8-43140516-CGCTGGCCGCGCTGCT-C
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Variant summary
Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PM4
The NM_152419.3(HGSNAT):c.31_45delCTGCTGCTGGCCGCG(p.Leu11_Ala15del) variant causes a conservative inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000111 in 1,079,848 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Genomes: 𝑓 0.000014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000011 ( 0 hom. )
Consequence
HGSNAT
NM_152419.3 conservative_inframe_deletion
NM_152419.3 conservative_inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 2.70
Genes affected
HGSNAT (HGNC:26527): (heparan-alpha-glucosaminide N-acetyltransferase) This gene encodes a lysosomal acetyltransferase, which is one of several enzymes involved in the lysosomal degradation of heparin sulfate. Mutations in this gene are associated with Sanfilippo syndrome C, one type of the lysosomal storage disease mucopolysaccaridosis III, which results from impaired degradation of heparan sulfate. [provided by RefSeq, Jan 2009]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 6 ACMG points.
PM1
In a topological_domain Lumenal, vesicle (size 189) in uniprot entity HGNAT_HUMAN there are 13 pathogenic changes around while only 1 benign (93%) in NM_152419.3
PM2
Very rare variant in population databases, with high coverage;
PM4
Nonframeshift variant in NON repetitive region in NM_152419.3.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
HGSNAT | NM_152419.3 | c.31_45delCTGCTGCTGGCCGCG | p.Leu11_Ala15del | conservative_inframe_deletion | 1/18 | ENST00000379644.9 | NP_689632.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
HGSNAT | ENST00000379644.9 | c.31_45delCTGCTGCTGGCCGCG | p.Leu11_Ala15del | conservative_inframe_deletion | 1/18 | 2 | NM_152419.3 | ENSP00000368965.4 | ||
HGSNAT | ENST00000520704.1 | n.-120_-106delCTGCTGCTGGCCGCG | non_coding_transcript_exon_variant | 1/10 | 1 | ENSP00000429109.1 | ||||
HGSNAT | ENST00000520704.1 | n.-120_-106delCTGCTGCTGGCCGCG | 5_prime_UTR_variant | 1/10 | 1 | ENSP00000429109.1 | ||||
HGSNAT | ENST00000517319.1 | n.31_45delCTGCTGCTGGCCGCG | non_coding_transcript_exon_variant | 1/5 | 4 | ENSP00000430032.1 |
Frequencies
GnomAD3 genomes AF: 0.0000135 AC: 2AN: 147980Hom.: 0 Cov.: 32
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GnomAD4 exome AF: 0.0000107 AC: 10AN: 931868Hom.: 0 AF XY: 0.0000114 AC XY: 5AN XY: 438126
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GnomAD4 genome AF: 0.0000135 AC: 2AN: 147980Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 72084
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Mucopolysaccharidosis, MPS-III-C Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Counsyl | Aug 23, 2017 | - - |
Mucopolysaccharidosis, MPS-III-C;C4225287:Retinitis pigmentosa 73 Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Sep 06, 2022 | This variant, c.31_45del, results in the deletion of 5 amino acid(s) of the HGSNAT protein (p.Leu11_Ala15del), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (no rsID available, gnomAD 0.01%). This variant has not been reported in the literature in individuals affected with HGSNAT-related conditions. ClinVar contains an entry for this variant (Variation ID: 553290). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. - |
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at