Is MSH2 p.Ile64Phe (c.190A>T) pathogenic?

MSH2 p.Ile64Phe (c.190A>T) is classified Conflicting classifications of pathogenicity in MSH2 (ClinVar, Conflicting submitters, 2 submitters; last evaluated 2025-04-01). AlphaMissense: likely pathogenic (0.8023); Absent from gnomAD v4.1; Associated with Hereditary nonpolyposis colorectal neoplasms.

How common is MSH2 p.Ile64Phe (c.190A>T) in the general population?

MSH2 p.Ile64Phe (c.190A>T) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about MSH2 p.Ile64Phe (c.190A>T)?

AlphaMissense predicts likely pathogenic (score 0.8023) — an in-silico prediction, not a clinical call.

MSH2 p.Ile64Phe

Q: What condition is associated with MSH2 p.Ile64Phe (c.190A>T)?

MSH2 p.Ile64Phe (c.190A>T) is associated with Hereditary nonpolyposis colorectal neoplasms, hereditary neoplastic syndrome (ClinVar).

c.190A>T · VCV3398606

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 2 submitters

AlphaMissense

likely pathogenic

0.8023 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

2/2 damaging

AlphaMissense, SaProt · REVEL indeterminate

Conditions

Hereditary nonpolyposis colorectal neoplasms

Computational evidence

Protein change
AlphaMissense	0.8023	likely pathogenic
REVEL	0.629	indeterminate
SaProt	LLR -11.80	damaging
⇒ AlphaMissense and SaProt both call this damaging; REVEL is indeterminate.
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP -0.29	GERP -5, phastCons 0.003
Regional constraint	o/e 1.30	unconstrained · MANE · 80 kb · p 4.9e-24 · regional, not allelic
Overall
CADD	21.4	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: MSH2
Protein: p.Ile64Phe
Coding: c.190A>T
MANE Select: NM_000251
Type: single nucleotide variant
Location: chr2:47403381 (GRCh38)
Gene constraint: LOEUF 0.672 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 85.60 · 30 PDB

Full MSH2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Hereditary nonpolyposis colorectal neoplasms — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: hereditary neoplastic syndrome

Similar variants

MSH2 p.Ile64= Conflicting classifications of pathogenicity ★ same residue
MSH2 p.Ile64Met Conflicting classifications of pathogenicity ★ ⚠ same residue
MSH2 p.Ile64Val Conflicting classifications of pathogenicity ★ ⚠ same residue
MSH2 p.Ile64Leu Likely benign ★ same residue
MSH2 p.Ile64fs Pathogenic ★ same residue
MSH2 c.1076+1G>A Pathogenic ★★★ same condition
MSH2 c.1076+1G>T Likely pathogenic ★★★ same condition
MSH2 c.1077-1G>C Likely pathogenic ★★★ same condition

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/msh2-p-ile64phe (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown