HSPG2

protein-coding

heparan sulfate proteoglycan 2, the group of Proteoglycans|I-set domain containing

Gene summary

This gene encodes the perlecan protein, which consists of a core protein to which three long chains of glycosaminoglycans (heparan sulfate or chondroitin sulfate) are attached. The perlecan protein is a large multidomain proteoglycan that binds to and cross-links many extracellular matrix components and cell-surface molecules. It has been shown that this protein interacts with laminin, prolargin, collagen type IV, FGFBP1, FBLN2, FGF7 and transthyretin, etc., and it plays essential roles in multiple biological activities. Perlecan is a key component of the vascular extracellular matrix, where it helps to maintain the endothelial barrier function. It is a potent inhibitor of smooth muscle cell proliferation and is thus thought to help maintain vascular homeostasis. It can also promote growth factor (e.g., FGF2) activity and thus stimulate endothelial growth and re-generation. It is a major component of basement membranes, where it is involved in the stabilization of other molecules as well as being involved with glomerular permeability to macromolecules and cell adhesion. Mutations in this gene cause Schwartz-Jampel syndrome type 1, Silverman-Handmaker type of dyssegmental dysplasia, and tardive dyskinesia. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2014]

Previous symbols:
  • SJS1

MANE transcript

NM_005529.7

Inheritance

AR, AD

ClinVar variants

P:128U:1666B:960

Top phenotype

Schwartz-Jampel syndrome, type 1

gnomAD constraint

pLI —, LoF o/e 0.34

Max pathogenic AF

—

Genomic locus

chr1:21,822,244-21,937,310

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~115.1 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Schwartz-Jampel syndrome type 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0100435

Submitter: PanelApp Australia

Silverman-Handmaker type dyssegmental dysplasiaDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009140

Submitter: ClinGen

HSPG2 was first reported in relation to autosomal recessive Schwartz-Jampel Syndrome, type 1 in 2000 (Nicole et al., PMID: 11101850) and autosomal recessive Dyssegmental dysplasia, Silverman-Handmaker type in 2001 (Arikawa-Hirasawa et al., PMID: 11279527). Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found differences in molecular mechanism AND phenotypic variability. Therefore, the following disease entities have been split into two disease entities, Schwartz-Jampel Syndrome, type 1 (OMIM:255800), and Dyssegmental dysplasia, Silverman-Handmaker type (OMIM:224410). The split curation for autosomal recessive Schwartz-Jampel Syndrome, type 1 has been curated separately. 8 variants (including nonsense, frameshift, and splicing variants) have been reported in 6 probands in 4 publications (PMID: 11279527; Rieubland et al., 2010, PMID: 20542149; Ladhani et al., 2013, PMID: 23836246; Basalom et al., 2018, PMID: 29526034) and are included in this curation. The mechanism of pathogenicity is known to be loss of function null variants. This gene-disease association is also supported by expression studies (Handler et al., 1997, PMID: 9337134), functional alteration (Ishijima et al., 2012, PMID: 22421594), animal models (Costell et al., 1999, PMID: 10579729) and rescue experiments (PMID: 22421594). In summary, HSPG2 is definitively associated with autosomal recessive Dyssegmental dysplasia, Silverman-Handmaker type. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Syndromic Disorders Gene Curation Expert Panel on the meeting date 04.26.2022 (SOP Version 8).

Silverman-Handmaker type dyssegmental dysplasiaDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009140

Submitter: G2P

Schwartz-Jampel syndrome type 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0100435

Submitter: G2P

Schwartz-Jampel syndrome type 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0100435

Submitter: Labcorp Genetics (formerly Invitae)

Silverman-Handmaker type dyssegmental dysplasiaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009140

Submitter: Labcorp Genetics (formerly Invitae)

Schwartz-Jampel syndrome type 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0100435

Submitter: ClinGen

HSPG2 was first reported in relation to autosomal recessive Schwartz-Jampel Syndrome, type 1 in 2000 (Nicole et al., PMID: 11101850) and autosomal recessive Dyssegmental dysplasia, Silverman-Handmaker type in 2001 (Arikawa-Hirasawa et al., PMID: 11279527). Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found differences in molecular mechanism AND phenotypic variability. Therefore, the following disease entities have been split into two disease entities, Schwartz-Jampel Syndrome, type 1 (OMIM:255800), and Dyssegmental dysplasia, Silverman-Handmaker type (OMIM:224410). The split curation for autosomal recessive Dyssegmental dysplasia, Silverman-Handmaker type has been curated separately. 21 variants (including missense, nonsense, frameshift, deletions, and splice variants) have been reported in 14 probands in 6 publications (PMID: 11101850; Arikawa-Hirasawa et al., 2002, PMID: 11941538; Stum et al., 2006, PMID: 16927315; Lin et al., 2021, PMID: 33767660; Iwata et al., 2015, PMID: 26031903; Das Bhowmik et al., 2016, PMID: 27521129) and are included in this curation. The mechanism of pathogenicity is known to be loss of function hypomorphic variants. This gene-disease association is also supported by expression studies (Bauché et al., 2013, PMID: 24011702), functional alteration (Xu et al., 2016, PMID: 27578148) and animal models (Rodgers et al., 2007, PMID: 17213231; Stum et al., 2008, PMID: 18647752). In summary, HSPG2 is definitively associated with autosomal recessive Schwartz-Jampel Syndrome, type 1. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Syndromic Disorders Gene Curation Expert Panel on the meeting date 04.26.2022 (SOP Version 8).

