1-43389993-G-A

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP3

The NM_001365999.1(SZT2):​c.25G>A​(p.Glu9Lys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000197 in 152,220 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

SZT2
NM_001365999.1 missense, splice_region

Scores

1
6
12
Splicing: ADA: 0.9669
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.23

Publications

0 publications found
Variant links:
Genes affected
SZT2 (HGNC:29040): (SZT2 subunit of KICSTOR complex) The protein encoded by this gene is expressed in the brain, predominantly in the parietal and frontal cortex as well as in dorsal root ganglia. It is localized to the peroxisome, and is implicated in resistance to oxidative stress. It likely functions by increasing superoxide dismutase (SOD) activity, but itself has no direct SOD activity. Studies in mice show that this gene confers low seizure threshold, and may also enhance epileptogenesis. [provided by RefSeq, Jun 2011]
MED8 (HGNC:19971): (mediator complex subunit 8) This gene encodes a protein component of the mediator complex, which aids in transcriptional activation through interaction with RNA polymerase II and gene-specific transcription factors. The encoded protein may also function in ubiquitin ligation and protein degradation. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Jan 2013]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SZT2NM_001365999.1 linkc.25G>A p.Glu9Lys missense_variant, splice_region_variant Exon 1 of 72 ENST00000634258.3 NP_001352928.1
MED8NM_201542.5 linkc.-229C>T upstream_gene_variant ENST00000372457.9 NP_963836.2 Q96G25-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SZT2ENST00000634258.3 linkc.25G>A p.Glu9Lys missense_variant, splice_region_variant Exon 1 of 72 5 NM_001365999.1 ENSP00000489255.1 Q5T011-1
MED8ENST00000372457.9 linkc.-229C>T upstream_gene_variant 2 NM_201542.5 ENSP00000361535.4 Q96G25-1

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152220
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
30700
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1239250
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
599984
African (AFR)
AF:
0.00
AC:
0
AN:
24696
American (AMR)
AF:
0.00
AC:
0
AN:
13286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17664
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29018
South Asian (SAS)
AF:
0.00
AC:
0
AN:
59784
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
30484
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4606
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1008340
Other (OTH)
AF:
0.00
AC:
0
AN:
51372
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152220
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74368
show subpopulations
African (AFR)
AF:
0.0000724
AC:
3
AN:
41456
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.00000971
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Jun 22, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces glutamic acid, which is acidic and polar, with lysine, which is basic and polar, at codon 9 of the SZT2 protein (p.Glu9Lys). This variant is present in population databases (rs775373251, gnomAD 0.009%). This variant has not been reported in the literature in individuals affected with SZT2-related conditions. An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
BayesDel_addAF
Benign
-0.0031
T
BayesDel_noAF
Benign
-0.24
CADD
Pathogenic
30
DANN
Uncertain
0.99
DEOGEN2
Benign
0.017
.;T;.
Eigen
Uncertain
0.22
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.87
D;D;D
M_CAP
Benign
0.0085
T
MetaRNN
Benign
0.24
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.57
N;N;N
PhyloP100
4.2
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
-0.020
N;.;N
REVEL
Uncertain
0.30
Sift
Benign
0.72
T;.;T
Sift4G
Benign
0.14
T;D;D
Polyphen
0.97
D;.;.
Vest4
0.45
MutPred
0.41
Gain of ubiquitination at E9 (P = 0.0029);Gain of ubiquitination at E9 (P = 0.0029);Gain of ubiquitination at E9 (P = 0.0029);
MVP
0.22
MPC
0.60
ClinPred
0.86
D
GERP RS
4.3
PromoterAI
0.062
Neutral
Varity_R
0.32
gMVP
0.23
Mutation Taster
=71/29
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.97
dbscSNV1_RF
Pathogenic
0.81
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs775373251; hg19: chr1-43855664; API