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NM_001128425.2:c.1186+17C>T
p.? · MUTYH
0%
complete
Final classification
VUS
MUTYH
c.1186+17C>T
p.?
unknown · exon 12i

MUTYH encodes a DNA repair enzyme (a glycosylase) that fixes oxidative DNA damage by removing adenine bases that have been mistakenly paired with guanine or with oxidized guanine lesions. Inherited mutations in both copies of the gene cause MUTYH-associated polyposis (MAP), a recessive condition that strongly predisposes people to multiple colorectal polyps and colorectal cancer. The gene acts as a tumor suppressor whose loss of function allows DNA damage to accumulate, and somatic changes in it have also been reported in colon cancer, though whether they drive cancer on their own is not fully established.

This variant

MUTYH encodes a DNA-repair glycosylase in which biallelic loss of function causes autosomal recessive MUTYH-associated polyposis, so an intronic change such as c.1186+17C>T would require demonstrated biallelic, splice-altering or loss-of-function evidence before it could be regarded as disease-causing.

Transcript
NM_001128425.2
HGVS · transcript:coding
NM_001128425.2:c.1186+17C>T
GRCh38
chr1:45331644 G>A
GRCh37
chr1:45797316 G>A
VUS: the InSiGHT MUTYH v1.0 specification has no usable payload and no pathogenic or benign ACMG/AMP criterion was met, so no combination rule applies.
Classification rationale
VUS
MUTYH c.1186+17C>T unknown · exon 12i

