NM_000202.8:c.884A>G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000202.8(IDS):​c.884A>G​(p.Lys295Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000132 in 1,209,378 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 49 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00066 ( 0 hom., 25 hem., cov: 23)
Exomes 𝑓: 0.000078 ( 0 hom. 24 hem. )

Consequence

IDS
NM_000202.8 missense

Scores

1
5
11

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.882
Variant links:
Genes affected
IDS (HGNC:5389): (iduronate 2-sulfatase) This gene encodes a member of the sulfatase family of proteins. The encoded preproprotein is proteolytically processed to generate two polypeptide chains. This enzyme is involved in the lysosomal degradation of heparan sulfate and dermatan sulfate. Mutations in this gene are associated with the X-linked lysosomal storage disease mucopolysaccharidosis type II, also known as Hunter syndrome. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed. [provided by RefSeq, Jan 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.03931564).
BP6
Variant X-149490436-T-C is Benign according to our data. Variant chrX-149490436-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 791679.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-149490436-T-C is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000663 (74/111626) while in subpopulation AFR AF= 0.00225 (69/30611). AF 95% confidence interval is 0.00183. There are 0 homozygotes in gnomad4. There are 25 alleles in male gnomad4 subpopulation. Median coverage is 23. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 25 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
IDSNM_000202.8 linkc.884A>G p.Lys295Arg missense_variant Exon 7 of 9 ENST00000340855.11 NP_000193.1 P22304-1
IDSNM_001166550.4 linkc.614A>G p.Lys205Arg missense_variant Exon 7 of 9 NP_001160022.1 P22304B4DGD7
IDSNM_006123.5 linkc.884A>G p.Lys295Arg missense_variant Exon 7 of 8 NP_006114.1 P22304-2
IDSNR_104128.2 linkn.1183A>G non_coding_transcript_exon_variant Exon 8 of 9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
IDSENST00000340855.11 linkc.884A>G p.Lys295Arg missense_variant Exon 7 of 9 1 NM_000202.8 ENSP00000339801.6 P22304-1
ENSG00000241489ENST00000651111.1 linkc.251A>G p.Lys84Arg missense_variant Exon 12 of 14 ENSP00000498395.1 B3KWA1

Frequencies

GnomAD3 genomes
AF:
0.000663
AC:
74
AN:
111626
Hom.:
0
Cov.:
23
AF XY:
0.000739
AC XY:
25
AN XY:
33816
show subpopulations
Gnomad AFR
AF:
0.00225
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000475
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
GnomAD3 exomes
AF:
0.000164
AC:
30
AN:
183172
Hom.:
0
AF XY:
0.000118
AC XY:
8
AN XY:
67688
show subpopulations
Gnomad AFR exome
AF:
0.00198
Gnomad AMR exome
AF:
0.000146
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000783
AC:
86
AN:
1097752
Hom.:
0
Cov.:
30
AF XY:
0.0000661
AC XY:
24
AN XY:
363118
show subpopulations
Gnomad4 AFR exome
AF:
0.00265
Gnomad4 AMR exome
AF:
0.000114
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000369
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.000174
GnomAD4 genome
AF:
0.000663
AC:
74
AN:
111626
Hom.:
0
Cov.:
23
AF XY:
0.000739
AC XY:
25
AN XY:
33816
show subpopulations
Gnomad4 AFR
AF:
0.00225
Gnomad4 AMR
AF:
0.000475
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000818
Hom.:
4
Bravo
AF:
0.000869
ESP6500AA
AF:
0.00287
AC:
11
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000165
AC:
20

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Benign:1
Jan 05, 2018
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Mucopolysaccharidosis, MPS-III-A Benign:1
Apr 11, 2020
Natera, Inc.
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mucopolysaccharidosis, MPS-II Benign:1
Jan 21, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.082
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.67
D;.;.
FATHMM_MKL
Benign
0.71
D
LIST_S2
Uncertain
0.89
D;D;D
M_CAP
Pathogenic
0.31
D
MetaRNN
Benign
0.039
T;T;T
MetaSVM
Uncertain
0.52
D
MutationAssessor
Benign
0.66
N;N;.
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.83
N;N;.
REVEL
Uncertain
0.36
Sift
Benign
0.44
T;T;.
Sift4G
Benign
0.69
T;T;T
Polyphen
0.025
B;B;.
Vest4
0.20
MVP
0.82
MPC
0.17
ClinPred
0.0097
T
GERP RS
5.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.19
gMVP
0.61

Splicing

Name
Calibrated prediction
Score
Prediction
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs113993953; hg19: chrX-148571967; COSMIC: COSV100558177; API