chr1-21833859-C-T
Variant names: 
Variant summary
Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong
The NM_005529.7(HSPG2):c.10787G>A(p.Cys3596Tyr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000187 in 1,604,566 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (no stars).
Frequency
 Genomes: 𝑓 0.000013   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  6.9e-7   (  0   hom.  ) 
Consequence
 HSPG2
NM_005529.7 missense
NM_005529.7 missense
Scores
 15
 3
 1
Clinical Significance
Conservation
 PhyloP100:  7.21  
Publications
0 publications found 
Genes affected
 HSPG2  (HGNC:5273):  (heparan sulfate proteoglycan 2) This gene encodes the perlecan protein, which consists of a core protein to which three long chains of glycosaminoglycans (heparan sulfate or chondroitin sulfate) are attached. The perlecan protein is a large multidomain proteoglycan that binds to and cross-links many extracellular matrix components and cell-surface molecules. It has been shown that this protein interacts with laminin, prolargin, collagen type IV, FGFBP1, FBLN2, FGF7 and transthyretin, etc., and it plays essential roles in multiple biological activities. Perlecan is a key component of the vascular extracellular matrix, where it helps to maintain the endothelial barrier function. It is a potent inhibitor of smooth muscle cell proliferation and is thus thought to help maintain vascular homeostasis. It can also promote growth factor (e.g., FGF2) activity and thus stimulate endothelial growth and re-generation. It is a major component of basement membranes, where it is involved in the stabilization of other molecules as well as being involved with glomerular permeability to macromolecules and cell adhesion. Mutations in this gene cause Schwartz-Jampel syndrome type 1, Silverman-Handmaker type of dyssegmental dysplasia, and tardive dyskinesia. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2014] 
HSPG2 Gene-Disease associations (from GenCC):
- Schwartz-Jampel syndrome type 1Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), G2P
- Silverman-Handmaker type dyssegmental dysplasiaInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, ClinGen, Labcorp Genetics (formerly Invitae)
- Schwartz-Jampel syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_pathogenic. The variant received 6 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
PP3
MetaRNN computational evidence supports a deleterious effect, 0.992
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.0000131  AC: 2AN: 152240Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
2
AN: 
152240
Hom.: 
Cov.: 
33
Gnomad AFR 
 AF: 
Gnomad AMI 
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Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad FIN 
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Gnomad MID 
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Gnomad NFE 
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Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.00  AC: 0AN: 233886 AF XY:  0.00   
GnomAD2 exomes 
 AF: 
AC: 
0
AN: 
233886
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  6.89e-7  AC: 1AN: 1452326Hom.:  0  Cov.: 32 AF XY:  0.00000139  AC XY: 1AN XY: 721474 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
1
AN: 
1452326
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
1
AN XY: 
721474
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
0
AN: 
33268
American (AMR) 
 AF: 
AC: 
0
AN: 
43464
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
25920
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39278
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
84216
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
52888
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5756
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
1107490
Other (OTH) 
 AF: 
AC: 
0
AN: 
60046
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.225 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
GnomAD4 genome  0.0000131  AC: 2AN: 152240Hom.:  0  Cov.: 33 AF XY:  0.00  AC XY: 0AN XY: 74370 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
2
AN: 
152240
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
0
AN XY: 
74370
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
41464
American (AMR) 
 AF: 
AC: 
0
AN: 
15284
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
2
AN: 
5204
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4836
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10620
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
68042
Other (OTH) 
 AF: 
AC: 
0
AN: 
2090
 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: 
Hom.: 
ExAC 
 AF: 
AC: 
2
ClinVar
Significance: Uncertain significance 
Submissions summary: Uncertain:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
not provided    Uncertain:1 
Sep 16, 2018
Gharavi Laboratory, Columbia University
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Pathogenic 
D 
 BayesDel_noAF 
 Pathogenic 
 DANN 
 Uncertain 
 DEOGEN2 
 Pathogenic 
D 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Pathogenic 
 FATHMM_MKL 
 Pathogenic 
D 
 LIST_S2 
 Uncertain 
D 
 M_CAP 
 Pathogenic 
D 
 MetaRNN 
 Pathogenic 
D 
 MetaSVM 
 Pathogenic 
D 
 MutationAssessor 
 Pathogenic 
H 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Pathogenic 
D 
 REVEL 
 Pathogenic 
 Sift 
 Pathogenic 
D 
 Sift4G 
 Pathogenic 
D 
 Polyphen 
D 
 Vest4 
 MutPred 
Loss of catalytic residue at P3595 (P = 0.0094);
 MVP 
 MPC 
 ClinPred 
D 
 GERP RS 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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