ClinVar Miner

Submissions for variant NM_000249.4(MLH1):c.381-2A>G

dbSNP: rs267607743
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
International Society for Gastrointestinal Hereditary Tumours (InSiGHT) RCV000075683 SCV000106687 likely pathogenic Lynch syndrome 2019-06-21 reviewed by expert panel curation Interrupts canonical donor splice site
Invitae RCV001235385 SCV001408067 pathogenic Hereditary nonpolyposis colorectal neoplasms 2021-10-21 criteria provided, single submitter clinical testing This sequence change affects an acceptor splice site in intron 4 of the MLH1 gene. It is expected to disrupt RNA splicing. Variants that disrupt the donor or acceptor splice site typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in MLH1 are known to be pathogenic (PMID: 15713769, 24362816). This variant is not present in population databases (gnomAD no frequency). For these reasons, this variant has been classified as Pathogenic. Studies have shown that this variant is associated with altered splicing, but the impact on the resulting protein product is unknown (Invitae). ClinVar contains an entry for this variant (Variation ID: 90195). Disruption of this splice site has been observed in individuals with Lynch syndrome (PMID: 8971183, 10375096, 26248088, 28944238; Invitae). It has also been observed to segregate with disease in related individuals.
Myriad Genetics, Inc. RCV003451143 SCV004187313 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.

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