Classification rationale
1
The MSH6 c.4002-28_4002-26dup (p.?) variant has been reported in ClinVar with benign and likely benign interpretations, and no expert panel assertion was identified.
clinvar ↗2
This variant is common in population databases, including gnomAD v4.1 with an overall allele frequency of 0.00134155 and an East Asian allele frequency of 0.0283305 (1159/40910 alleles; 5 homozygotes), which is above the MSH6 BA1 threshold of 0.0022; similarly high frequencies are present in gnomAD v2.1 and gnomAD-Canada.
gnomad_v4 ↗ gnomad_v2 ↗ gnomad_canada ↗ cspec ↗3
For this intronic duplication, SpliceAI predicts no significant splice impact with a maximum delta score of 0.05, which is below the MSH6 BP4 no-impact threshold of 0.1 and below the PP3 splice-defect threshold of 0.2.
spliceai ↗ cspec ↗