023

Myriad Genetics, Inc.

Significance: Likely pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

This variant is considered likely pathogenic. This variant occurs within a consensus splice junction and is predicted to result in abnormal mRNA splicing of either an out-of-frame exon or an in-frame exon necessary for protein stability and/or normal function. -

Hereditary cancer-predisposing syndrome Pathogenic:1

Nov 19, 2019

Ambry Genetics

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

The c.2006-1G>A intronic pathogenic mutation results from a G to A substitution one nucleotide upstream from coding exon 13 of the MSH2 gene. This variant was not reported in population-based cohorts in the Genome Aggregation Database (gnomAD). In addition, 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: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_addAF	Pathogenic	0.63	D
BayesDel_noAF	Pathogenic	0.40
CADD	Pathogenic	34
DANN	Uncertain	1.0
Eigen	Pathogenic	1.3
Eigen_PC	Pathogenic	1.1
FATHMM_MKL	Pathogenic	1.0	D
PhyloP100		9.6
GERP RS		5.5
RBP_binding_hub_radar		0.0
RBP_regulation_power_radar		1.7
Mutation Taster		=0/100	disease causing

Splicing

Name	Calibrated prediction	Score	Prediction
dbscSNV1_ADA	Pathogenic	1.0
dbscSNV1_RF	Pathogenic	0.93
SpliceAI score (max)		0.99		Details are displayed if max score is > 0.2
DS_AG_spliceai		0.29		Position offset: 2
DS_AL_spliceai		0.99		Position offset: 1

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

Other links and lift over

dbSNP: rs267607988; hg19: chr2-47703505;