rs202150579
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong
The NM_000199.5(SGSH):c.1076C>T(p.Ala359Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000049 in 1,612,762 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. A359A) has been classified as Uncertain significance.
Frequency
Consequence
NM_000199.5 missense
Scores
Clinical Significance
Conservation
Publications
- familial pityriasis rubra pilarisInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
 - psoriasis 2Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
 
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.000204  AC: 31AN: 152238Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.0000801  AC: 20AN: 249546 AF XY:  0.0000666   show subpopulations 
GnomAD4 exome  AF:  0.0000329  AC: 48AN: 1460406Hom.:  0  Cov.: 34 AF XY:  0.0000275  AC XY: 20AN XY: 726468 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.000203  AC: 31AN: 152356Hom.:  0  Cov.: 33 AF XY:  0.000161  AC XY: 12AN XY: 74504 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Mucopolysaccharidosis, MPS-III-A    Uncertain:4 
This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
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This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 359 of the SGSH protein (p.Ala359Val). This variant is present in population databases (rs202150579, gnomAD 0.09%). This variant has not been reported in the literature in individuals affected with SGSH-related conditions. ClinVar contains an entry for this variant (Variation ID: 325834). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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not provided    Uncertain:3 
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BP4 -
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Inborn genetic diseases    Uncertain:1 
The c.1076C>T (p.A359V) alteration is located in exon 8 (coding exon 8) of the SGSH gene. This alteration results from a C to T substitution at nucleotide position 1076, causing the alanine (A) at amino acid position 359 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at