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MLH1

Chr 3p22.2

mutL homolog 1

Aliases:
HNPCC, FCC2, HNPCC2, MLH-1
MANE:
ENST00000231790.8

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Additional findings health related

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Additional findings health related - adult specific

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Additional findings health related - CNV analysis adult specific

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Adult solid tumours cancer susceptibility

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Adult solid tumours for rare disease

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Bladder cancer pertinent cancer susceptibility

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Brain cancer pertinent cancer susceptibility

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Childhood solid tumours

    BIALLELIC, autosomal or pseudoautosomal

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Disease associations (Open Targets)

  • Lynch syndrome

    0.85
  • mismatch repair cancer syndrome 1

    0.81
  • colorectal cancer

    0.79
  • Muir-Torre syndrome

    0.76
  • colon carcinoma

    0.74
  • Constitutional mismatch repair deficiency syndrome

    0.71
  • malignant colon neoplasm

    0.70
  • hereditary nonpolyposis colon cancer

    0.68
  • colonic neoplasm

    0.68
  • endometrial carcinoma

    0.64

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

DNA mismatch repair protein Mlh1

Heterodimerizes with PMS2 to form MutL alpha, a component of the post-replicative DNA mismatch repair system (MMR). DNA repair is initiated by MutS alpha (MSH2-MSH6) or MutS beta (MSH2-MSH3) binding to a dsDNA mismatch, then MutL alpha is recruited to the heteroduplex. Assembly of the MutL-MutS-heteroduplex ternary complex in presence of RFC and PCNA is sufficient to activate endonuclease activity of PMS2. It introduces single-strand breaks near the mismatch and thus generates new entry points for the exonuclease EXO1 to degrade the strand containing the mismatch. DNA methylation would prevent cleavage and therefore assure that only the newly mutated DNA strand is going to be corrected. MutL alpha (MLH1-PMS2) interacts physically with the clamp loader subunits of DNA polymerase III, suggesting that it may play a role to recruit the DNA polymerase III to the site of the MMR. Also implicated in DNA damage signaling, a process which induces cell cycle arrest and can lead to apoptosis in case of major DNA damages. Heterodimerizes with MLH3 to form MutL gamma which plays a role in meiosis

Curated MONDO disease pages that list MLH1 among their top associated genes.

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.