Description
This variant is denoted PMS2 c.2174+1G>A or IVS12+1G>A and consists of a G>A nucleotide substitution at the +1 position of intron 12 of the PMS2 gene. This variant destroys a canonical splice donor site and is predicted to cause abnormal gene splicing, leading to either an abnormal message that is subject to nonsense-mediated mRNA decay or to an abnormal protein product. Functional studies, including a splicing analysis using patient RNA and an in vitro minigene assay, have demonstrated aberrant splicing (van der Klift 2015). The International Society for Gastrointestinal Hereditary Tumours Incorporated (InSiGHT) classifies this variant as pathogenic (Thompson 2014). In the heterozygous state, PMS2 c.2174+1G>A has been reported in association with Lynch syndrome, and, in both the compound heterozygous and homozygous states, it has been observed in individuals with constitutional mismatch repair deficiency (CMMR-D) syndrome (Senter 2008, Vaughn 2010, Herkert 2011). Based on the current evidence, we consider this variant to be pathogenic.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | yes | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |