About MSH6
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is benign. Select a step to read what it means.
Benign.A benign classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is ClinGen MSH6 VCEP v2.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
NM_000179.2:c.4068_4071dup is a frameshift variant introducing a premature termination codon at position 1359 (p.Lys1358AspfsTer2). Under the InSiGHT MSH6 VCEP v2.0 PVS1 rules, nonsense/frameshift variants introducing a PTC between codons 1342 and 1360 are assigned PVS1_Moderate. The variant falls within this range. However, functional data from PMID:20176959 demonstrates that the K1358DfsX1 allele (the exact protein consequence) produces no detectable mismatch repair defect in a yeast-based mutator assay, indicating that this distal truncation does not impair protein function. This functional evidence is contradictory to the PVS1 assumption of loss of function but does not override the VCEP position-based rule.
gnomAD v4.1 grpmax filtering allele frequency is 0.022162 (2.22%) in the East Asian population, which exceeds the VCEP BA1 threshold of ≥0.0022 (0.22%). The variant is present in 1,274 alleles (including 26 homozygotes) in gnomAD v4.1 overall, and in 658 East Asian alleles (12 homozygotes) in gnomAD v2.1 at an AF of 3.3%. This variant is excluded as a founder pathogenic variant: functional data (PMID:20176959) demonstrates no MMR defect, confirming it is a benign polymorphism rather than a pathogenic founder. The variant has been classified as Likely benign by the InSiGHT expert panel in ClinVar (Variation ID 89518).
Expert panel International Society for Gastrointestinal Hereditary Tumours (InSiGHT) classified as Likely benign.
ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for MSH6 Version 2.0 v2.0 criteria-combination framework: matched Rule17 (1 Benign.Stand Alone) with applied criteria: PVS1 moderate, BA1 stand-alone benign, BP6 supporting benign; maps to Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 1,274 / 1,612,404 alleles. Recorded AF 0.000790125. Recorded homozygote count 26.
This variant is present in gnomAD v2.1 (AF= 0.00241933; MAF= 0.24193%, 683/282310 alleles, homozygotes = 12) and has highest observed frequency in the East Asian population (AF= 0.0330023; MAF= 3.30023%, 658/19938 alleles, homozygotes = 12); grpmax FAF= 0.0310647.
This variant is present in gnomAD-Canada v1.0 (AF= 0.003367734926670288, 62/18410 alleles, homozygotes = 1).
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
13 Benign · 10 Likely benign · 1 Uncertain significance. ClinVar API review status: reviewed by expert panel.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV52273912, n = 10 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen MSH6 VCEP v2.0, with the data and sources behind each one.
29 criteria with recorded statuses: 3 met · 11 not met · 0 not assessed · 15 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000179.2:c.4068_4071dup (p.Lys1358AspfsTer2) is a frameshift duplication in exon 10 of MSH6 introducing a premature termination codon at position 1359, two residues before the normal stop codon. Under the InSiGHT MSH6 VCEP v2.0, this qualifies for PVS1_Moderate (PTC between codons 1342-1360).
The variant is present at high frequency in population databases: gnomAD v4.1 grpmax filtering allele frequency is 0.022162 (2.22%) in the East Asian population, with 1,274 total alleles and 26 homozygotes observed. This exceeds the VCEP BA1 threshold of 0.0022 (0.22%), meeting BA1 at stand-alone benign strength. The variant is excluded as a founder pathogenic variant based on functional evidence showing no MMR defect.
Functional data from Martinez and Kolodner (PMID:20176959) directly tested the K1358DfsX1 allele in a yeast-based mutator assay and found no significant increase in mutation rate across three assays (Thr+, Lys+, Canr), demonstrating that this distal truncation does not impair mismatch repair function. This functional evidence supports the benign interpretation and corroborates the high population frequency.
ClinVar reports this variant as Likely benign, reviewed by the InSiGHT expert panel (Variation ID 89518), with 23 clinical laboratories classifying it as Benign or Likely benign.
Under the InSiGHT VCEP v2.0 combination rules, one Benign Stand-Alone criterion (BA1) plus one Pathogenic Moderate criterion (PVS1_Moderate) yields a classification of Uncertain Significance with conflicting evidence (Rule 27). However, the functional data demonstrating intact MMR function, the very high population frequency with multiple homozygotes, and the expert panel consensus strongly favor a benign interpretation.
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in MSH6, mapped onto the exon structure of NM_000179.2. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| East Asian1046 / 44,822 | 0.02322 hom |
| Remaining individuals136 / 62,446 | 0.00224 hom |
| South Asian64 / 90,902 | 0.0007 |
| Middle Eastern1 / 6,054 | 0.00017 |
| Admixed American7 / 59,948 | 0.00012 |
| African/African American8 / 74,888 | 0.00011 |
| European (non-Finnish)12 / 1,179,028 | 1e-05 |
| East Asian658 / 19,938 | 0.03312 hom |
| Remaining individuals4 / 7,202 | 0.00056 |
| South Asian16 / 30,566 | 0.00052 |
| Admixed American4 / 35,352 | 0.00011 |
| African/African American1 / 24,940 | 4e-05 |
This variant is present in gnomAD v4.1 (AF= 0.000790125; MAF= 0.07901%, 1274/1612404 alleles, homozygotes = 26) and has highest observed frequency in the East Asian population (AF= 0.0233368; MAF= 2.33368%, 1046/44822 alleles, homozygotes = 22); grpmax FAF= 0.022162.
This variant is present in gnomAD v2.1 (AF= 0.00241933; MAF= 0.24193%, 683/282310 alleles, homozygotes = 12) and has highest observed frequency in the East Asian population (AF= 0.0330023; MAF= 3.30023%, 658/19938 alleles, homozygotes = 12); grpmax FAF= 0.0310647.
This variant is present in gnomAD-Canada v1.0 (AF= 0.003367734926670288, 62/18410 alleles, homozygotes = 1).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
8 paper records listed. 1 cited in the classification.
RDKY7109 / MSH6 / K1358DfsX1 / Asp1239X ... NS / NS / NS
Location Table 1 (chromosomal alleles list, strain RDKY7109); Table 2 (mutation rate data showing NS in all assays); Results section describing four mutations causing no apparent defect
Context Saccharomyces cerevisiae chromosomal mutator assay; human MSH6 alleles integrated at the yeast MSH6 locus; three readouts: CAN1 inactivation (Canr), hom3-10 frameshift reversion (Thr+), lys2-10A frameshift reversion (Lys+)
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 0.000790125; MAF= 0.07901%, 1274/1612404 alleles, homozygotes = 26) and has highest observed frequency in the East Asian population (AF= 0.0233368; MAF= 2.33368%, 1046/44822 alleles, homozygotes = 22); grpmax FAF= 0.022162.
This variant is present in gnomAD v2.1 (AF= 0.00241933; MAF= 0.24193%, 683/282310 alleles, homozygotes = 12) and has highest observed frequency in the East Asian population (AF= 0.0330023; MAF= 3.30023%, 658/19938 alleles, homozygotes = 12); grpmax FAF= 0.0310647.
This variant is present in gnomAD-Canada v1.0 (AF= 0.003367734926670288, 62/18410 alleles, homozygotes = 1).
This variant has been reported in ClinVar as Benign (13 clinical laboratories) and as Likely benign (10 clinical laboratories) and as Uncertain significance (1 clinical laboratory) and as Likely benign by International Society for Gastrointestinal Hereditary Tumours (InSiGHT) (expert panel). (ClinVarID = 89518)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV52273912, n = 10 times).
This variant does not lie in a statistically significant hotspot.