Group scope: the five criteria adjudicated here (PS1, PM1, PM5, PP2, BP1) are all keyed to a variant's codon, amino-acid residue, or position within a critical functional domain. Governing framework: the ClinGen InSiGHT Hereditary Colorectal Cancer/Polyposis Expert Panel Specification for MUTYH v1.0 is the applicable gene-specific specification and was consulted first; generic ACMG/AMP 2015 definitions were used only for the criterion definitions themselves. The InSiGHT MUTYH ruleset was present as a framework label but carried no machine-extractable criterion-level rule payload in this case, and its domain table was not available. Variant: MUTYH NM_001128425.2:c.1186+17C>T (NC_000001.10:g.45797316G>A) is an intronic substitution 17 nucleotides into the intron downstream of the exon ending at c.1186. It produces no amino-acid change (NP_001121897.1:p.?), has no residue context, and is not a missense allele. ClinVar mirrors this as NM_001048174.2:c.1102+17C>T. PS1, PM5, PP2 and BP1 are defined only for missense (amino-acid-substituting) variants; with no codon or residue produced, they are not applicable rather than refuted. PM5 specifically is residue-anchored and the case's own candidate harvest found no residue and zero candidates. PM1 is location-based and was assessed rather than set aside: vcep_materials.json contains no domain_tables entry for MUTYH, so no VCEP-approved critical-domain list existed to test a residue against, and no hotspot resource returned data. Independently decisive, the variant is non-coding and therefore cannot lie in a coding functional domain or missense hotspot; PM1 is not met. No evidence in this group supports any pathogenic or benign codon/residue/domain-based assertion for this allele; the benign direction of this variant rests on other evidence groups (population frequency, ClinVar submissions), not on BP1. All four segregation/de novo criteria (PS2, PM6, PP1, BS4) are unassessable for this variant because the evidence assembled for NM_001128425.2:c.1186+17C>T contains no proband, no trio or parental testing, no pedigree and no genotyped relatives - there are zero informative meioses. The ClinVar record (variation 182700) holds only eight laboratory clinical-testing submissions with no criterion leads or family-level data, and the variant is not mentioned in any of the four fetched full texts. The governing InSiGHT Hereditary Colorectal Cancer/Polyposis VCEP specification for MUTYH (CSPEC doc 1742141534, v1.0) was retrieved but is an unapproved ruleset in preparation with an empty criteria payload, so the generic ACMG/AMP 2015 definitions of PS2, PM6, PP1 and BS4 were applied; all four are recorded as not assessed rather than not met, since the absence of family data does not constitute negative evidence, and none may be met from population frequency or from another source's benign classification. Neither PS3 nor BS3 can be adjudicated for MUTYH NM_001128425.2:c.1186+17C>T. Both criteria require well-established functional assay evidence (deleterious for PS3, non-damaging for BS3), and no functional or transcript/splice assay of this variant exists in the case evidence: no paper in the seven-PMID triage set reports functional data, all four extracted full texts were screened for the variant with zero hits, and the ClinVar submission audit yielded zero usable criterion leads. For this deep intronic (+17) variant the only assay route to PS3/BS3 would be a splice/transcript assay (minigene, RNA RT-PCR or RNA-seq) or an equivalent protein assay. In-silico splice prediction is not a substitute for either criterion: it belongs to PP3/BP4, so even a successful SpliceAI run would not satisfy PS3/BS3. SpliceAI returned no scores at all (query timeout), so no calibrated splice prediction is available. Per the case annotation this missing result is explicitly not evidence of absent splice impact and must not be used benignly; the only prediction numbers present are Pangolin (0.041 gain / -0.002 loss), which is uncalibrated for ACMG strength and is not assay evidence. Both criteria are recorded as not_assessed (evidence insufficient) rather than not_met: the requirement is an absent assay, not a contradicting one. The gap is closeable