ClinVar Miner

Submissions for variant NM_000251.3(MSH2):c.116G>C (p.Arg39Pro)

gnomAD frequency: 0.00002  dbSNP: rs587782759
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Total submissions: 7
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Ambry Genetics RCV000132280 SCV000187364 uncertain significance Hereditary cancer-predisposing syndrome 2022-11-01 criteria provided, single submitter clinical testing The p.R39P variant (also known as c.116G>C), located in coding exon 1 of the MSH2 gene, results from a G to C substitution at nucleotide position 116. The arginine at codon 39 is replaced by proline, an amino acid with dissimilar properties. This alteration, called a variant of uncertain significance, was detected in a cohort of 1058 colorectal cancer patients who underwent multi-gene panel testing (Yurgelun MB et al. J. Clin. Oncol., 2017 Apr;35:1086-1095). In a massively parallel cell-based functional assay testing susceptibility to a DNA damaging agent, 6-thioguanine (6-TG), this variant was reported to be functionally neutral (Jia X et al. Am J Hum Genet, 2021 01;108:163-175). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear.
Color Diagnostics, LLC DBA Color Health RCV000132280 SCV000908268 uncertain significance Hereditary cancer-predisposing syndrome 2019-06-12 criteria provided, single submitter clinical testing
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000780435 SCV000917683 uncertain significance not specified 2018-01-24 criteria provided, single submitter clinical testing Variant summary: The MSH2 c.116G>C (p.Arg39Pro) variant involves the alteration of a conserved nucleotide that leads to an amino acid substitution in the N-terminal mismatch-recognition domain (IPR007695, InterPro). 4/4 in silico tools predict a damaging outcome for this variant (SNPsandGO not captured due to low reliability index). This variant was found in 5/222394 control chromosomes at a frequency of 0.0000225, which does not exceed the estimated maximal expected allele frequency of a pathogenic MSH2 variant (0.0005683). The variant was reported in one individual with colorectal cancer, however without evidence for causality (Yurgelun 2017). In addition, one clinical diagnostic laboratory classified this variant as uncertain significance. Taken together, this variant is classified as VUS.
Invitae RCV000800194 SCV000939894 likely benign Hereditary nonpolyposis colorectal neoplasms 2023-09-17 criteria provided, single submitter clinical testing
GeneDx RCV001753517 SCV001985746 uncertain significance not provided 2023-01-19 criteria provided, single submitter clinical testing Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; Observed in individuals with colorectal cancer (Yurgelun et al., 2017); This variant is associated with the following publications: (PMID: 21120944, 18822302, 28135145, 35713195)
Baylor Genetics RCV003462042 SCV004194539 uncertain significance Lynch syndrome 1 2023-06-22 criteria provided, single submitter clinical testing
All of Us Research Program, National Institutes of Health RCV003998140 SCV004828892 uncertain significance Lynch syndrome 2023-03-04 criteria provided, single submitter clinical testing

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