X-149503478-G-T

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_000202.8(IDS):​c.252C>A​(p.Cys84*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 9.9e-7 ( 0 hom. 0 hem. )
Failed GnomAD Quality Control

Consequence

IDS
NM_000202.8 stop_gained

Scores

2
1
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:2

Conservation

PhyloP100: -0.0810
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 Pathogenic. Variant got 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant X-149503478-G-T is Pathogenic according to our data. Variant chrX-149503478-G-T is described in ClinVar as [Pathogenic]. Clinvar id is 502523.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-149503478-G-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
IDSNM_000202.8 linkuse as main transcriptc.252C>A p.Cys84* stop_gained 3/9 ENST00000340855.11 NP_000193.1 P22304-1
IDSNM_006123.5 linkuse as main transcriptc.252C>A p.Cys84* stop_gained 3/8 NP_006114.1 P22304-2
IDSNM_001166550.4 linkuse as main transcriptc.15-33C>A intron_variant NP_001160022.1 P22304B4DGD7
IDSNR_104128.2 linkuse as main transcriptn.421C>A non_coding_transcript_exon_variant 3/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
IDSENST00000340855.11 linkuse as main transcriptc.252C>A p.Cys84* stop_gained 3/91 NM_000202.8 ENSP00000339801.6 P22304-1
ENSG00000241489ENST00000651111.1 linkuse as main transcriptc.-215-2441C>A intron_variant ENSP00000498395.1 B3KWA1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
9.87e-7
AC:
1
AN:
1013542
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
303520
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000129
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jun 22, 2017- -
Mucopolysaccharidosis, MPS-II Pathogenic:1
Pathogenic, criteria provided, single submitterliterature onlyLaboratory of Diagnosis and Therapy of Lysosomal Disorders, University of PadovaJun 07, 2024Null variant (PVS1_VeryStrong), Absent from controls (or at low frequency) in gnomAD database (PM2_Moderate), Patient’s phenotype or family history highly specific for the disease (PP4_Moderate) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.74
D
BayesDel_noAF
Pathogenic
0.40
CADD
Benign
23
DANN
Uncertain
0.98
FATHMM_MKL
Benign
0.49
N
Vest4
0.94
GERP RS
-4.8

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.12
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: rs1557340286; hg19: chrX-148585008; API