in principle by a transcript assay or a repeat SpliceAI run, and human review is flagged for that reason. The MUTYH InSiGHT VCEP specification (cspec doc 1742141534) was consulted as the governing framework but its criterion payload is not populated in this case, so generic ACMG/AMP 2015 (PMID:25741868) was applied for both criteria; no gene-specific PS3/BS3 strength calibration was available to use. No case-control or cohort evidence demonstrates enrichment of MUTYH NM_001128425.2:c.1186+17C>T in affected individuals; no retrieved source names the variant, so PS4 is not met.1 No expert-panel ClinVar assertion exists for this exact variant (review status 'criteria provided, single submitter', 0 expert-panel submissions), so neither the pathogenic (PP5) nor the benign (BP6) expert-panel-based assertion criterion is met; the aggregate Likely benign label reflects only independent laboratory submissions.2 PP4 and BP5 remain not assessed because the case provides no proband phenotype, family history, or alternate-molecular-basis information against which phenotype specificity or a competing diagnosis could be judged.3 MUTYH-associated disease is autosomal recessive (ClinGen InSiGHT MUTYH specification version 1.0, MONDO:0012041 'familial adenomatous polyposis 2'; PMID:35802134 lists MAP as AR with reporting of 2 pathogenic/likely pathogenic variants; PMID:24310308 describes MYH-associated polyposis as autosomal recessive), so the allelic group operates only on cis/trans configurations and the BP2 'trans with a pathogenic variant for a fully penetrant dominant disorder' clause is structurally unavailable. This is a variant-only assessment of the intronic change NM_001128425.2:c.1186+17C>T (NP_001121897.1:p.?, equivalent to NM_001048174.2:c.1102+17C>T, 17 bp into an intron): there is no affected proband, no genotype and no phase-resolved data of any kind (no segregation, allele-specific, long-read or trio phasing) in the case. PM3 is not met: no source, including the 8 ClinVar submissions for variation 182700 (none expert-panel or VCEP, zero criterion leads, no phase information), reports this variant in trans with a pathogenic or likely pathogenic MUTYH allele, and no biallelic/compound-heterozygous MAP genotype containing it is reported. BP2 is not met: no source reports this variant in cis with a pathogenic or likely pathogenic MUTYH allele, and the alternative trans-with-a-pathogenic-variant-for-a-dominant-disorder clause cannot apply to this recessive gene. Both criteria are therefore non-scoring for this variant; the allelic group contributes neither pathogenic nor benign weight, and the limiting factor is the complete absence of proband-level, phase-resolved data rather than evidence of a benign allelic configuration. No population criterion is met: BA1 and BS1 fall one to two orders of magnitude below their generic thresholds (highest frequency anywhere 0.000543, i.e. 0.054%, versus 0.05 and 0.01), BS2 has no observed homozygote in any cohort despite the autosomal recessive mode of inheritance, and PM2 fails because every gnomAD source, including the non-cancer subsets, exceeds the 0.0001 supporting cutoff. Source selection does not change any verdict: the all-comers v2.1/v4.1 totals (0.000128/0.000232) and the non-cancer v2.1-exome/v3.1-genome subsets (0.000119/0.000196) agree closely, so the unretrievable InSiGHT MUTYH VCEP threshold payload is immaterial here except for the narrow PM2 margin (lowest value only ~19% above 0.0001), which is flagged for human review. Population evidence therefore contributes no pathogenic or benign codes from this group; the variant is rare but consistently present at ~0.01-0.02% in reference populations, so any benign classification must be driven by other criteria groups.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
Gene diagram · NM_001128425.2 · variants mapped to exon structure
MUTYH NM_001128425.2
Fetching transcript structure from UCSC…
Applied criteria · 0 applied · 20 assessed
MetEvidence satisfies this criterion.
Not metEvaluated against available evidence; threshold not reached.
Not assessedApplies in principle, but no evidence was found to evaluate it.
N/ADoesn't apply to this variant type.
Applied · 0

