rs7562048

Positions:

• chr2-47805173-G-A
• chr2-47805173-G-C
• chr2-47805173-G-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_Strong BP6_Very_Strong BA1

The NM_000179.3(MSH6):​c.3556+146G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.541 in 636,550 control chromosomes in the GnomAD database, including 97,273 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★).

• Frequency:
  • Genomes: 𝑓 0.56 (24559 hom., cov: 32)
  • Exomes 𝑓: 0.54 (72714 hom.)
• Consequence: MSH6 NM_000179.3 intron
• Clinical Significance: Benign reviewed by expert panel U:1 B:2
• Conservation: PhyloP100: -0.0120

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 Benign. Variant got -20 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.88).
• BP6: Variant 2-47805173-G-A is Benign according to our data. Variant chr2-47805173-G-A is described in ClinVar as [Benign]. Clinvar id is 89410.Status of the report is reviewed_by_expert_panel, 3 stars. Variant chr2-47805173-G-A is described in Lovd as [Benign].
• BA1: GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.84 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
MSH6	NM_000179.3	c.3556+146G>A		intron_variant		ENST00000234420.11

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
MSH6	ENST00000234420.11	c.3556+146G>A		intron_variant		1	NM_000179.3	P4

Frequencies

GnomAD3 genomes AF: 0.561 AC: 84429 AN: 150498 Hom.: 24554 Cov.: 32

Gnomad AFR AF: 0.682

Gnomad AMI AF: 0.563

Gnomad AMR AF: 0.530

Gnomad ASJ AF: 0.615

Gnomad EAS AF: 0.861

Gnomad SAS AF: 0.669

Gnomad FIN AF: 0.419

Gnomad MID AF: 0.604

Gnomad NFE AF: 0.482

Gnomad OTH AF: 0.546

GnomAD4 exome AF: 0.535 AC: 260106 AN: 485946 Hom.: 72714 AF XY: 0.540 AC XY: 141656 AN XY: 262462

Gnomad4 AFR exome AF: 0.684

Gnomad4 AMR exome AF: 0.539

Gnomad4 ASJ exome AF: 0.626

Gnomad4 EAS exome AF: 0.858

Gnomad4 SAS exome AF: 0.639

Gnomad4 FIN exome AF: 0.421

Gnomad4 NFE exome AF: 0.483

Gnomad4 OTH exome AF: 0.544

GnomAD4 genome AF: 0.561 AC: 84469 AN: 150604 Hom.: 24559 Cov.: 32 AF XY: 0.564 AC XY: 41512 AN XY: 73574

Gnomad4 AFR AF: 0.682

Gnomad4 AMR AF: 0.530

Gnomad4 ASJ AF: 0.615

Gnomad4 EAS AF: 0.861

Gnomad4 SAS AF: 0.668

Gnomad4 FIN AF: 0.419

Gnomad4 NFE AF: 0.482

Gnomad4 OTH AF: 0.546

Alfa AF: 0.478 Hom.: 4941

Bravo AF: 0.574

ClinVar

Significance: Benign

Submissions summary: Uncertain:1 Benign:2

Revision: reviewed by expert panel

Submissions by phenotype

not provided Uncertain:1 Benign:1

Benign, criteria provided, single submitter	clinical testing	GeneDx	Jun 22, 2018	- -
Uncertain significance, no assertion criteria provided	clinical testing	Department of Pathology and Laboratory Medicine, Sinai Health System	-	- -

Lynch syndrome Benign:1

Benign, reviewed by expert panel

research

International Society for Gastrointestinal Hereditary Tumours (InSiGHT)

Sep 05, 2013

MAF >1% -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.88
CADD	Benign	6.0
DANN	Benign	0.77

Splicing

Name	Calibrated prediction	Score	Prediction
SpliceAI score (max)		0.10		Details are displayed if max score is > 0.2

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

Publications

LitVar

Other links and lift over

dbSNP: rs7562048; hg19: chr2-48032312;