Uncertain pathogenicity of MSH2 variants N127S and G322D challenges their classification.

Uncertain pathogenicity of MSH2 variants N127S and G322D challenges their classification.
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MSH2 变体 N127S 和 G322D 的不确定致病性对它们的分类提出了挑战。

DOI:
10.1002/ijc.23573
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发表时间:
2008
影响因子:
6.4
通讯作者:
Nyström,Minna
Nyström,Minna
中科院分区:
医学1区
文献类型:
--
作者:
Ollila,Saara;DermadiBebek,Denis;Greenblatt,Marc;Nyström,Minna

文献摘要

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Hereditary non‐polyposis colorectal cancer (HNPCC) is associated with germline mutations in mismatch repair (MMR) genes. Inherited missense mutations, however, complicate the diagnostics because they do not always cause unambiguous predisposition to cancer. This leads to variable and contradictory interpretations of their pathogenicity. Here, we establish evidence for the functionality of the 2 frequently reported variations,MSH2N127S and G322D, which have been described both as pathogenic and non‐pathogenic in literature and databases. We report the results of 3 different functional analyses characterizing the biochemical properties of these protein variantsin vitro. We applied an immunoprecipitation assay to assess the MSH2–MSH6 interaction, a bandshift assay to study mismatch recognition and binding, and a MMR assay for repair efficiency. None of the experiments provided evidence on reduced functionality of these proteins as compared to wild‐type MSH2. Our data demonstrate thatMSH2N127S and G322Dper seare not sufficient to trigger MMR deficiency. This together with variable clinical phenotypes in the mutation carriers suggest no or only low cancer riskin vivo. © 2008 Wiley‐Liss, Inc.