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 likely benign. Select a step to read what it means.
Likely benign.A likely 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 v2.0.0. 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.
c.2526T>G is extremely rare in population databases. In gnomAD v4.1 the overall allele frequency is 8.06×10⁻⁶ (13/1,613,006 alleles, 0 homozygotes), which is below the VCEP MSH6 PM2_Supporting threshold of <0.00002 (<1 in 50,000 alleles). The variant is also rare in gnomAD v2.1 (AF=3.62×10⁻⁵, 9/248,608 alleles).
SpliceAI predicts no splicing impact for this synonymous variant (max delta score = 0.00, ≤0.1). Per the VCEP MSH6 BP4_Supporting rule, synonymous variants with SpliceAI delta score ≤0.1 meet BP4_Supporting.
c.2526T>G is a synonymous (silent) variant located at coding position 2526 in exon 4 (c.628-3172), well within the exon interior and far from canonical splice sites. Per VCEP MSH6 BP7, synonymous variants at or beyond the -21/+7 splice region meet BP7_Supporting. Variants may satisfy both BP7 and BP4 per VCEP rules.
ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for MSH6 Version 2.0.0 v2.0.0 criteria-combination framework: matched Rule19 (Benign.Supporting >=2) with applied criteria: PM2 supporting, BP4 supporting, BP7 supporting; maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 13 / 1,613,006 alleles. Recorded AF 8.05949e-06. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 3.62016e-05; MAF= 0.00362%, 9/248608 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000490838; MAF= 0.04908%, 9/18336 alleles, homozygotes = 0); grpmax FAF= 0.00025523.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
5 Likely benign · 1 Likely Benign · 1 Benign. ClinVar API review status: criteria provided, multiple submitters, no conflicts.
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen MSH6 VCEP v2.0.0, with the data and sources behind each one.
26 criteria with recorded statuses: 3 met · 11 not met · 0 not assessed · 12 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
c.2526T>G (p.Ala842=) is a synonymous variant in MSH6 exon 4 with no predicted effect on splicing (SpliceAI max delta = 0.00).
The variant is extremely rare in population databases, with an overall allele frequency of 8.06×10⁻⁶ in gnomAD v4.1 (13/1,613,006 alleles, 0 homozygotes), meeting PM2_Supporting per VCEP MSH6 (threshold <0.00002).
As a synonymous variant with no predicted splicing impact (SpliceAI delta = 0.00), BP4_Supporting is met per VCEP MSH6 rule for synonymous variants with SpliceAI delta ≤0.1.
The variant is a synonymous substitution located deep within exon 4 (c.628-3172), far from splice junctions, meeting BP7_Supporting per VCEP MSH6 rule for synonymous variants at or beyond -21/+7 position.
This variant has been reported in ClinVar as Likely benign by 5 clinical laboratories, Likely Benign by 1, and Benign by 1 (ClinVar ID: 186376, review status: criteria provided, single submitter). However, BP6 is not applicable per VCEP rules.
No functional studies, segregation data, tumor phenotype data, or de novo observations have been reported for this variant. No publications mention NM_000179.3:c.2526T>G specifically.
No criteria match.
Every interpreted variant in MSH6, mapped onto the exon structure of NM_000179.3. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| East Asian12 / 44,896 | 0.00027 |
| European (non-Finnish)1 / 1,179,774 | 8.5e-07 |
| East Asian9 / 18,336 | 0.00049 |
This variant is present in gnomAD v4.1 (AF= 8.05949e-06; MAF= 0.00081%, 13/1613006 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000267284; MAF= 0.02673%, 12/44896 alleles, homozygotes = 0); grpmax FAF= 0.0001539.
This variant is present in gnomAD v2.1 (AF= 3.62016e-05; MAF= 0.00362%, 9/248608 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000490838; MAF= 0.04908%, 9/18336 alleles, homozygotes = 0); grpmax FAF= 0.00025523.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
7 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
DNA mismatch repair genes—MLH1, MSH2, PMS1, PMS2, MSH6, MSH3
Table I (Hereditary Syndromes), MSH6 listed as HNPCC gene
for women with MSH6 mutations, the risk for endometrial cancer may surpass the lifetime CRC risk
MSH6 is mentioned in context of Lynch syndrome gene list and endometrial cancer risk
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= 8.05949e-06; MAF= 0.00081%, 13/1613006 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000267284; MAF= 0.02673%, 12/44896 alleles, homozygotes = 0); grpmax FAF= 0.0001539.
This variant is present in gnomAD v2.1 (AF= 3.62016e-05; MAF= 0.00362%, 9/248608 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 0.000490838; MAF= 0.04908%, 9/18336 alleles, homozygotes = 0); grpmax FAF= 0.00025523.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Likely benign (5 clinical laboratories) and as Likely Benign (1 clinical laboratory) and as Benign (1 clinical laboratory). (ClinVarID = 186376)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.