rs59056100

chr2-47806751-CTTTTTTTTTTTTTTT-Cchr2-47806751-CTTTTTTTTTTTTTTT-CTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTTTTTTTchr2-47806751-CTTTTTTTTTTTTTTT-CTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_000179.3(MSH6):c.4002-24_4002-10del variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000766 in 1,306,252 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

• Frequency:
  • Genomes: not found (cov: 0)
  • Exomes 𝑓: 7.7e-7 (0 hom.)
• Consequence: MSH6 NM_000179.3 splice_polypyrimidine_tract, intron
• Clinical Significance: Uncertain significance criteria provided, multiple submitters, no conflicts U:2
• Conservation: PhyloP100: 1.36

Genes affected

MSH6 (HGNC:7329): (mutS homolog 6) This gene encodes a member of the DNA mismatch repair MutS family. In E. coli, the MutS protein helps in the recognition of mismatched nucleotides prior to their repair. A highly conserved region of approximately 150 aa, called the Walker-A adenine nucleotide binding motif, exists in MutS homologs. The encoded protein heterodimerizes with MSH2 to form a mismatch recognition complex that functions as a bidirectional molecular switch that exchanges ADP and ATP as DNA mismatches are bound and dissociated. Mutations in this gene may be associated with hereditary nonpolyposis colon cancer, colorectal cancer, and endometrial cancer. Transcripts variants encoding different isoforms have been described. [provided by RefSeq, Jul 2013]

FBXO11 (HGNC:13590): (F-box protein 11) This gene encodes a member of the F-box protein family which is characterized by an approximately 40 amino acid motif, the F-box. The F-box proteins constitute one of the four subunits of ubiquitin protein ligase complex called SCFs (SKP1-cullin-F-box), which function in phosphorylation-dependent ubiquitination. The F-box proteins are divided into 3 classes: Fbws containing WD-40 domains, Fbls containing leucine-rich repeats, and Fbxs containing either different protein-protein interaction modules or no recognizable motifs. The protein encoded by this gene belongs to the Fbxs class. It can function as an arginine methyltransferase that symmetrically dimethylates arginine residues, and it acts as an adaptor protein to mediate the neddylation of p53, which leads to the suppression of p53 function. This gene is known to be down-regulated in melanocytes from patients with vitiligo, a skin disorder that results in depigmentation. Polymorphisms in this gene are associated with chronic otitis media with effusion and recurrent otitis media (COME/ROM), a hearing loss disorder, and the knockout of the homologous mouse gene results in the deaf mouse mutant Jeff (Jf), a single gene model of otitis media. Alternatively spliced transcript variants encoding distinct isoforms have been identified for this gene. [provided by RefSeq, Jun 2010]

ACMG classification

Verdict is Uncertain_significance. Variant got 2 ACMG points.

• PM2: Very rare variant in population databases, with high coverage

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
MSH6	NM_000179.3	c.4002-24_4002-10del		splice_polypyrimidine_tract_variant, intron_variant		ENST00000234420.11

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
MSH6	ENST00000234420.11	c.4002-24_4002-10del		splice_polypyrimidine_tract_variant, intron_variant		1	NM_000179.3	P4

Frequencies

GnomAD3 genomes Cov.: 0

GnomAD4 exome AF: 7.66e-7 AC: 1 AN: 1306252 Hom.: 0 AF XY: 0.00 AC XY: 0 AN XY: 652182

Gnomad4 AFR exome AF: 0.00

Gnomad4 AMR exome AF: 0.00

Gnomad4 ASJ exome AF: 0.00

Gnomad4 EAS exome AF: 0.00

Gnomad4 SAS exome AF: 0.00

Gnomad4 FIN exome AF: 0.00

Gnomad4 NFE exome AF: 9.95e-7

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome Cov.: 0

ClinVar

Significance: Uncertain significance

Submissions summary: Uncertain:2

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Hereditary nonpolyposis colorectal neoplasms Uncertain:1

Uncertain significance, criteria provided, single submitter

clinical testing

Invitae

Sep 14, 2021

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. This variant has not been reported in the literature in individuals affected with MSH6-related conditions. This variant is not present in population databases (ExAC no frequency). This sequence change falls in intron 9 of the MSH6 gene. It does not directly change the encoded amino acid sequence of the MSH6 protein. -

Hereditary cancer-predisposing syndrome Uncertain:1

Uncertain significance, criteria provided, single submitter

clinical testing

Ambry Genetics

Nov 21, 2023

The c.4002-24_4002-10del15 intronic variant, located in intron 9 of the MSH6 gene, results from a deletion of 15 nucleotides within intron 9 of the MSH6 gene. These nucleotide positions are well conserved in available vertebrate species. In silico splice site analysis predicts that this alteration will weaken the native splice acceptor site; however, direct evidence is insufficient at this time (Ambry internal data). Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Splicing

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

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr2-48033890;