OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 16:14 UTC. Every row links to its source record.

MSH2 mutS homolog 2

ENSG00000095002 · protein coding · Open Targets profile

Component of the post-replicative DNA mismatch repair system (MMR). Forms two different heterodimers: MutS alpha (MSH2-MSH6 heterodimer) and MutS beta (MSH2-MSH3 heterodimer) which binds to DNA mismatches thereby initiating DNA repair. When bound, heterodimers bend the DNA helix and shields approximately 20 base pairs. MutS alpha recognizes single base mismatches and dinucleotide insertion-deletion loops (IDL) in the DNA. MutS beta recognizes larger insertion-deletion loops up to 13 nucleotides long. After mismatch binding, MutS alpha or beta 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. Recruits DNA helicase MCM9 to chromatin which unwinds the mismatch containing DNA strand (PubMed:26300262). 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. In melanocytes may modulate both UV-B-induced cell cycle regulation and apoptosis. {ECO:0000269|PubMed:10078208, ECO:0000269|PubMed:10660545, ECO:0000269|PubMed:15064730, ECO:0000269|PubMed:17611581, ECO:0000269|PubMed:21120944, ECO:0000269|PubMed:26300262, ECO:0000269|PubMed:9564049, ECO:0000269|PubMed:9822679, ECO:0000269|PubMed:9822680}.

In 15 of 15 cancers, the evidence for MSH2 comes mainly from inherited variants

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751Lynch syndromeLynch syndromeLynch syndrome: somatic 0.93Lynch syndrome: germline 0.96colorectal cancercolorectal cancercolorectal cancer: germline 0.89mismatch repair cancer syndromemismatch repair cancer syndromemismatch repair cancer syndrome: germline 0.85Muir-Torre syndromeMuir-Torre syndromeMuir-Torre syndrome: somatic 0.44Muir-Torre syndrome: germline 0.91mismatch repair cancer syndrome 1mismatch repair cancer syndrome 1mismatch repair cancer syndrome 1: germline 0.88colon carcinomacolon carcinomacolon carcinoma: germline 0.96hereditary nonpolyposis colon cancerhereditary nonpolyposis colon cancerhereditary nonpolyposis colon cancer: somatic 0.49hereditary nonpolyposis colon cancer: germline 0.94malignant colon neoplasmmalignant colon neoplasmmalignant colon neoplasm: germline 0.91endometrial carcinomaendometrial carcinomaendometrial carcinoma: somatic 0.61endometrial carcinoma: germline 0.84uterine corpus canceruterine corpus canceruterine corpus cancer: germline 0.85ovarian cancerovarian cancerovarian cancer: somatic 0.55ovarian cancer: germline 0.76colonic neoplasmcolonic neoplasmcolonic neoplasm: germline 0.97digestive system carcinomadigestive system carcinomadigestive system carcinoma: somatic 0.46digestive system carcinoma: germline 0.85breast carcinomabreast carcinomabreast carcinoma: somatic 0.46breast carcinoma: germline 0.83intestinal benign neoplasmintestinal benign neoplasmintestinal benign neoplasm: germline 0.95

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Small molecule
Structure with Ligand, High-Quality Pocket
PROTAC
UniProt Ubiquitination, Database Ubiquitination, Half-life Data

gnomAD loss of function constraint: o/e 0.465829998254776 (upper bound 0.5925099849700928). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

No named investigators on registry trials of MSH2's approved or late-stage drugs in the last three years.

No terminated, withdrawn or suspended trials of MSH2's drugs are registered

All 0 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
No drugs or clinical candidates recorded.