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NM_000249.4(MLH1):c.244A>G (p.Thr82Ala) AND Hereditary nonpolyposis colorectal neoplasms

Germline classification:
Pathogenic (1 submission)
Last evaluated:
Feb 8, 2023
Review status:
1 star out of maximum of 4 stars
criteria provided, single submitter
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000542720.6

Allele description [Variation Report for NM_000249.4(MLH1):c.244A>G (p.Thr82Ala)]

NM_000249.4(MLH1):c.244A>G (p.Thr82Ala)

Gene:
MLH1:mutL homolog 1 [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
3p22.2
Genomic location:
Preferred name:
NM_000249.4(MLH1):c.244A>G (p.Thr82Ala)
HGVS:
  • NC_000003.12:g.37000991A>G
  • NG_007109.2:g.12642A>G
  • NM_000249.4:c.244A>GMANE SELECT
  • NM_001167617.3:c.-46A>G
  • NM_001167618.3:c.-480A>G
  • NM_001167619.3:c.-388A>G
  • NM_001258271.2:c.244A>G
  • NM_001258273.2:c.-480A>G
  • NM_001258274.3:c.-480A>G
  • NM_001354615.2:c.-383A>G
  • NM_001354616.2:c.-388A>G
  • NM_001354617.2:c.-480A>G
  • NM_001354618.2:c.-480A>G
  • NM_001354619.2:c.-480A>G
  • NM_001354620.2:c.-46A>G
  • NM_001354621.2:c.-573A>G
  • NM_001354622.2:c.-686A>G
  • NM_001354623.2:c.-686A>G
  • NM_001354624.2:c.-583A>G
  • NM_001354625.2:c.-486A>G
  • NM_001354626.2:c.-583A>G
  • NM_001354627.2:c.-583A>G
  • NM_001354628.2:c.244A>G
  • NM_001354629.2:c.208-3410A>G
  • NM_001354630.2:c.244A>G
  • NP_000240.1:p.Thr82Ala
  • NP_000240.1:p.Thr82Ala
  • NP_001245200.1:p.Thr82Ala
  • NP_001341557.1:p.Thr82Ala
  • NP_001341559.1:p.Thr82Ala
  • LRG_216t1:c.244A>G
  • LRG_216:g.12642A>G
  • LRG_216p1:p.Thr82Ala
  • NC_000003.11:g.37042482A>G
  • NM_000249.3:c.244A>G
  • NM_001167617.1:c.-46A>G
  • p.T82A
Protein change:
T82A
Links:
dbSNP: rs587778998
NCBI 1000 Genomes Browser:
rs587778998
Molecular consequence:
  • NM_001167617.3:c.-46A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001167618.3:c.-480A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001167619.3:c.-388A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001258273.2:c.-480A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001258274.3:c.-480A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354615.2:c.-383A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354616.2:c.-388A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354617.2:c.-480A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354618.2:c.-480A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354619.2:c.-480A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354620.2:c.-46A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354621.2:c.-573A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354622.2:c.-686A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354623.2:c.-686A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354624.2:c.-583A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354625.2:c.-486A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354626.2:c.-583A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354627.2:c.-583A>G - 5 prime UTR variant - [Sequence Ontology: SO:0001623]
  • NM_001354629.2:c.208-3410A>G - intron variant - [Sequence Ontology: SO:0001627]
  • NM_000249.4:c.244A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001258271.2:c.244A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001354628.2:c.244A>G - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001354630.2:c.244A>G - missense variant - [Sequence Ontology: SO:0001583]

Condition(s)

Name:
Hereditary nonpolyposis colorectal neoplasms
Identifiers:
MeSH: D003123; MedGen: C0009405

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000625139Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Pathogenic
(Feb 8, 2023)
germlineclinical testing

PubMed (11)
[See all records that cite these PMIDs]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Integrated analysis of unclassified variants in mismatch repair genes.

Pastrello C, Pin E, Marroni F, Bedin C, Fornasarig M, Tibiletti MG, Oliani C, Ponz de Leon M, Urso ED, Della Puppa L, Agostini M, Viel A.

Genet Med. 2011 Feb;13(2):115-24. doi: 10.1097/GIM.0b013e3182011489.

PubMed [citation]
PMID:
21239990

Missense variants in hMLH1 identified in patients from the German HNPCC consortium and functional studies.

Hardt K, Heick SB, Betz B, Goecke T, Yazdanparast H, Küppers R, Servan K, Steinke V, Rahner N, Morak M, Holinski-Feder E, Engel C, Möslein G, Schackert HK, von Knebel Doeberitz M, Pox C; Peter Propping; German HNPCC consortium, Hegemann JH, Royer-Pokora B.

Fam Cancer. 2011 Jun;10(2):273-84. doi: 10.1007/s10689-011-9431-4.

PubMed [citation]
PMID:
21404117
See all PubMed Citations (11)

Details of each submission

From Labcorp Genetics (formerly Invitae), Labcorp, SCV000625139.5

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (11)

Description

This sequence change replaces threonine, which is neutral and polar, with alanine, which is neutral and non-polar, at codon 82 of the MLH1 protein (p.Thr82Ala). This variant is present in population databases (rs587778998, gnomAD 0.01%). This missense change has been observed in individuals with Lynch syndrome (PMID: 21239990, 21404117, 22736432, 26300997, 28514183). ClinVar contains an entry for this variant (Variation ID: 90116). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt MLH1 protein function. Experimental studies have shown that this missense change affects MLH1 function (PMID: 22736432). This variant disrupts the p.Thr82 amino acid residue in MLH1. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 10422993, 17510385, 19690142, 20587412, 23403630). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Nov 18, 2024