No criteria were applied for this variant.

Assessed · not applied · 10 not met · 10 not assessed
Pathogenic
PS2 Not assessed: no proband or parental-testing data exist for c.1186+17C>T, so a confirmed de novo occurrence cannot be demonstrated.
PS3 Not assessed: no functional splice or expression assay exists for c.1186+17C>T, and SpliceAI returned no score to substitute.
PS4 Not met: no case-control cohort or case report of this variant was identified, so no enrichment statistic or threshold comparison exists.
PM1 Not met: c.1186+17C>T is intronic (+17), hence outside every coding domain, and no MUTYH domain table or hotspot entry exists.
PM2 Not met: the lowest gnomAD frequency, 0.000119 (v2.1 non-cancer exomes), still exceeds the 0.0001 PM2 supporting threshold.
PM3 Not met: no proband or ClinVar submission (8, none expert-panel) places this variant in trans with a pathogenic MUTYH allele.
PM6 Not assessed: no de novo occurrence, with or without parental testing, is reported for c.1186+17C>T in any curated source.
PP1 Not assessed: no pedigree or genotyped relatives are available for c.1186+17C>T, leaving zero informative meioses for co-segregation.
PP3 Not assessed: this intronic variant needs the SpliceAI path, but SpliceAI returned no score, so no delta could be tested against the 0.2 PP3 threshold.
PP4 Not assessed: no proband phenotype or family history was provided, so phenotype specificity for MUTYH-associated polyposis could not be evaluated.
PP5 Not met: ClinVar 182700 is 'criteria provided, single submitter' with zero expert-panel submissions, so no expert-panel pathogenic assertion exists.
Benign
BA1 Not met: the highest observed frequency in any cohort (0.000543, gnomAD-Canada) is about 92-fold below the 0.05 BA1 threshold.
BS1 Not met: the highest observed frequency, 0.000543 (gnomAD-Canada v1.0), is about 18-fold below the 0.01 BS1 strong threshold.
BS2 Not met: no homozygote has been observed in any gnomAD cohort (0 of 374 alleles in v4.1), as BS2 requires.
BS3 Not assessed: no validated functional assay shows preserved MUTYH splicing or function for c.1186+17C>T, and the absent SpliceAI score cannot support BS3.
BS4 Not assessed: no informative pedigree exists, so lack of segregation of c.1186+17C>T in affected relatives cannot be demonstrated.
BP2 Not met: no source places this variant in cis with a pathogenic MUTYH allele, and the dominant-disorder trans clause cannot apply to this recessive gene.
BP4 Not assessed: SpliceAI returned no score for this intronic variant, so the max delta could not be tested against the <=0.1 BP4 threshold and no prediction supports it.
BP5 Not assessed: no individual-level clinical data was available, so no case with an alternate molecular basis of disease could be documented.
BP6 Not met: ClinVar 182700's Likely benign label is an aggregate of 8 single-submitter laboratory calls with zero expert-panel assertions.
N/A · 8 PVS1 · PS1 · PM4 · PM5 · PP2 · BP1 · BP3 · BP7
Research & evidence
Population frequency
gnomAD v4.1 screenshot
gnomAD v4.1
gnomAD v2.1 screenshot
gnomAD v2.1
v4.1
This variant is present in gnomAD v4.1 (AF= 0.000231825; MAF= 0.02318%, 374/1613286 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000291516; MAF= 0.02915%, 344/1180038 alleles, homozygotes = 0); grpmax FAF= 0.00026535.
v2.1
This variant is present in gnomAD v2.1 (AF= 0.000128372; MAF= 0.01284%, 36/280434 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000256997; MAF= 0.02570%, 33/128406 alleles, homozygotes = 0); grpmax FAF= 0.00017543.
🇨🇦 CA
This variant is present in gnomAD-Canada v1.0 (AF= 0.0005431830526887561, 10/18410 alleles, homozygotes = 0).
Allele frequency by ancestry
three datasets · side by side
gnomAD v4.1
0.023% · 374 / 1,613,286
0 hom · FAF 0.027%
European (non-Finnish)
344 / 1,180,038
0.029%
Remaining individuals
16 / 62,484
0.026%
African/African American
12 / 74,932
0.016%
East Asian
1 / 44,886
0.0022%
Admixed American
1 / 60,006
0.0017%
+ 5 not observed (European (Finnish), Amish, Middle Eastern, South Asian, Ashkenazi Jewish)
gnomAD v2.1
0.013% · 36 / 280,434
0 hom · FAF 0.018%
European (non-Finnish)
33 / 128,406
0.026%
Remaining individuals
1 / 7,160
0.014%
African/African American
2 / 24,142
0.0083%
+ 5 not observed (Admixed American, Ashkenazi Jewish, East Asian, European (Finnish), South Asian)
gnomAD Canada 🇨🇦
0.054% · 10 / 18,410
0 hom · FAF 0.046%
European (non-Finnish)
10 / 11,730
0.085%
+ 8 not observed (African/African American, Latino/Admixed American, Ashkenazi Jewish, East Asian, European (Finnish), Middle Eastern, Remaining individuals, South Asian)
ClinVar screenshot
ClinVar
This variant has been reported in ClinVar as Likely benign (6 clinical laboratories) and as Likely Benign (1 clinical laboratory) and as Benign (1 clinical laboratory). (ClinVarID = 182700)
SpliceAI screenshot
In silico
SpliceAI returned NO scores for this variant, so no SpliceAI-based splice prediction is available. This is missing data, NOT evidence of absent splice impact: it must not be used to support BP4 or to argue against PP3/PVS1. Pangolin scores may be present but are not calibrated for PP3/BP4 here.
Functional No data
No calibrated functional assay or RNA evidence was identified for this variant.
OncoKB ↗
COSMIC screenshot
COSMIC
Somatic evidence
COSMIC
This variant has not previously been reported in somatic cancers (COSMIC).
Hotspots
This variant does not lie in a statistically significant cancer hotspot.
COSMIC ↗
Sources & reference links
8Sources
CSpec VCEP
ClinVar
gnomAD v2.1
gnomAD v4.1
gnomAD-Canada
SpliceAI
OncoKB
COSMIC
Triaged references · 7 PMIDs not cited in assessment
25741868 ↗ Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. CLINVAR
23035301 ↗ MUTYH Polyposis. CLINVAR
24310308 ↗ ACMG technical standards and guidelines for genetic testing for inherited colorectal cancer (Lynch syndrome, familial adenomatous polyposis, and MYH-associated polyposis). CLINVAR
26389505 ↗ Genetics of Colorectal Cancer (PDQ®): Health Professional Version. CLINVAR
34012068 ↗ ACMG SF v3.0 list for reporting of secondary findings in clinical exome and genome sequencing: a policy statement of the American College of Medical Genetics and Genomics (ACMG). CLINVAR
35802134 ↗ ACMG SF v3.1 list for reporting of secondary findings in clinical exome and genome sequencing: A policy statement of the American College of Medical Genetics and Genomics (ACMG). CLINVAR
28492532 ↗ Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria. CLINVAR