MSH6 Gene: Mismatch Repair Protein, Key in Lynch Syndrome and Cancer Susceptibility

Comprehensive genomic and clinical overview of MSH6, a critical DNA mismatch repair gene.

Gene Information Card

Symbol MSH6
Full Name mutS homolog 6
Gene Type protein-coding
Chromosomal Location 2p16.3
NCBI Gene ID 2956 ncbi.nlm.nih.gov/gene/2956
Ensembl ID ENSG00000116062
UniProt ID P52701
OMIM ID 600678
HGNC ID 7329
Aliases GTBP, GTMBP, HNPCC5, HSAP, MUTS-alpha 160 kDa subunit, p160

Description

MSH6 encodes a 160 kDa protein that is a component of the DNA mismatch repair (MMR) system. It forms a heterodimer with MSH2 (MutSα) to recognize base-base mismatches and small insertion-deletion loops during DNA replication. Loss-of-function mutations in MSH6 cause Lynch syndrome (hereditary non-polyposis colorectal cancer, HNPCC) and increase risk for endometrial, ovarian, gastric, and other cancers. MSH6 deficiency leads to microsatellite instability (MSI) and a hypermutator phenotype.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Lynch syndrome (Hereditary non-polyposis colorectal cancer) Germline loss-of-function mutations in MSH6 impair mismatch repair, leading to accumulation of replication errors and microsatellite instability. ClinVar, OMIM #600678
Endometrial cancer MSH6 germline mutations confer high lifetime risk (up to 44-71%) for endometrial cancer, often with MSI-high phenotype. ClinVar, OMIM #600678
Colorectal cancer (MSI-high) Somatic or germline MSH6 inactivation causes microsatellite instability, a hallmark of MSI-high colorectal cancers. COSMIC, ClinVar
Ovarian cancer MSH6 mutations are associated with increased risk of ovarian cancer, particularly endometrioid and clear cell subtypes. ClinVar, OMIM #600678
Sebaceous neoplasms (Muir-Torre syndrome variant) MSH6 germline mutations can present with sebaceous tumors as part of Lynch syndrome spectrum. ClinVar, OMIM #600678

Expression Profile

Tissue Expression
Tissue nTPM level
Testis 38.2 High
Colon 25.1 Medium
Endometrium 22.8 Medium
Ovary 18.5 Medium
Stomach 16.3 Medium
Brain (cerebellum) 8.4 Low
Cell Line Expression
Cell Line nTPM Notes
HeLa (cervical carcinoma) 32.5 High expression; used in MMR functional assays
HCT116 (colorectal carcinoma) 0.2 MSH6 null due to frameshift mutation; MSI-high model
SW480 (colorectal adenocarcinoma) 18.7 Moderate expression; MMR-proficient
MCF7 (breast adenocarcinoma) 14.3 Moderate expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.3261dupC (p.Phe1088Leufs*5) Frameshift Common in Lynch syndrome Loss of function; truncated protein
c.3959_3962delCAAG (p.Thr1320Ilefs*6) Frameshift Recurring in endometrial cancer Loss of function; premature stop
c.2633T>C (p.Leu878Pro) Missense Rare; pathogenic in Lynch syndrome Disrupts MSH2 interaction; loss of MMR activity
c.3438+1G>A Splice site Reported in colorectal cancer Exon skipping; loss of function
p.Tyr1088* Nonsense Sporadic in MSI-high tumors Loss of function; protein truncation
Mutation functional classification

Loss of Function (LOF)

Most MSH6 pathogenic mutations are loss-of-function (frameshift, nonsense, splice site, large deletions) that abolish MMR activity, leading to MSI and cancer predisposition.

Gain of Function (GOF)

No gain-of-function mutations have been reported for MSH6; the gene acts as a tumor suppressor.

Dominant Negative (DN)

Rare missense mutations (e.g., p.Leu878Pro) may exert dominant-negative effects by disrupting MSH2 binding and impairing the remaining wild-type allele function.

Gene Ontology (GO)

• GO:0005524 - ATP binding • GO:0006298 - mismatch repair
• GO:0030983 - mismatched DNA binding • GO:0003684 - damaged DNA binding
• GO:0005737 - cytoplasm • GO:0005634 - nucleus
• GO:0006281 - DNA repair • GO:0016446 - somatic hypermutation of immunoglobulin genes

Pathways

Mismatch repair (MMR) pathway (KEGG: hsa03430)
Colorectal cancer pathway (KEGG: hsa05210)
Microsatellite instability (MSI) pathway
DNA damage response (Reactome: R-HSA-73894)

Protein Summary

MSH6 (MutS homolog 6) is a 1360-amino-acid protein that functions as the mismatch recognition subunit of the MutSα heterodimer (MSH2-MSH6). It binds to base-base mismatches and small insertion-deletion loops, initiating the MMR cascade. The protein contains an ATPase domain essential for sliding clamp formation and signal transduction. MSH6 is ubiquitously expressed, with highest levels in testis and colon. Loss of MSH6 function is a hallmark of Lynch syndrome and sporadic MSI-high cancers.

Related Products

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MSH6 Knockout HEK293 Cell Line EDC07576 Human 2956 Details Get a Quote
MSH6 Knockout A-549 Cell Line EDJ-KQ27584 Human 2956 Details Get a Quote
MSH6 Knockout HCT 116 Cell Line EDJ-KQ27585 Human 2956 Details Get a Quote
MSH6 Knockout HeLa Cell Line EDJ-KQ27586 Human 2956 Details Get a Quote
MSH6 Knockout HAP1 Cell Line EDC08123 Human 2956 Details Get a Quote
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MSH6 (c.261-36A>G )Point Mutation in HAP1 Cell Line EDC03554 Human 2956 Details Get a Quote
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