EXT1

exostosin glycosyltransferase 1, the group of Exostosin glycosyltransferase family

Basic information

Region (hg38): 8:117794490-118111826

Previous symbols: [ "LGCR", "LGS" ]

Links

ENSG00000182197NCBI:2131OMIM:608177HGNC:3512Uniprot:Q16394AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • exostoses, multiple, type 1 (Definitive), mode of inheritance: AD
  • trichorhinophalangeal syndrome type II (Definitive), mode of inheritance: AD
  • chondrosarcoma (Strong), mode of inheritance: AD
  • exostoses, multiple, type 1 (Strong), mode of inheritance: AD
  • hereditary multiple osteochondromas (Supportive), mode of inheritance: AD
  • exostoses, multiple, type 1 (Definitive), mode of inheritance: AD

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Exostoses, multiple, type 1; ChondrosarcomaADOncologicIn Exostoses, multiple, type 1, though data regarding the efficacy of surveillance are lacking, individuals are at risk for the (relatively infrequent) development of malignant change of exostoses, and awareness may allow early detection and management; In Chondrosarcoma, individuals may be at risk of chondrosarcoma, and awareness may allow early diagnosis and managementMusculoskeletal; Oncologic7550340; 8981950; 9326317; 9521425; 9463333; 10679937; 11432960; 11170095; 15253765; 16879194; 19344451; 20301413; 22258776; 23629877; 23770606
Though onset of malignancy is typically described in adulthood, some individuals have been affected at an earlier age; Germline variants have also been implicated in chondrosarcoma

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the EXT1 gene.

  • Multiple congenital exostosis (308 variants)
  • not provided (60 variants)
  • Exostoses, multiple, type 1 (18 variants)
  • EXT1-related disorder (6 variants)
  • Chondrosarcoma (5 variants)
  • Chondrosarcoma;Exostoses, multiple, type 1 (1 variants)
  • Exostoses, multiple, type 1;Chondrosarcoma (1 variants)
  • Inborn genetic diseases (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the EXT1 gene is commonly pathogenic or not.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

Variant type Pathogenic Likely pathogenic VUS Likely benign Benign Sum
synonymous
4
clinvar
107
clinvar
7
clinvar
118
missense
18
clinvar
19
clinvar
270
clinvar
9
clinvar
3
clinvar
319
nonsense
101
clinvar
12
clinvar
2
clinvar
115
start loss
1
clinvar
1
frameshift
170
clinvar
11
clinvar
1
clinvar
182
inframe indel
2
clinvar
1
clinvar
7
clinvar
10
splice donor/acceptor (+/-2bp)
51
clinvar
8
clinvar
1
clinvar
60
splice region
1
2
14
12
2
31
non coding
18
clinvar
44
clinvar
26
clinvar
88
Total 343 51 303 160 36

Highest pathogenic variant AF is 0.00000657

Variants in EXT1

This is a list of pathogenic ClinVar variants found in the EXT1 region.

You can filter this list by clicking the number of variants in the Variants pathogenicity by type table.