Schwartz-Jampel syndromeSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009717

Submitter: Orphanet

Silverman-Handmaker type dyssegmental dysplasiaSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009140

Submitter: Orphanet

Silverman-Handmaker type dyssegmental dysplasiaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009140

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Schwartz-Jampel syndrome, type 1AD/AR

Manifestation: Craniofacial; Musculoskeletal

Intervention: General; Pharmacogenomic

Rationale: An increased risk of malignant hyperthermia has been described; Variants may have additional pharmacogenomic importance (eg, related to tardive dyskinesia); Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 13909723; 4953364; 11101850; 11038441; 11279527; 11941538; 16927315; 20072119; 20542149; 21808285Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to HSPG2 variants in ClinVar

21 Conditions Cataloged
not providedTotal: 2669
Inborn genetic diseasesTotal: 851
Lethal Kniest-like syndromeTotal: 486
not specifiedTotal: 414
Schwartz-Jampel syndromeTotal: 409
HSPG2-related disorderTotal: 169
Schwartz-Jampel syndrome type 1Total: 139
Connective tissue disorderTotal: 88

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_005529.7. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
2
clinvar
63
clinvar
798
clinvar
9
clinvar
872
missense
3
clinvar
7
clinvar
1575
clinvar
141
clinvar
11
clinvar
1737
nonsense
25
clinvar
14
clinvar
6
clinvar
45
start loss
2
clinvar
2
frameshift
23
clinvar
16
clinvar
5
clinvar
44
splice donor/acceptor (+/-2bp)
6
clinvar
32
clinvar
15
clinvar
1
clinvar
54
Total57711666940202754

Highest pathogenic variant AF is 0.00003159722

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 18 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_005529.7RefSeqNP_005520.497MANE Select
ENST00000374695.8EnsemblENSP00000363827.397MANE Select
NM_001291860.2RefSeqNP_001278789.197Standard
ENST00000374673.4EnsemblENSP00000497688.17Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
hspg2Danio rerio

Structure: blood vessel

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • ECM-receptor interaction - Homo sapiens (human)
  • Proteoglycans in cancer - Homo sapiens (human)
  • Hepatitis B - Homo sapiens (human)
  • Signaling by GPCR
  • Signal Transduction

Biological Process

  • retinoid metabolic process
  • angiogenesis
  • glycosaminoglycan biosynthetic process
  • glycosaminoglycan catabolic process
  • lipid metabolic process

Molecular Function

  • amyloid-beta binding
  • calcium ion binding
  • protein binding
  • protein C-terminus binding
  • extracellular matrix structural constituent conferring compression resistance

Cellular Component

  • extracellular region
  • basement membrane
  • extracellular space
  • Golgi lumen
  • plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000374695
Coding exons
97
Length
115053
Individuals with no LoFs
125592
Homozygous LoFs
0
Heterozygous LoFs
156
Defined
125748
p
0.000620
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.1425712.74e+30.9390.00019727883
Missense (PolyPhen)9541108.80.8604111675
Synonymous-1.3912491.19e+31.050.00009359231
Loss of Function9.23782290.3410.00001262387

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000770.00074rare
Latino/Admixed American0.00100.00095notable
Ashkenazi Jewish0.000200.00020rare
East Asian0.000610.00060rare
Finnish0.000330.00032rare
European (Non-Finnish)0.000590.00057rare
South Asian0.000740.00072rare
Other0.000670.00065rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Integral component of basement membranes. Component of the glomerular basement membrane (GBM), responsible for the fixed negative electrostatic membrane charge, and which provides a barrier which is both size- and charge-selective. It serves as an attachment substrate for cells. Plays essential roles in vascularization. Critical for normal heart development and for regulating the vascular response to injury. Also required for avascular cartilage development.; FUNCTION: The LG3 peptide has anti-angiogenic properties that require binding of calcium ions for full activity.;
Disease
DISEASE: Schwartz-Jampel syndrome (SJS1) [MIM:255800]: Rare autosomal recessive disorder characterized by permanent myotonia (prolonged failure of muscle relaxation) and skeletal dysplasia, resulting in reduced stature, kyphoscoliosis, bowing of the diaphyses and irregular epiphyses. {ECO:0000269|PubMed:11101850}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Dyssegmental dysplasia Silverman-Handmaker type (DDSH) [MIM:224410]: The dyssegmental dysplasias are rare, autosomal recessive skeletal dysplasias with anisospondyly and micromelia. There are two recognized types: the severe, lethal DDSH and the milder Rolland-Desbuquois form. Individuals with DDSH also have a flat face, micrognathia, cleft palate and reduced joint mobility, and frequently have an encephalocoele. The endochondral growth plate is short, the calcospherites (which are spherical calcium- phosphorus crystals produced by hypertrophic chondrocytes) are unfused, and there is mucoid degeneration of the resting cartilage. {ECO:0000269|PubMed:11279527}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.695

Intolerance Scores

LoFtool
0.588
RVIS EVS
-0.31
RVIS percentile EVS
32.07

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Indispensability pred.
E
Indispensability score
0.854

Gene Damage Prediction

AllRecessiveDominant
MendelianHighHighHigh
Primary ImmunodeficiencyHighHighHigh
CancerHighHighHigh
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