rs370053399

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_006949.4(STXBP2):​c.568C>G​(p.Arg190Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000713 in 1,402,618 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R190C) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.1e-7 ( 0 hom. )

Consequence

STXBP2
NM_006949.4 missense

Scores

9
9

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.85

Publications

0 publications found
Variant links:
Genes affected
STXBP2 (HGNC:11445): (syntaxin binding protein 2) This gene encodes a member of the STXBP/unc-18/SEC1 family. The encoded protein is involved in intracellular trafficking, control of SNARE (soluble NSF attachment protein receptor) complex assembly, and the release of cytotoxic granules by natural killer cells. Mutations in this gene are associated with familial hemophagocytic lymphohistiocytosis. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Jan 2013]
STXBP2 Gene-Disease associations (from GenCC):
  • familial hemophagocytic lymphohistiocytosis 5
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG, LIMITED Submitted by: Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae)
  • hereditary hemophagocytic lymphohistiocytosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • microvillus inclusion disease
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.949

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_006949.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STXBP2
NM_006949.4
MANE Select
c.568C>Gp.Arg190Gly
missense
Exon 7 of 19NP_008880.2Q15833-1
STXBP2
NM_001272034.2
c.601C>Gp.Arg201Gly
missense
Exon 7 of 19NP_001258963.1Q15833-3
STXBP2
NM_001127396.3
c.559C>Gp.Arg187Gly
missense
Exon 7 of 19NP_001120868.1Q15833-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STXBP2
ENST00000221283.10
TSL:1 MANE Select
c.568C>Gp.Arg190Gly
missense
Exon 7 of 19ENSP00000221283.4Q15833-1
STXBP2
ENST00000414284.6
TSL:1
c.559C>Gp.Arg187Gly
missense
Exon 7 of 19ENSP00000409471.1Q15833-2
STXBP2
ENST00000597068.5
TSL:1
n.568C>G
non_coding_transcript_exon
Exon 7 of 19ENSP00000471327.1M0R0M7

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
7.13e-7
AC:
1
AN:
1402618
Hom.:
0
Cov.:
32
AF XY:
0.00000144
AC XY:
1
AN XY:
692332
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31690
American (AMR)
AF:
0.00
AC:
0
AN:
36226
Ashkenazi Jewish (ASJ)
AF:
0.0000397
AC:
1
AN:
25184
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35934
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79760
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49114
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4658
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1081964
Other (OTH)
AF:
0.00
AC:
0
AN:
58088
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

Exome 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
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.93
BayesDel_addAF
Pathogenic
0.40
D
BayesDel_noAF
Pathogenic
0.33
CADD
Pathogenic
31
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.85
D
Eigen
Uncertain
0.52
Eigen_PC
Uncertain
0.36
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Pathogenic
0.99
D
M_CAP
Uncertain
0.25
D
MetaRNN
Pathogenic
0.95
D
MetaSVM
Uncertain
0.32
D
MutationAssessor
Pathogenic
3.6
H
PhyloP100
1.9
PrimateAI
Uncertain
0.60
T
PROVEAN
Pathogenic
-6.4
D
REVEL
Pathogenic
0.75
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.020
D
Polyphen
1.0
D
Vest4
0.95
MutPred
0.83
Gain of methylation at K193 (P = 0.0393)
MVP
0.91
MPC
0.96
ClinPred
0.99
D
GERP RS
3.0
Varity_R
0.98
gMVP
0.94
Mutation Taster
=28/72
disease causing

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: rs370053399; hg19: chr19-7706729; API