Position Type Phenotype Significance ClinVar
8-117799413-AGTTTAAACCTGCATAGCAATCATTTCAAAAATAATTATTTAATGTTCCATAATTAAACTGTACACAACCTAGTCTTGGGACACAGAAGCCAGTGAGGTGAGTTTGGAGCAGTCTGGTGCAGTCCCAGGAGCCAGGAGTTGAGTTCTCATTGGCCTTTTTTTTTTTGTCATTCTGCTCATCTAAGTTTTTGGATAGTTGGCACAATCTGGCTCTGCTGATGAGTGGATCTGCACTGGGAAGAGAGAGCAGCTTGACCCCCATCCCTTCTTGCTTCCCCTCCCCCACTCAGCCGGATTCCTCAAAGTCGCTCAATGTCTCGGTATTTCTTCCTCAAAATAGAGACCTGGTCTTTAAAGAGGACGGGGTCGAGCCTCATCTGAGAGTGGATCAGCGGCATGTAGCCAAACCAGCTGGCAAACGTATTCATGCAGCTCTGTCGCTGGGCAAAGTGGTCAGGGTCAGCCCAACGGGAAGCCCGAGAAGTCTAGGGAGAAGGAGAGAAACAAGGATAATGATGAGAGAAGTGCAAGGTGAGATGGAAACATTGCAGAAAATGGAGTCAGGCAAATGAGCAAGCAGCAAAGCTTGGGGTCTGGCCCGGCCACCAAGTCTCACCATCTATGCACCTGCTGAAAATGCAATCGCTGATATTGGTTTTTCCCAAGGTATGCTACGTTCCTCAGTGTTAAAAACACAAAAACAAAGATTCATGTTGACTTTAATTCTCTAAAATTTATTGACTAATTCTCTGGTCAGTCCACGACTTAGCAACTGAAACTCGACTACTACAGTGACTCAATCTAAAACCTCTCTTTGCACTTGGGACCAAGTACTAAGATTAAAGATGTGTTTCTGCTTTCAAAGAGTTTTCTAAATCCTTCCTGTTTATGTAGTTGATTTAGAAATACCCACCAACTTTTAGAAGTCTATCTTTCTCTCTATCCATCACTTCCTTCCTTCTACTATCTCTTTACCTTTATAAGGGTCCTACTAAATCCTTTGTTAAAAATTCACATATATAGTTGAAGAAGAACAAAATAGTGCCTTTTACATGTCACTCAAGGCTAGTGTTACGCAGCATCTAAAACTCCGTTTTCTCTTCTGTAGCCTCCCCATTGACGTGACTCCATGAGGATGAGAAGGTGAGATTCAGTGGTATATAGAGCATGTTGCTGTATGACTAACTTTATACTAAAATCTCAAAATTCTGTTCTTCTCTTAACCCAAGAATTGTTGGCTTTCCTGCTTGACTAAAACCCCCAAAGGTTACTTTTTAAAGGGCAATCAGCCCTCCAAAGAATCACTGCTCACCCAGAATAAAGATTAACTCTCGACAAATAGAAAAGATGGCTACCATGTTTTTAGCTCTCTGTGTTGCCCCTAAAGTTGGTTAAATATTTTTAGATCATGCAAATGATTGGCATTGATTTAAAAAGAATGCCTTAATGACTGGAGTGCTGAAATTTAAATAGAATGACTAAGCACATTGTCTTTCAATCCCTGTTTTTATGAAACATGGAAAAGATGGGCTGCCCAATTATGGGGGAACCCCCACAAGCCCATTTATGTCAATAGGCAAGTCTTTAATGATGTATATGTATGCACGTGTGTTCTGTGTATTTGTTGTACTCACAGTTTTAGAAAAATACTTTCATGGGAAGATACATTTTAGTGTGAGAAGCAGTAAGAGTCACTTCAGAATCATAGTGTCAACATGCTCGAAAATAACATTGAAGATAAACACAAATGTCAAGTTACCTCTGAACAGCAGAATAACAAACAAAACACTATTTGTAAAGTGTTTTCATGGAGTTCATTTGAATCTCACCACAATCTGGTGAAGTATCTACCCAGGTAATAACATCCCCATTTTATAGCTGAGGAAGCAAGTTTAAGAAAGTTAGAGTTATTTGTTCAAGGCTAGAGAGGGGCAGAACTCAAGCTTCATTCTTCAGCCTTTATATGAGGGGAACTCTACTTGATAAATCAGAGAAAGATATCAAATGGAGCTGACTGGTTGAGTTCATATCAGAGTAGACAATCCCAAATGTAACTTGTTTTGACCCTAAATGGATATGAGTTTGTGGGCCATTTTTTTTTCTTTTTTTTAAAGGCAGAGTCTCACTCTGTCACGCAGGCTGGAGTGCGGTGGCATGATCTTGGCTCACTGCAACCTCCACCACATGGGTTCAAGTGATTCTTGTGTCTCAGCCTCCCAAGTATCTGGGATTACAGGTGCACACCACCATGCATGGCTAATTTTTGTATTTTTAGTAGAGATGGGGTTTTGCCATTTTGCCCAGGCTGGTCCTGAACTCCTGAGCTCAAGCAATCCACCTGCTCTGGCCTCCCAAAATGCTGGGATTATAGGCATGAGCCACTGTGCCCGGCCTGTGGGCCATTTTTGATTGGCCCACTCATTCCCAAAGGGTGCTGTACCCAGGCAAAATACTCATATATGCAACTAGAAATACTGTCTAGAGTTTACACTCATTCCTATTCAAAAAATTTTTTTTAAAGTTCAGTTGAATCATTCAGGTATCGTTTTGCTTCTAGATGTTAACATTTATTCTGAGTCAACCAACATCTATTAGAAAAGATGCCTTTCTTATGTAATAAAAGCCTAATCCTAGAGGATGATATCTATTTACTTTACCGGTCATACAAACATTCAATAAATTAATGTGTATGATGGAAAGAAGGGGGCAAATATAGTACCTGAATACACCTAGTTAGACCTAAGGTTAAATTTAGATTTTTTTGTTAAAGATGTATGAATTACTAGAAATACTGTTTGGTAGAATTAGGCTAATCTATGAAAATAGCACAAATCCACCCCCTAAGAGGCCTTGTATGACTAGAATTCCCCACTTAGTGAGTGTTCTGAAGAACTCTGAGTAAAAAAATATTTTTAAAATGTCATGTCCTTAAATGAGATAATATACAGTCATGCACCACATAATGACATTTCAATCAATGTTGGATCACATAGATGACTATTGTCCCATATACTGTAATACCATATTTTTATTGTACCTTTTCTGTATTTAGAAATGTTTAGATACACAAATATTTATCACTGTGTTACAACTGCCTACAGTATTCAGTACAGTGACATGCTATATATGTTATAGCCTAGGAGCAATAGGCTATAGTAGGCTGTACCATATAGGGCTGTGTAAGTACACTTGATAATGTTTGGATAATGACAAGATCACCAAATGATGCATTTCTCAGAATGTATCCTCATTCTTAAGAGATAAATAAAAAATATAAATAAAAATGTTTGGGCACATAATAGACAATACATCTTGCTTGAATTCGAATATTCTCTCAGCCTTAAAAATTTTTACAAATCCTCTTATCTGTTCTTTCTGTAATTAGAAGGAAACAGAATTTTCTGCCAGACTCTTTGCTAAGGACAGCTCTTTCATCATAACCAATACCTAGAACAGTGCCTGGTAACATGCTCACTAAGTACTAAATAACTTTTTATAAACTTTAAATTCTTTATAAACTTTAAATTTTTGCTTACTAAATTTAGTGAATGAAAAACTATCAGCTTAACATGAGGCCTAGCTAAGATTTCCTTTGCAAAAGCTAGATTTGTATATGTTTTCCAATGCCTGTGAGAACAAGGCACATGCAAAGCCCCTCAAAATTGAACTAATATAACCATGTTAAAGTATGTTCATTCAGATTAACCTCAATCCTGTTGGATGCTCCATGATTTAACGTGAGTGAATCTTAATGCTCTTTCTTAAGGTTTTTTGTTTCTTTTTTCTTTTTCTTTTTTTTTGAGACAGAGCCTTGTTCTGTCACCCAGCCTGAAGTGCAGTGGCATGATCTCAACCCACTGCAACCTCTGCCTTCCAGTTTCAAGCAATTCTCGTGCCTCAGCCACCCGAGTAAGCTGGGATTACAAGCGTGCACCACTATGACCAGCTAATTTTTTGTATTTTTAGTAGAGATGGGGTTTCGACATGTTGGCAAGGCTGGTCTCAAACTCCTGGCCTCAAGTGATCTGCCTGCCTCGGCCTCCCAAAATGCTGGGATTATCAGTATGAGCCACTGTGCCTGGCTAAGATTTTTGATTTCTTACATATAGTAGGGGCTCTGCTCAAGATGAATAAAGATAGATGAAATTCGGCATATCCAGGTGGACCTGATACCAAGATGGTGGGGTGTACAAGGACAAGCAGTGAAGTCCACAGACCCTGGGATTCAATTCCCAATTCTGTCTCTAACTTACTGGGCAACTTGTGGCAATATGCTTAAATTCACTAGGTCCTAGTTTTCTTACTTATAAAAAGAAAATGTTGGATTCTATTTCCTTGAAAATACCTTTAATACTAAAATTGTATAACTCAACACAATATTTTACTTCACTTTTATAAAAGCTTTCAAACATATTATTTCAACCCTGTAAGGTAGATTTCACCATTTCCATGTTAAAGATGAGCCAACTGAGTTTCAGAAGGTTACTGACTTGCCTGTATTTTAAATCCTGATTCTAGAACTGAAAATTAAATATTGTGATTCCTGTTATGTCACCAAGACACAATTCAACTCAACTGCAAGCACCAGAAAACTGTGTTAAAGAGAGTATGGTTTGCTAGACATTAAATAAGGTACCTACAATCAACTTTCATAAGTTATTTGTAGGGCTTTAATTCTGCTGAGGGCTGAATGTTTGTGCCCCCTAATATTTATATGTTGAAGCTTAATTCTTAATGTGATGATATTTGCAGGTGAGGTCTCTGTGGGATGATTAGGTCATGAGGGTGGAGTCCTCACAAATGGGAGCAGTGCTCTTATAAAAAGGACCCTAGAGAACTCTCTTGCCCTTCTTTCTGCCATGTGAAGACACAATGAGCAGAGGGCTATCTATGAATCAGGAAACAGTCTCTTGTCAGGCACCAAATCTGCTGGTGCCTTGATCTGGGACTCTCCAGCCTCTAGAACTATGAAAAATAAATGTCTGTTATTTAAGTCACCCAGTCAATGGTATTTTTGTCATAGCAGCCCAAATGGACTAAGACAAACTCTAAAGACATATCTTTCTCATGTCACCTTAAAGATTATAGGAGAGCTTTACATCCTTGGCATAAAGATACTCTTAACTTGTGTCTTCCTAATTATCCCTGCACCAATCATACACTCTTTTCTAGCTTTCAGATGTAGTTCATTCCTGGTTTCTCCTCATTATATGCTCCTGGGTGGAACAGCTAGAGGAACGTGAGTCCTCATTACCTGG-A