10-100750712-C-CCGGCAG

Variant names:

• chr10-100750712-C-CCGGCAG
• rs80356379
• NM_000278.5:c.231_232insCGGCAG

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM1 PM2 PM4

The NM_000278.5(PAX2):​c.231_232insCGGCAG​(p.Ser77_Ile78insArgGln) variant causes a conservative inframe insertion change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Synonymous variant affecting the same amino acid position (i.e. I78I) has been classified as Likely benign.

• Frequency: Genomes: not found (cov: 33)
• Consequence: PAX2 NM_000278.5 conservative_inframe_insertion
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 7.44
• Publications: 1 publications found

Genes affected

PAX2 (HGNC:8616): (paired box 2) PAX2 encodes paired box gene 2, one of many human homologues of the Drosophila melanogaster gene prd. The central feature of this transcription factor gene family is the conserved DNA-binding paired box domain. PAX2 is believed to be a target of transcriptional supression by the tumor suppressor gene WT1. Mutations within PAX2 have been shown to result in optic nerve colobomas and renal hypoplasia. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Dec 2014]

PAX2 Gene-Disease associations (from GenCC):

• focal segmental glomerulosclerosis 7

  Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
• renal coloboma syndrome

  Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, PanelApp Australia, Labcorp Genetics (formerly Invitae), G2P
• familial idiopathic steroid-resistant nephrotic syndrome

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

• PM1: In a hotspot region, there are 14 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 7 uncertain in NM_000278.5
• PM2: Very rare variant in population databases, with high coverage
• PM4: Nonframeshift variant in NON repetitive region in NM_000278.5.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000278.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	PAX2	NM_000278.5	MANE Select	c.231_232insCGGCAG	p.Ser77_Ile78insArgGln	conservative_inframe_insertion	Exon 3 of 10	NP_000269.3
	PAX2	NM_003990.5		c.231_232insCGGCAG	p.Ser77_Ile78insArgGln	conservative_inframe_insertion	Exon 3 of 11	NP_003981.3
	PAX2	NM_001304569.2		c.324_325insCGGCAG	p.Ser108_Ile109insArgGln	conservative_inframe_insertion	Exon 4 of 11	NP_001291498.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	PAX2	ENST00000355243.8	TSL:1 MANE Select	c.231_232insCGGCAG	p.Ser77_Ile78insArgGln	conservative_inframe_insertion	Exon 3 of 10	ENSP00000347385.3
	PAX2	ENST00000370296.6	TSL:1	c.231_232insCGGCAG	p.Ser77_Ile78insArgGln	conservative_inframe_insertion	Exon 3 of 11	ENSP00000359319.3
	PAX2	ENST00000554172.2	TSL:1	c.243_244insCGGCAG	p.Ser81_Ile82insArgGln	conservative_inframe_insertion	Exon 2 of 7	ENSP00000452489.2

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome Cov.: 32

GnomAD4 genome Cov.: 33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
PhyloP100		7.4

Splicing

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

Other links and lift over

dbSNP: rs80356379; hg19: chr10-102510469;