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An autosomal recessive constitutional mismatch repair deficiency syndrome caused by pathogenic variants in the MSH6 mismatch repair gene is characterized by a high risk of childhood cancers, including hematological malignancies, brain tumors, and colorectal
Features include always present findings: Axillary freckling, Multiple cafe-au-lait spots, and Lisch nodules; and common findings: Colon cancer, Astrocytoma, Glioblastoma multiforme, and T-cell lymphoma and others. 9 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Blood and immune system | 2 | T-cell lymphoma, Lymphoma |
MSH6 encodes mutS homolog 6 (1,360 aa). 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. Highest expression in Ovary (40.1 TPM) and Testis (29.0 TPM).
Mismatch repair cancer syndrome 3 is associated with mutations in the MSH6 gene on chromosome 2.
The MSH6 protein participates in Defective Mismatch Repair Associated With MSH6, Mismatch repair (MMR) directed by MSH2:MSH6 (MutSalpha), and Mismatch repair (MMR) directed by MSH2:MSH3 (MutSbeta) pathways.
MSH6 is classified as a druggable target (Clinically Actionable and Dna Repair categories) with score 6.5.
Genetic testing for MSH6 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for mismatch repair cancer syndrome 3 has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 5 common features.
No clinical trials have been registered for mismatch repair cancer syndrome 3.
68 publications have been identified in PubMed for mismatch repair cancer syndrome 3. Research spans Case Report / Case Series (29%), Epidemiology / Natural History (19%), and Basic Science / Preclinical (18%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 20 | 29% |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 4:12 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Skin
1 |
Lisch nodules |
Age of onset: childhood, adolescence.
Disease patterns and progression
13 |
19% |
Laboratory research | 12 | 18% |
Testing and diagnosis research | 10 | 15% |
Research summaries | 9 | 13% |
New treatment approaches | 2 | 3% |
Other research | 1 | 1% |
Clinical study results | 1 | 1% |
Vazzano Goldstone J (2026). [PMID: 41572278](https://pubmed.ncbi.nlm.nih.gov/41572278/). *Diagn Pathol*. [Review / Meta-Analysis]
Fu Z (2026). [PMID: 41623061](https://pubmed.ncbi.nlm.nih.gov/41623061/). *Turk Neurosurg*. [Case Report / Case Series]
Puigdelloses Vallcorba M (2026). [PMID: 41433099](https://pubmed.ncbi.nlm.nih.gov/41433099/). *J Clin Invest*. [Basic Science / Preclinical]
Ben Yahia S (2026). [PMID: 41674481](https://pubmed.ncbi.nlm.nih.gov/41674481/). *Int J Cancer*. [Review / Meta-Analysis]
de Moraes FCA (2026). [PMID: 41093910](https://pubmed.ncbi.nlm.nih.gov/41093910/). *Expert Rev Anticancer Ther*. [Review / Meta-Analysis]
Wang W (2026). [PMID: 41617350](https://pubmed.ncbi.nlm.nih.gov/41617350/). *Taiwan J Obstet Gynecol*. [Diagnostic / Biomarker]
Lukas RV (2026). [PMID: 41798117](https://pubmed.ncbi.nlm.nih.gov/41798117/). *Neurooncol Pract*. [Review / Meta-Analysis]
Hashimoto H (2026). [PMID: 41872678](https://pubmed.ncbi.nlm.nih.gov/41872678/). *Pathol Int*. [Case Report / Case Series]
Feldmann JH (2026). [PMID: 41649339](https://pubmed.ncbi.nlm.nih.gov/41649339/). *Arch Endocrinol Metab*. [Case Report / Case Series]
Erbağcı A (2026). [PMID: 41886087](https://pubmed.ncbi.nlm.nih.gov/41886087/). *Childs Nerv Syst*. [Case Report / Case Series]