Exostoses, multiple, type 1 Pathogenic (Oct 14, 2021)1684648
8-117799530-T-G Multiple congenital exostosis Uncertain significance (Jan 12, 2018)910868
8-117799561-A-G Multiple congenital exostosis Uncertain significance (Jan 13, 2018)361650
8-117799566-C-G Multiple congenital exostosis Uncertain significance (Jan 13, 2018)361651
8-117799567-CT-C Benign (Sep 03, 2019)1225997
8-117799567-C-CT Likely benign (Aug 06, 2019)1190764
8-117799630-G-C Multiple congenital exostosis Uncertain significance (Jan 12, 2018)361652
8-117799720-G-A Uncertain significance (May 13, 2021)1304454
8-117799727-G-T Multiple congenital exostosis Uncertain significance (Jul 18, 2022)2015774
8-117799748-A-G Multiple congenital exostosis Uncertain significance (Jan 13, 2018)912087
8-117799750-T-C Multiple congenital exostosis Uncertain significance (Dec 08, 2022)2919324
8-117799750-TAGAGA-AAGACCGTCCTCTT Exostoses, multiple, type 1 Uncertain significance (Aug 22, 2022)1702964
8-117799754-G-A Multiple congenital exostosis Likely benign (Feb 03, 2022)1103572
8-117799754-G-C Multiple congenital exostosis Likely benign (Nov 15, 2022)1570568
8-117799758-T-C Multiple congenital exostosis Uncertain significance (Jun 27, 2020)1035858
8-117799759-G-A Exostoses, multiple, type 1 Uncertain significance (Aug 25, 2023)2684395
8-117799762-C-G Uncertain significance (Sep 10, 2019)1312273
8-117799774-C-T Multiple congenital exostosis Likely benign (Jan 11, 2024)2055567
8-117799775-G-A Multiple congenital exostosis • EXT1-related disorder Benign (Dec 08, 2021)783178
8-117799781-G-A Multiple congenital exostosis Likely benign (Oct 05, 2023)1132498
8-117799782-A-G Multiple congenital exostosis Uncertain significance (Mar 08, 2023)1439971
8-117799783-G-A Multiple congenital exostosis Uncertain significance (Jun 22, 2022)2143263
8-117799792-G-C Multiple congenital exostosis • Chondrosarcoma Uncertain significance (Sep 03, 2023)2198318
8-117799794-G-C Multiple congenital exostosis • Inborn genetic diseases Uncertain significance (Jan 31, 2023)912088
8-117799797-T-A Inborn genetic diseases Uncertain significance (Aug 08, 2023)2617475

