rs143992266

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBA1

The NM_001365999.1(SZT2):​c.2578G>A​(p.Glu860Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00902 in 1,614,162 control chromosomes in the GnomAD database, including 192 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0097 ( 21 hom., cov: 32)
Exomes 𝑓: 0.0089 ( 171 hom. )

Consequence

SZT2
NM_001365999.1 missense

Scores

1
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 1.93
Variant links:
Genes affected
SZT2 (HGNC:29040): (SZT2 subunit of KICSTOR complex) The protein encoded by this gene is expressed in the brain, predominantly in the parietal and frontal cortex as well as in dorsal root ganglia. It is localized to the peroxisome, and is implicated in resistance to oxidative stress. It likely functions by increasing superoxide dismutase (SOD) activity, but itself has no direct SOD activity. Studies in mice show that this gene confers low seizure threshold, and may also enhance epileptogenesis. [provided by RefSeq, Jun 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), SZT2. . Gene score misZ 2.5968 (greater than the threshold 3.09). Trascript score misZ 4.0086 (greater than threshold 3.09). GenCC has associacion of gene with undetermined early-onset epileptic encephalopathy, developmental and epileptic encephalopathy, 18, developmental and epileptic encephalopathy.
BP4
Computational evidence support a benign effect (MetaRNN=0.0014998913).
BP6
Variant 1-43425140-G-A is Benign according to our data. Variant chr1-43425140-G-A is described in ClinVar as [Benign]. Clinvar id is 241030.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-43425140-G-A is described in Lovd as [Benign]. Variant chr1-43425140-G-A is described in Lovd as [Likely_benign].
BA1
GnomAdExome4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.0668 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SZT2NM_001365999.1 linkuse as main transcriptc.2578G>A p.Glu860Lys missense_variant 18/72 ENST00000634258.3 NP_001352928.1
SZT2NM_015284.4 linkuse as main transcriptc.2578G>A p.Glu860Lys missense_variant 18/71 NP_056099.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SZT2ENST00000634258.3 linkuse as main transcriptc.2578G>A p.Glu860Lys missense_variant 18/725 NM_001365999.1 ENSP00000489255 P1Q5T011-1
SZT2ENST00000562955.2 linkuse as main transcriptc.2578G>A p.Glu860Lys missense_variant 18/715 ENSP00000457168 Q5T011-5
SZT2ENST00000470139.1 linkuse as main transcriptc.1309G>A p.Glu437Lys missense_variant, NMD_transcript_variant 9/182 ENSP00000492726

Frequencies

GnomAD3 genomes
AF:
0.00967
AC:
1471
AN:
152184
Hom.:
21
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00278
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0434
Gnomad ASJ
AF:
0.00720
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00766
Gnomad FIN
AF:
0.00424
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.00819
Gnomad OTH
AF:
0.0119
GnomAD3 exomes
AF:
0.0155
AC:
3909
AN:
251458
Hom.:
117
AF XY:
0.0135
AC XY:
1841
AN XY:
135904
show subpopulations
Gnomad AFR exome
AF:
0.00252
Gnomad AMR exome
AF:
0.0744
Gnomad ASJ exome
AF:
0.00635
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00679
Gnomad FIN exome
AF:
0.00333
Gnomad NFE exome
AF:
0.00765
Gnomad OTH exome
AF:
0.0134
GnomAD4 exome
AF:
0.00895
AC:
13082
AN:
1461860
Hom.:
171
Cov.:
32
AF XY:
0.00877
AC XY:
6380
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.00218
Gnomad4 AMR exome
AF:
0.0688
Gnomad4 ASJ exome
AF:
0.00624
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00726
Gnomad4 FIN exome
AF:
0.00339
Gnomad4 NFE exome
AF:
0.00757
Gnomad4 OTH exome
AF:
0.00833
GnomAD4 genome
AF:
0.00966
AC:
1471
AN:
152302
Hom.:
21
Cov.:
32
AF XY:
0.00964
AC XY:
718
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.00277
Gnomad4 AMR
AF:
0.0435
Gnomad4 ASJ
AF:
0.00720
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00725
Gnomad4 FIN
AF:
0.00424
Gnomad4 NFE
AF:
0.00819
Gnomad4 OTH
AF:
0.0118
Alfa
AF:
0.00789
Hom.:
6
Bravo
AF:
0.0120
TwinsUK
AF:
0.00674
AC:
25
ALSPAC
AF:
0.00623
AC:
24
ESP6500AA
AF:
0.00340
AC:
15
ESP6500EA
AF:
0.00756
AC:
65
ExAC
AF:
0.0137
AC:
1658
Asia WGS
AF:
0.00462
AC:
16
AN:
3478
EpiCase
AF:
0.00911
EpiControl
AF:
0.00931

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 17, 2018- -
not specified Benign:2
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Developmental and epileptic encephalopathy, 18 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
Inborn genetic diseases Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsApr 15, 2016This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.037
T;.
Eigen
Benign
-0.73
Eigen_PC
Benign
-0.61
FATHMM_MKL
Benign
0.036
N
LIST_S2
Benign
0.71
T;T
MetaRNN
Benign
0.0015
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N;N
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.1
.;N
Sift
Benign
0.17
.;T
Sift4G
Benign
0.75
T;T
Polyphen
0.0
.;B
Vest4
0.071
MPC
0.30
ClinPred
0.0029
T
GERP RS
1.2
Varity_R
0.027
gMVP
0.25

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs143992266; hg19: chr1-43890811; API