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http://purl.uniprot.org/citations/31784484http://www.w3.org/2000/01/rdf-schema#comment"

Background

Inactivating mutations in the MLH1 DNA mismatch repair (MMR) gene underlie 42% of Lynch syndrome (LS) cases. LS is a cancer predisposition causing early onset colorectal and endometrial cancer. Nonsense and frameshift alterations unambiguously cause LS. The phenotype of missense mutations that only alter a single amino acid is often unclear. These variants of uncertain significance (VUS) hinder LS diagnosis and family screening and therefore functional tests are urgently needed. We developed a functional test for MLH1 VUS termed 'oligonucleotide-directed mutation screening' (ODMS).

Methods

The MLH1 variant was introduced by oligonucleotide-directed gene modification in mouse embryonic stem cells that were subsequently exposed to the guanine analogue 6-thioguanine to determine whether the variant abrogated MMR.

Resuts

In a proof-of-principle analysis, we demonstrate that ODMS can distinguish pathogenic and non-pathogenic MLH1 variants with a sensitivity of >95% and a specificity of >91%. We subsequently applied the screen to 51 MLH1 VUS and identified 31 pathogenic variants.

Conclusion

ODMS is a reliable tool to identify pathogenic MLH1 variants. Implementation in clinical diagnostics will improve clinical care of patients with suspected LS and their relatives."xsd:string
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http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"Dekker M."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"Hofstra R.M.W."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"Verhoef S."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"Te Riele H."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"Houlleberghs H."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"Lusseveld J."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"Pieters W."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/author"van Ravesteyn T."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/date"2020"xsd:gYear
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/name"J Med Genet"xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/pages"308-315"xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/title"Three-step site-directed mutagenesis screen identifies pathogenic MLH1 variants associated with Lynch syndrome."xsd:string
http://purl.uniprot.org/citations/31784484http://purl.uniprot.org/core/volume"57"xsd:string
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