chr9-127666235-C-A

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM2PP2PP3_StrongPP5

The NM_003165.6(STXBP1):​c.733C>A​(p.His245Asn) variant causes a missense change involving the alteration of a 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 (no stars).

Frequency

Genomes: not found (cov: 32)

Consequence

STXBP1
NM_003165.6 missense

Scores

14
3
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 7.91
Variant links:
Genes affected
STXBP1 (HGNC:11444): (syntaxin binding protein 1) This gene encodes a syntaxin-binding protein. The encoded protein appears to play a role in release of neurotransmitters via regulation of syntaxin, a transmembrane attachment protein receptor. Mutations in this gene have been associated with infantile epileptic encephalopathy-4. Alternatively spliced transcript variants have been described. [provided by RefSeq, Feb 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), STXBP1. . Gene score misZ 4.263 (greater than the threshold 3.09). Trascript score misZ 5.8329 (greater than threshold 3.09). GenCC has associacion of gene with intellectual disability, autosomal dominant non-syndromic intellectual disability, Dravet syndrome, undetermined early-onset epileptic encephalopathy, autism spectrum disorder, developmental and epileptic encephalopathy, West syndrome, atypical Rett syndrome, developmental and epileptic encephalopathy, 4.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.99
PP5
Variant 9-127666235-C-A is Pathogenic according to our data. Variant chr9-127666235-C-A is described in ClinVar as [Pathogenic]. Clinvar id is 1298373.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
STXBP1NM_003165.6 linkuse as main transcriptc.733C>A p.His245Asn missense_variant 9/20 ENST00000373302.8 NP_003156.1
STXBP1NM_001032221.6 linkuse as main transcriptc.733C>A p.His245Asn missense_variant 9/19 ENST00000373299.5 NP_001027392.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
STXBP1ENST00000373302.8 linkuse as main transcriptc.733C>A p.His245Asn missense_variant 9/201 NM_003165.6 ENSP00000362399 P3P61764-2
STXBP1ENST00000373299.5 linkuse as main transcriptc.733C>A p.His245Asn missense_variant 9/191 NM_001032221.6 ENSP00000362396 A1P61764-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Developmental and epileptic encephalopathy, 4 Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPediatric Department, Xiangya Hospital, Central South UniversityJan 09, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Uncertain
0.050
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Benign
0.26
.;T;.;T;.;T;D
Eigen
Pathogenic
0.84
Eigen_PC
Pathogenic
0.70
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.98
D;.;D;D;D;D;D
M_CAP
Pathogenic
0.55
D
MetaRNN
Pathogenic
0.99
D;D;D;D;D;D;D
MetaSVM
Uncertain
0.78
D
MutationAssessor
Pathogenic
3.2
.;.;M;.;.;.;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.87
D
PROVEAN
Pathogenic
-6.6
.;.;D;.;.;.;D
REVEL
Pathogenic
0.74
Sift
Pathogenic
0.0
.;.;D;.;.;.;D
Sift4G
Pathogenic
0.0
.;.;D;.;.;.;D
Polyphen
1.0
.;.;D;.;.;.;D
Vest4
0.84, 0.84
MutPred
0.94
.;.;Loss of catalytic residue at L247 (P = 0.0786);Loss of catalytic residue at L247 (P = 0.0786);Loss of catalytic residue at L247 (P = 0.0786);.;Loss of catalytic residue at L247 (P = 0.0786);
MVP
0.93
MPC
2.0
ClinPred
1.0
D
GERP RS
5.7
Varity_R
0.95
gMVP
0.99

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr9-130428514; API