Our verdict is Likely pathogenic. Variant got 8 ACMG points: 10P and 2B. PM1PM2PM5PP3_StrongBP6_Moderate
The NM_000251.3(MSH2):c.1798G>A(p.Ala600Thr) variant causes a missense 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. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A600V) has been classified as Pathogenic.
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 Likely_pathogenic. Variant got 8 ACMG points.
PM1
In a helix (size 24) in uniprot entity MSH2_HUMAN there are 10 pathogenic changes around while only 2 benign (83%) in NM_000251.3
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-47475064-C-T is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.981
BP6
Variant 2-47475063-G-A is Benign according to our data. Variant chr2-47475063-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 651698.Status of the report is criteria_provided_single_submitter, 1 stars.