rs1250300189

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PS1_ModeratePP5_Very_Strong

The NM_000199.5(SGSH):​c.1A>G​(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000536 in 1,491,322 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 Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000052 ( 0 hom. )

Consequence

SGSH
NM_000199.5 start_lost

Scores

6
2
7

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:6U:1

Conservation

PhyloP100: -0.0990

Publications

4 publications found
Variant links:
Genes affected
SGSH (HGNC:10818): (N-sulfoglucosamine sulfohydrolase) This gene encodes the enzyme sulfamidase; one of several enzymes involved in the lysosomal degradation of heparan sulfate. Mutations in this gene are associated with the lysosomal storage disease mucopolysaccaridosis IIIA, also known as Sanfilippo syndrome A, which results from impaired degradation of heparan sulfate. Transcripts of varying sizes have been reported but their biological validity has not been determined. [provided by RefSeq, Jun 2017]
SLC26A11 (HGNC:14471): (solute carrier family 26 member 11) This gene encodes a member of the solute linked carrier 26 family of anion exchangers. Members of this family of proteins are essential for numerous cellular functions including homeostasis and intracellular electrolyte balance. The encoded protein is a sodium independent sulfate transporter that is sensitive to the anion exchanger inhibitor 4,4'-diisothiocyanostilbene-2,2'-disulfonic acid. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Oct 2009]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 40 pathogenic variants. Next in-frame start position is after 88 codons. Genomic position: 80215126. Lost 0.174 part of the original CDS.
PS1
Another start lost variant in NM_000199.5 (SGSH) was described as [Pathogenic] in ClinVar
PP5
Variant 17-80220313-T-C is Pathogenic according to our data. Variant chr17-80220313-T-C is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 552260.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000199.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SGSH
NM_000199.5
MANE Select
c.1A>Gp.Met1?
start_lost
Exon 1 of 8NP_000190.1P51688
SGSH
NM_001352921.3
c.1A>Gp.Met1?
start_lost
Exon 1 of 8NP_001339850.1
SGSH
NM_001352922.2
c.1A>Gp.Met1?
start_lost
Exon 1 of 9NP_001339851.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SGSH
ENST00000326317.11
TSL:1 MANE Select
c.1A>Gp.Met1?
start_lost
Exon 1 of 8ENSP00000314606.6P51688
SGSH
ENST00000575282.5
TSL:1
n.10A>G
non_coding_transcript_exon
Exon 1 of 5
SGSH
ENST00000874335.1
c.1A>Gp.Met1?
start_lost
Exon 1 of 9ENSP00000544394.1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152112
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000217
AC:
2
AN:
91972
AF XY:
0.0000386
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000588
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000523
AC:
7
AN:
1339210
Hom.:
0
Cov.:
31
AF XY:
0.00000758
AC XY:
5
AN XY:
659624
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
27188
American (AMR)
AF:
0.00
AC:
0
AN:
31024
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23688
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30682
South Asian (SAS)
AF:
0.00
AC:
0
AN:
74816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33090
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3928
European-Non Finnish (NFE)
AF:
0.00000661
AC:
7
AN:
1059050
Other (OTH)
AF:
0.00
AC:
0
AN:
55744
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.511
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152112
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
74296
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41436
American (AMR)
AF:
0.00
AC:
0
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67984
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
5
-
-
Mucopolysaccharidosis, MPS-III-A (5)
1
1
-
not provided (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.50
D
BayesDel_noAF
Pathogenic
0.48
CADD
Benign
19
DANN
Benign
0.58
DEOGEN2
Benign
0.11
T
Eigen
Benign
-0.50
Eigen_PC
Benign
-0.55
FATHMM_MKL
Benign
0.72
D
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.97
D
MetaRNN
Pathogenic
0.97
D
MetaSVM
Uncertain
0.52
D
PhyloP100
-0.099
PROVEAN
Benign
-0.86
N
REVEL
Pathogenic
0.66
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.077
T
Polyphen
0.010
B
Vest4
0.59
MutPred
0.94
Loss of disorder (P = 0.1278)
MVP
0.93
ClinPred
0.30
T
GERP RS
2.0
PromoterAI
-0.55
Under-expression
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.0
Varity_R
0.93
gMVP
0.67
Mutation Taster
=8/192
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs1250300189; hg19: chr17-78194112; API