Human proteins MLH1 and PMS2 form a heterodimer called MutLα, which plays a key role in DNA mis-match repair system. Pathogenic mutations in MLH1 and PMS2 genes are linked to Lynch syndrome, a hereditary predisposition for developing cancer, particularly colorectal cancer. Identification of pathogenic mutations in MLH1 contributes to a more reliable Lynch syndrome diagnosis. In this work we focused on a new in-frame deletion in MLH1 LRG_216t1:c.2236_2247delCTGCCTGATCTA p.(Leu746_Leu749del) (MLH1_del746-749). MLH1_del746-749 was found in a Slovenian family with a known history of cancers and is classified as probably pathogenic. Genetic test showed high levels of microsatellite instability and an unusual loss of PMS2 expression in immunohistochemical staining of tumour samples. Based on all known data, we hypothesized that the deletion of four amino acids at the C-terminal part of MLH1 precludes its interaction with PMS2 and thus the formation of MutLα heterodimer.
In the bioinformatic part of the work we constructed models of the structures of C-terminal parts of proteins PMS2, MLH1_del746-749 and four additional pathogenic variants of MLH1 protein. In addition, we made a model of the C-terminal part of human MutLα, which has not been experimentally determined yet. Based on the analysis of the structures we hypothesized that MLH1_del746-749 could not interact with PMS2. We tested our assumption with the yeast two-hybrid system. The yeast two-hybrid system has been shown to be successful in determining interactions between MLH1 and PMS2, which are known to interact from literature. In addition, neither MLH1 nor PMS2 are capable of self-activation of the yeast two hybrid system, thus confirming the results with the yeast two-hybrid are reliable. The test showed that MLH1_del746-749 interacts with PMS2 which activated reporter genes and enabled yeast growth on selection medium. Deletion Leu746_Leu749 does not prevent the interaction of MLH1 with PMS2 in yeast, but probably affects the stability and function of the MutLα in human cells.
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