ClinVar Miner

Submissions for variant NM_000249.4(MLH1):c.380+2T>C

dbSNP: rs267607742
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Total submissions: 6
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
International Society for Gastrointestinal Hereditary Tumours (InSiGHT) RCV000075681 SCV000106684 likely pathogenic Lynch syndrome 2019-06-21 reviewed by expert panel curation Interrupts canonical donor splice site
GeneDx RCV001356725 SCV001983877 pathogenic not provided 2022-02-14 criteria provided, single submitter clinical testing Canonical splice site variant predicted to result in a null allele in a gene for which loss-of-function is a known mechanism of disease; Observed in patients with Lynch-related cancers consistent with pathogenic variants in this gene (Lee 2005, DeRycke 2017); Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 32906206, 25525159, 15996210, 18726168, 28944238)
Ambry Genetics RCV002354259 SCV002622779 likely pathogenic Hereditary cancer-predisposing syndrome 2020-02-04 criteria provided, single submitter clinical testing The c.380+2T>C intronic variant results from a T to C substitution two nucleotides after coding exon 4 in the MLH1 gene. This variant was identified in an Indian patient with microsatellite stable rectal cancer diagnosed at 32 whose family meet Amsterdam criteria I (Lee SC et al. Clin. Genet. 2005 Aug;68:137-45). This variant was also identified in 1/1231 colorectal cancer cases and in 0/93 unaffected controls; the carrier of this alteration was diagnosed with colorectal cancer prior to age 50 (DeRycke MS et al. Mol Genet Genomic Med 2017 Sep;5:553-569). This nucleotide position is highly conserved in available vertebrate species. Based on two different splice site prediction tools, this alteration is expected to abolish the native splice donor site; however, experimental evidence is not currently available. Alterations that disrupt the canonical splice site are expected to cause aberrant splicing, resulting in an abnormal protein or a transcript that is subject to nonsense-mediated mRNA decay. As such, this alteration is classified as likely pathogenic.
Myriad Genetics, Inc. RCV003451141 SCV004188365 likely pathogenic Colorectal cancer, hereditary nonpolyposis, type 2 2023-07-13 criteria provided, single submitter clinical testing This variant is considered likely pathogenic. This variant occurs within a consensus splice junction and is predicted to result in abnormal mRNA splicing of either an out-of-frame exon or an in-frame exon necessary for protein stability and/or normal function.
Baylor Genetics RCV003451141 SCV004193040 pathogenic Colorectal cancer, hereditary nonpolyposis, type 2 2022-08-05 criteria provided, single submitter clinical testing
Department of Pathology and Laboratory Medicine, Sinai Health System RCV001356725 SCV001551969 uncertain significance not provided no assertion criteria provided clinical testing

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