chr8-27777059-GA-G
Variant summary
Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_001017420.3(ESCO2):c.760delA(p.Thr254LeufsTer13) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000156 in 1,598,802 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_001017420.3 frameshift
Scores
Clinical Significance
Conservation
Publications
- Roberts-SC phocomelia syndromeInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, G2P, Labcorp Genetics (formerly Invitae)
- Roberts syndromeInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics
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ACMG classification
Our verdict: Pathogenic. The variant received 18 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| ESCO2 | NM_001017420.3 | c.760delA | p.Thr254LeufsTer13 | frameshift_variant | Exon 3 of 11 | ENST00000305188.13 | NP_001017420.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| ESCO2 | ENST00000305188.13 | c.760delA | p.Thr254LeufsTer13 | frameshift_variant | Exon 3 of 11 | 1 | NM_001017420.3 | ENSP00000306999.8 |
Frequencies
GnomAD3 genomes AF: 0.0000132 AC: 2AN: 151244Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.0000531 AC: 12AN: 225828 AF XY: 0.0000408 show subpopulations
GnomAD4 exome AF: 0.0000159 AC: 23AN: 1447440Hom.: 0 Cov.: 32 AF XY: 0.0000181 AC XY: 13AN XY: 719550 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000132 AC: 2AN: 151362Hom.: 0 Cov.: 33 AF XY: 0.0000135 AC XY: 1AN XY: 73936 show subpopulations
ClinVar
Submissions by phenotype
not provided Pathogenic:4
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This sequence change creates a premature translational stop signal (p.Thr254Leufs*13) in the ESCO2 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in ESCO2 are known to be pathogenic (PMID: 15821733, 16380922). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This premature translational stop signal has been observed in individuals with Roberts syndrome (PMID: 16380922, 18411254). This variant is also known as c.752delA and p.K253fsX12. ClinVar contains an entry for this variant (Variation ID: 21247). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. For these reasons, this variant has been classified as Pathogenic. -
The c.760delA variant (also known as c.752delA due to alternate nomenclature) in the ESCO2 gene has been reported previously with a second variant in ESCO2 in several unrelated individuals with diagnoses of Roberts-SC phocomelia syndrome (Schule et al., 2005; Gordillo et al., 2008). The c.760delA variant causes a frameshift starting with codon Threonine 254, changes this amino acid to a Leucine residue, and creates a premature Stop codon at position 13 of the new reading frame, denoted p.Thr254LeufsX13. This variant is predicted to cause loss of normal protein function either through protein truncation or nonsense-mediated mRNA decay. The c.760delA variant is not observed in large population cohorts (Lek et al., 2016). We interpret c.760delA as a pathogenic variant. -
Roberts-SC phocomelia syndrome Pathogenic:3Other:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at