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MSH6

Chr 2p16.3

mutS homolog 6

Aliases:
MSH-6
MANE:
ENST00000234420.11

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

    0.88
  • endometrial cancer

    0.82
  • Constitutional mismatch repair deficiency syndrome

    0.80
  • colorectal cancer

    0.79
  • mismatch repair cancer syndrome 1

    0.74
  • endometrial carcinoma

    0.73
  • colon carcinoma

    0.73
  • uterine corpus cancer

    0.70
  • hereditary nonpolyposis colon cancer

    0.69
  • ovarian cancer

    0.64

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

Protein function (UniProt)

DNA mismatch repair protein Msh6

Component of the post-replicative DNA mismatch repair system (MMR). Heterodimerizes with MSH2 to form MutS alpha, which binds to DNA mismatches thereby initiating DNA repair. When bound, MutS alpha bends the DNA helix and shields approximately 20 base pairs, and recognizes single base mismatches and dinucleotide insertion-deletion loops (IDL) in the DNA. After mismatch binding, forms a ternary complex with the MutL alpha heterodimer, which is thought to be responsible for directing the downstream MMR events, including strand discrimination, excision, and resynthesis. ATP binding and hydrolysis play a pivotal role in mismatch repair functions. The ATPase activity associated with MutS alpha regulates binding similar to a molecular switch: mismatched DNA provokes ADP-->ATP exchange, resulting in a discernible conformational transition that converts MutS alpha into a sliding clamp capable of hydrolysis-independent diffusion along the DNA backbone. This transition is crucial for mismatch repair. MutS alpha may also play a role in DNA homologous recombination repair. Recruited on chromatin in G1 and early S phase via its PWWP domain that specifically binds trimethylated 'Lys-36' of histone H3 (H3K36me3): early recruitment to chromatin to be replicated allowing a quick identification of mismatch repair to initiate the DNA mismatch repair reaction

Curated MONDO disease pages that list MSH6 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.