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
EXT1protein_codingprotein_codingENST00000378204 11317364
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
0.9970.00268125741071257480.0000278
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense1.673174120.7690.00002234940
Missense in Polyphen90171.940.523442147
Synonymous-0.7291711591.070.000009241399
Loss of Function4.86435.00.1140.00000161420

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.000.00
Ashkenazi Jewish0.00009970.0000992
East Asian0.0001090.000109
Finnish0.00004650.0000462
European (Non-Finnish)0.00002640.0000264
Middle Eastern0.0001090.000109
South Asian0.000.00
Other0.000.00

dbNSFP

Source: dbNSFP

Function
FUNCTION: Glycosyltransferase required for the biosynthesis of heparan-sulfate. The EXT1/EXT2 complex possesses substantially higher glycosyltransferase activity than EXT1 or EXT2 alone. Appears to be a tumor suppressor. Required for the exosomal release of SDCBP, CD63 and syndecan (PubMed:22660413). {ECO:0000269|PubMed:11518722, ECO:0000269|PubMed:22660413}.;
Disease
DISEASE: Tricho-rhino-phalangeal syndrome 2 (TRPS2) [MIM:150230]: A syndrome that combines the clinical features of tricho-rhino- phalangeal syndrome type 1 and multiple exostoses type 1. Affected individuals manifest multiple dysmorphic facial features including large, laterally protruding ears, a bulbous nose, an elongated upper lip, as well as sparse scalp hair, winged scapulae, multiple cartilaginous exostoses, redundant skin, and mental retardation. Note=The gene represented in this entry is involved in disease pathogenesis. A chromosomal aberration resulting in the loss of functional copies of TRPS1 and EXT1 has been found in TRPS2 patients.; DISEASE: Chondrosarcoma (CHDSA) [MIM:215300]: A malignant neoplasm derived from cartilage cells. Chondrosarcomas range from slow- growing non-metastasizing lesions to highly aggressive metastasizing sarcomas. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway
Glycosaminoglycan biosynthesis - heparan sulfate / heparin - Homo sapiens (human);Endoderm Differentiation;Mesodermal Commitment Pathway;Olfactory bulb development and olfactory learning;Metabolism of carbohydrates;HS-GAG biosynthesis;Heparan sulfate/heparin (HS-GAG) metabolism;Glycosaminoglycan metabolism;Proteoglycan biosynthesis;heparan sulfate biosynthesis (late stages);heparan sulfate biosynthesis;Metabolism (Consensus)

Recessive Scores

pRec
0.268

Intolerance Scores

loftool
0.00765
rvis_EVS
-1.13
rvis_percentile_EVS
6.43

Haploinsufficiency Scores

pHI
0.736
hipred
Y
hipred_score
0.851
ghis
0.626

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
E
gene_indispensability_score
0.819

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Ext1
Phenotype
integument phenotype (the observable morphological and physiological characteristics of the skin and its associated structures, such as the hair, nails, sweat glands, sebaceous glands and other secretory glands that are manifested through development and lifespan); growth/size/body region phenotype; craniofacial phenotype; cellular phenotype; behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); embryo phenotype; neoplasm; mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span); normal phenotype; vision/eye phenotype; hearing/vestibular/ear phenotype; nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan); limbs/digits/tail phenotype; digestive/alimentary phenotype; skeleton phenotype;

Gene ontology

Biological process
skeletal system development;ossification;glycosaminoglycan biosynthetic process;protein glycosylation;signal transduction;gastrulation;axon guidance;endoderm development;mesoderm development;heparan sulfate proteoglycan biosynthetic process;heparan sulfate proteoglycan biosynthetic process, polysaccharide chain biosynthetic process;olfactory bulb development;cellular polysaccharide biosynthetic process;embryonic skeletal joint development
Cellular component
Golgi membrane;endoplasmic reticulum;endoplasmic reticulum membrane;Golgi apparatus;integral component of membrane;integral component of endoplasmic reticulum membrane
Molecular function
acetylglucosaminyltransferase activity;glucuronosyltransferase activity;transferase activity, transferring glycosyl groups;heparan sulfate N-acetylglucosaminyltransferase activity;protein homodimerization activity;metal ion binding;protein heterodimerization activity;glucuronosyl-N-acetylglucosaminyl-proteoglycan 4-alpha-N-acetylglucosaminyltransferase activity;N-acetylglucosaminyl-proteoglycan 4-beta-glucuronosyltransferase activity